A nurse is assisting with the development of an education program about child maltreatment. Which of the following findings should the nurse include in the program as a possible indication of sexual abuse?
Lack of subcutaneous fat
Unexplained illness
Poor personal hygiene
Recurrent urinary tract infections
The Correct Answer is D
A. Lack of subcutaneous fat: Lack of subcutaneous fat may indicate neglect or malnutrition, but it is not a specific sign of sexual abuse.
B. Unexplained illness: Unexplained illness could be related to various conditions, including neglect or medical issues, but it is not a specific indicator of sexual abuse.
C. Poor personal hygiene: Poor personal hygiene can be a sign of neglect but does not directly point to sexual abuse. It could be due to lack of supervision, resources, or care rather than abuse.
D. Recurrent urinary tract infections: Recurrent urinary tract infections (UTIs) can be a red flag for sexual abuse, especially in young children. These infections may be caused by inappropriate sexual contact or injury to the genital area.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Buck extension: Buck extension traction is commonly used for lower extremity fractures, particularly those involving the femur or hip in adolescents. It is a type of skin traction that helps to relieve muscle spasms and align the bone during the healing process.
B. Cervical skin: Cervical skin traction, such as a head halter, is used to provide traction to the cervical spine (neck) for conditions like muscle spasms or minor cervical fractures. It is not used for lower extremity fractures, as it applies force to the head and neck.
C. Dunlop: Dunlop traction is a type of skin traction specifically used for supracondylar fractures of the humerus in children. It involves the arm being positioned at a right angle to the body with traction applied in two directions. It is not indicated for lower extremity fractures..
D. Bryant: Bryant's traction is used primarily for young children with hip fractures or congenital hip issues. It involves elevating the buttocks off the bed and is not typically prescribed for adolescents with lower extremity fractures.
Correct Answer is B
Explanation
A. Give the infant a bottle immediately before the infant's bedtime: Feeding the infant immediately before bedtime can increase the risk of reflux as lying down soon after feeding can worsen gastroesophageal reflux. The infant should be kept upright after feeding.
B. Keep the infant at a 30-degree angle for 1 hour following each feeding: Keeping the infant upright at a 30-degree angle for about 30 to 60 minutes after feeding can help prevent the contents of the stomach from refluxing into the esophagus.
C. Limit the infant's formula feedings to every 6 hr: Infants with gastroesophageal reflux typically need more frequent feedings, not less. Limiting feedings to every 6 hours is not appropriate for a 2-month-old infant. Frequent, smaller feedings may help manage reflux.
D. Change the infant's formula to a soy-based formula: Switching to a soy-based formula is not a standard treatment for gastroesophageal reflux unless there is a specific allergy or intolerance to cow's milk protein. This should only be done if directed by the healthcare provider.
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