A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?
Notify social services.
Ask the parents what caused the bruises.
Ask the toddler what caused the bruises.
Notify the provider.
The Correct Answer is B
A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. July 17th – Incorrect; does not follow Naegele’s rule.
B. January 17th – Correct; EDD calculated correctly.
C. January 24th – Incorrect; incorrect date adjustment.
D. April 17th – Incorrect; does not follow Naegele’s rule.
Correct Answer is B
Explanation
A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.
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