A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
A child whose parents answer questions for the child.
A child who has frequent visitors
A child who uses the call light frequently
A child who has a BMI indicating obesity
The Correct Answer is A
A. A child whose parents answer questions for the child. This behavior may indicate that the child's parents are controlling or dominating, possibly preventing the child from expressing their own thoughts or feelings. It could be a sign of emotional or psychological abuse, where the child's autonomy and voice are suppressed.
B. A child who has frequent visitors: While frequent visitors may raise concerns about the child's social environment, it does not necessarily indicate abuse. Further assessment would be needed to determine the nature of these visits and their impact on the child's well-being.
C. A child who uses the call light frequently: Frequent use of the call light may indicate physical discomfort, illness, or anxiety, but it does not inherently suggest abuse. It could be related to the child's medical condition or emotional state.
D. A child who has a BMI indicating obesity: Obesity alone is not indicative of abuse. While it may raise concerns about the child's health and well-being, it does not directly point to abuse unless there are additional signs or symptoms suggestive of neglect or mistreatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Uses thumb and index fingers in a pincer grasp: The pincer grasp typically develops around 9 to 12 months of age, not at 6 months.
B. Sitting steadily without support: Most infants begin to sit steadily without support between 6 and 8 months of age, so this would be considered a developmental milestone for a 6-month-old.
C. Closed posterior fontanel: The posterior fontanel typically closes by 2 months of age. By 6 months, the posterior fontanel should be closed, so this finding would not be expected.
D. Lateral incisors: By 6 months of age, most infants will have erupted their lower central
incisors. The eruption of the lateral incisors typically occurs around 9 to 13 months of age, so this would be a normal finding for a 6-month-old infant.
Correct Answer is C
Explanation
A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.
B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.
C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.
D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole
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