The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?
Spiral.
Bowing.
Closed.
Greenstick.
The Correct Answer is A
“Spiral.” A spiral fracture is a type of fracture that is frequently associated with child abuse.

Choice B is incorrect because bowing fractures are not specifically associated with child abuse.
Choice C is incorrect because closed fractures are not specifically associated with child abuse.
Choice D is incorrect because greenstick fractures are not specifically associated with child abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.
Correct Answer is C
Explanation
Symmetry of the hips is a normal finding and is not a sign of developmental hip dysplasia.

Choice A is not correct because limited abduction of the affected hip is a sign of developmental hip dysplasia.
Choice B is not correct because it includes all the other choices.
Choice D is not correct because shortening of the femur can be a sign of developmental hip dysplasia.
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