A charge nurse is teaching a group of nurses about identifying child abuse.
Which of the following findings should the nurse identify as a potential indicator of child abuse?
swer and explanation
An 8-month-old infant cries when his parents leave the room
A mother is hesitating to comfort her 6- month-old infant
A toddler has bruises on his knees .
The Correct Answer is D
Choice A rationale
A toddler repeatedly refusing to let a nurse auscultate his lungs is not necessarily an indicator of child abuse. It could be due to fear, discomfort, or lack of understanding about the procedure.
Choice B rationale
An 8-month-old infant crying when his parents leave the room is a normal developmental behavior known as separation anxiety, and it is not an indicator of child abuse.
Choice C rationale
A mother hesitating to comfort her 6-month-old infant could be due to various reasons, including stress, depression, or lack of knowledge about infant care. While it could potentially be a sign of neglect, it is not a definitive indicator of child abuse.
Choice D rationale
A toddler having bruises on his knees is a common occurrence due to their active nature and frequent falls. However, if the bruises are frequent, unexplained, or have distinct patterns, they could be potential indicators of child abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Placing gates at the top and bottom of stairs is an important safety measure for infants. This can prevent falls, which are a common cause of injury in this age group.
Choice B rationale
Ensuring the crib mattress is in the lowest position is another important safety measure. As infants grow and begin to sit, stand, and climb, a high mattress position can increase the risk of falls.
Choice C rationale
Removing labels from containers that contain toxic substances is not recommended. It’s important to keep these substances out of reach of children, and the labels provide important information about the contents and potential hazards.
Choice D rationale
Keeping toilet lids in the upright position is not recommended. Infants can be curious and may try to explore or play with water in the toilet, which can lead to accidents or injuries.
Choice E rationale
Selecting a toy chest that has a heavy, hinged lid is not recommended. This could pose a risk of injury if the lid were to close unexpectedly, and small fingers could get caught.
Correct Answer is A
Explanation
For a lumbar puncture, the child should be placed in the lateral position. This position allows for better access to the spinal canal, which is necessary for a lumbar puncture.
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