A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. Which statement by the parent would arouse suspicion of abuse?
"The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor."
"I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall."
"I was walking up the steps and slipped on the ice, falling while carrying my baby."
"I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
The Correct Answer is D
Choice A reason: This choice might not arouse suspicion as it could be a plausible accident involving siblings.
Choice B reason: This choice also might not arouse suspicion as accidents can happen when children are playing and not being watched closely.
Choice C reason: This choice is less likely to arouse suspicion as slipping on ice is a common accident.
Choice D reason: This is the correct choice. The statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Assessing pedal pulses is important, but it does not provide complete information about the circulatory status of the infant.
Choice B reason: This is the correct choice. Discrepancies in pulse strength between the upper and lower extremities may indicate a cardiovascular problem such as coarctation of the aorta, which can be further evaluated by comparing blood pressures in all four extremities.
Choice C reason: Lower extremity reflexes are not directly related to the strength of pulses.
Choice D reason: Hemoglobin and hematocrit values are important but would not be the next step in assessing the significance of the difference in pulse strength.
Correct Answer is C
Explanation
Choice A reason: Adolescents are capable of more complex thinking and are less likely to view illness as a punishment for misdeeds.
Choice B reason: Infants do not have the cognitive ability to associate illness with punishment.
Choice C reason: This is the correct choice. Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds.
Choice D reason: School-age children are beginning to understand the biological causes of illness and are less likely to view it as a punishment.
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