A nurse in a clinic is caring for a group of infants. Which of the following findings should the nurse report as a possible indication of physical maltreatment?
A hemangioma on the infant's torso
A burn with splash marks on the lower right leg
A large, irregular, brownish-blue area on the infant's buttock
An abrasion on the back of the infant's arm
The Correct Answer is B
Rationale:
A) A hemangioma is a benign vascular tumor commonly found in infants and is not indicative of physical maltreatment.
B) A burn with splash marks, especially in a patterned distribution, raises suspicion of physical abuse and should be reported immediately for further evaluation.
C) A large, irregular, brownish-blue area on the infant's buttock may indicate bruising, but further assessment is needed to determine the cause.
D) An abrasion on the back of the infant's arm may be due to accidental injury and does not necessarily indicate physical maltreatment, although it warrants further assessment and documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Excessive juice does not cause constipation, but it can reduce the appetite for other foods.
B. A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Calcium can be found in dairy products, fortified cereals, and leafy green vegetables.
C. Toddlers need approximately 1,000 to 1,300 calories per day to support their rapid growth and development. Therefore, 1500- 1800 calories per day is too much for a toddler.
D. While toddlers may experience changes in appetite, there is no specific age-related sudden increase at 18 months mentioned in nutritional guidelines.
Correct Answer is C
Explanation
Rationale:
A) Critiquing the child's speech can increase anxiety and worsen stuttering.
B) Looking away from the child when they start to stutter can make them feel ignored or embarrassed.
C) Avoiding completing the child's sentences allows them to express themselves independently and reduces pressure to perform fluently.
D) Telling the child to take a deep breath when they are stuttering may not effectively address the underlying issue and can increase self-consciousness.
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