A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
A toddler has a spiral fracture, and the parent reports a fall from a swing.
A preschooler has bruises on the shins, and the parent reports a collision with furniture.
An adolescent has a head injury, and the parent reports a fall from a bike.
A school-age child has a black eye, and the parent reports a fight with a classmate.
The Correct Answer is A
Rationale:
A. Spiral fractures are often associated with child abuse, especially when they occur in non-ambulatory infants or toddlers who can't generate enough force to cause such injuries themselves.
B. Bruises from a collision with furniture can be common in preschoolers, and there's no immediate indication of child maltreatment.
C. Head injuries from falls, especially during adolescence, are common and may not necessarily indicate child maltreatment.
D. While a black eye could be concerning, it's not necessarily indicative of child maltreatment and could be the result of a fight with a classmate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Hyperactivity is not typically associated with a postictal state after a seizure.
Instead, the child may appear lethargic or drowsy.
B) Nystagmus, or rapid, involuntary eye movements, is not typically seen in the postictal state following a seizure.
C) Apnea, or cessation of breathing, may occur during the seizure itself but is not typically a postictal finding.
D) Amnesia, or memory loss, is a common postictal finding after a seizure, particularly in complex partial seizures or psychomotor seizures.
Correct Answer is B
Explanation
Rationale:
A) It is recommended to use fresh or frozen fruits and vegetables rather than canned due to concerns about added sugars and sodium.
B) Introducing one new food every 5 to 7 days helps identify potential allergies or intolerances and allows the infant's digestive system to adjust to new foods.
C) The amount of solid food introduced initially is typically smaller, usually starting with a teaspoon or so, gradually increasing as the infant gets accustomed to eating solids.
D) Adding rice cereal to a bottle is not recommended as it can increase the risk of choking and does not promote self-feeding skills.
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