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 A
Explanation
Rationale:
A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.
B. While supporting the cast correctly is important, it is not the priority immediately following the application.
C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.
D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.
Correct Answer is D
Explanation
Rationale:
A) Scarlet fever is not a nationally notifiable condition.
B) Rotavirus is not a nationally notifiable condition.
C) Erythema infectiosum (Fifth disease) is not a nationally notifiable condition.
D) Pertussis, also known as whooping cough, is a nationally notifiable condition, meaning healthcare providers are required to report cases of pertussis to public health authorities for surveillance and control purposes.
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