A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment?

Superficial scrapes on the toddler's lower legs

Circular burns on the soles of the toddler's feet

Irregular area of blue pigmentation over the toddler's sacrum

Single bruise on the toddler's forearm

Answer and Explanation

The Correct Answer is B

A. Superficial scrapes on the toddler's lower legs: These are common in toddlers due to normal play and exploration.
B. Circular burns on the soles of the toddler's feet: Circular burns, especially in unusual areas like the soles, are a hallmark sign of intentional injury and potential abuse.
C. Irregular area of blue pigmentation over the sacrum: This is likely a Mongolian spot, a benign and common finding in children of certain ethnicities.
D. Single bruise on the toddler's forearm: This is not necessarily indicative of abuse, as toddlers frequently sustain minor injuries from routine activities.

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Correct Answer is ["D","E"]

Explanation

A. If the baby vomits, do not administer another dose without consulting the provider to avoid overdosing.
B. There is no expected reduction in urination with GER medications. If decreased urination occurs, it may indicate dehydration or another issue.
C. The baby should not be positioned flat when administering medication to avoid choking or aspiration.
D. Avoid diluting medication in a formula bottle, as the infant may not finish the bottle, leading to incomplete dosing.
E. Administering medication with a syringe ensures accurate dosing and avoids wasting the medicine.

A. Monitor temporal artery temperature. B. Restrain the infant's wrists. C. Place the infant in a prone position. D. Gently clean the suture line with povidone-iodine solution.

Correct Answer is A

Explanation

A. Monitor temporal artery temperature: Regularly checking the temporal artery temperature can help identify a fever early, allowing for prompt intervention if necessary.
B. Restrain the infant's wrists: Soft elbow restraints (not wrist restraints) are commonly used for infants post-cleft lip repair to prevent them from touching or rubbing the surgical site, which could disrupt the sutures and delay healing.
C. Place the infant in a prone position: After cleft lip surgery, infants should be positioned on their back to avoid pressure on the sutures and reduce the risk of injury.
D. Gently clean the suture line with povidone-iodine solution: It is typically recommended to clean the suture line with a sterile saline solution rather than povidone-iodine, which may irritate the site. Additionally, care should be taken to avoid disturbing the area too much.

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A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is continuing to care for the infant. Exhibits The nurse has provided teaching to the parents about the prescribed medication. Which of the following statements by the parents indicate an understanding of the teaching? Select all that apply.

Correct Answer is ["D","E"]

Explanation

A nurse is caring for an infant who has returned to the pediatric unit following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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