A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?
Notify social services.
Ask the parents what caused the bruises.
Ask the toddler what caused the bruises.
Notify the provider.
The Correct Answer is B
A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.
B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.
C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.
D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.
Correct Answer is B
Explanation
A. Dilation – Incorrect; dilation refers to the opening of the cervix, not its thinning.
B. Effacement – Correct; effacement refers to the thinning and shortening of the cervix as labor progresses.
C. Ballottement – Incorrect; ballottement is the rebound of the fetus when tapped during a vaginal exam.
D. Multiparous – Incorrect; multiparous refers to a woman who has given birth multiple times.
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