A teacher asks the school nurse to assess a child for neglect.
Which of the following assessment findings could indicate neglect?

Newly found lice in the hair.

Bruises in various stages of healing.

Lack of weight gain and wearing dirty clothes.

Failure of the parent to attend parent-teacher conferences or return teacher phone calls.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.

Choice B rationale

Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.

Choice C rationale

Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.

Choice D rationale

Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.

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Correct Answer is C

Explanation

Choice A rationale

Discussing birth control with a son who acknowledges readiness for responsibilities reduces the risk of unintended pregnancy through informed decision-making, promoting a strong foundation for adolescent reproductive health.

Choice B rationale

Open communication with a daughter about sexuality and willingness to support contraceptive access empower responsible reproductive choices, which align with preventing teen pregnancy and promoting sexual health.

Choice C rationale

Assuming intelligence deters risky behavior ignores emotional and social influences on decisions, potentially increasing vulnerability to unprotected sexual activity and the risk of unintended pregnancy due to lack of preparedness.

Choice D rationale

Acknowledging uncertainty and planning proactive discussions with a son enhances communication and supports informed choices regarding sexual behavior, helping to mitigate risks associated with teen pregnancy.

A. The baby will eventually develop tolerance to tobacco smoke. B. The parents should switch to chewing tobacco as long as the child lives in the home. C. Fetal nicotine syndrome may cause complications in the newborn. D. The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.

Correct Answer is D

Explanation

Choice A rationale

It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.

Choice B rationale

Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.

Choice C rationale

Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.

Choice D rationale

Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.

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A teacher asks the school nurse to assess a child for neglect.Which of the following assessment findings could indicate neglect?

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Naxlex Comprehensive Predictor Exams

A school health nurse presents a program on preventing teen pregnancy to a group of parents.Following the presentation, which of the following comments by a parent would cause concern?

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Correct Answer is D

Explanation

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A teacher asks the school nurse to assess a child for neglect.
Which of the following assessment findings could indicate neglect?