After performing a physical examination on a 4-year-old patient, the nurse practitioner suspects physical abuse. The nurse practitioner's primary legal responsibility is to:

discuss the physical assessment findings with the caregivers.

report the suspected abuse to child protective services.

refer the family to the appropriate support group.

assist the family in identifying resources and support systems.

Answer and Explanation

The Correct Answer is B

Rationale:
A. Discussing suspected abuse with the caregivers could place the child at further risk and is not the first legal step.
B. Reporting suspected abuse to child protective services (CPS) is the nurse practitioner’s primary legal responsibility. Mandatory reporting laws require healthcare providers to notify authorities when child abuse is suspected, regardless of certainty.
C. Referring the family to support groups may be helpful later but does not fulfill the legal obligation to report.
D. Assisting the family with resources and support is appropriate after reporting, but the immediate priority is to ensure the child’s safety through mandatory reporting.

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Correct Answer is B

Explanation

Rationale:
A. A urethral opening on the dorsal aspect of the glans penis is consistent with epispadias, not hypospadias.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, rather than at the tip of the glans. Early detection is important for surgical planning and preventing complications with urination or future sexual function.
C. Inability to retract the foreskin over the glans penis is phimosis and is not diagnostic of hypospadias.
D. Inability to palpate a testicle suggests cryptorchidism, which is unrelated to the urethral meatus position.

A. St. John's wort. B. a serotonin and norepinephrine reuptake inhibitor (SNRI). C. a selective serotonin reuptake inhibitor (SSRI) D. a tricyclic antidepressant (TCA).

Correct Answer is C

Explanation

Rationale:
A. St. John’s wort is not recommended during pregnancy due to limited safety data and potential drug interactions.
B. SNRIs may be considered in adults but have less safety data in pregnancy compared with SSRIs.
C. Selective serotonin reuptake inhibitors (SSRIs) are first-line pharmacologic therapy for depression during pregnancy when nonpharmacologic measures are insufficient. SSRIs like sertraline or fluoxetine have the most safety data for use in pregnant adolescents.
D. Tricyclic antidepressants (TCAs) are generally reserved for cases unresponsive to SSRIs due to more adverse effects and risk of cardiotoxicity.

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After performing a physical examination on a 4-year-old patient, the nurse practitioner suspects physical abuse. The nurse practitioner's primary legal responsibility is to:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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