Which choice is NOT a sign of sexual abuse?
Condyloma acuminata in a child older than 3 years
Bruising of the labia
Herpes in the anogenital area beyond the neonatal period
Labial adhesions
The Correct Answer is D
Rationale:
A. Condyloma acuminata (genital warts) in a child older than 3 years may indicate sexual abuse.
B. Bruising of the labia is a concerning sign for sexual abuse and warrants further evaluation.
C. Herpes simplex virus infection in the anogenital area beyond the neonatal period is also suspicious for sexual abuse.
D. Labial adhesions are a common, benign condition in prepubertal girls and are not indicative of sexual abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Retesting at 4 weeks may detect residual nucleic acid from the initial infection and is not recommended for routine follow-up.
B. Six weeks is also too soon for reliable retesting, as residual genetic material from chlamydia may yield false-positive results.
C. Two months is closer, but guidelines recommend a slightly longer interval.
D. Three months following treatment completion is recommended for retesting adolescents diagnosed with chlamydia to detect reinfection, which is common in this age group, and to ensure treatment effectiveness.
Correct Answer is B
Explanation
Rationale:
A. Intussusception occurs when one segment of the intestine telescopes into another, causing obstruction, but it is not related to innervation defects.
B. Hirschsprung's disease is a congenital condition characterized by the absence of ganglion cells in segments of the colon, leading to decreased peristalsis and functional obstruction of the large intestine.
C. Gastroschisis is a congenital abdominal wall defect where the intestines protrude outside the abdomen; it is not caused by lack of innervation.
D. Crohn's disease is an inflammatory bowel disease that occurs later in life and is not congenital or caused by missing innervation.
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