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Summary ( 20 Questions)
A nurse is assessing a child who is suspected of being physically abused by his father. Which of the following findings should the nurse report as possible indicators of abuse? (Select all that apply.)
Choice A Reason: Bruises on the knees and elbows are common in children who are active and fall frequently. They are not necessarily indicative of abuse, unless they are in various stages of healing or have a pattern that suggests intentional injury.
Choice B Reason: A spiral fracture is caused by twisting or rotating force, which is unlikely to occur accidentally in children. It is a common sign of physical abuse, especially when there is no plausible explanation for the injury.
Choice C Reason: A burn mark in the shape of a cigarette is a clear evidence of intentional harm. It indicates that the child was exposed to a hot object, such as a cigarette, by the abuser.
Choice D Reason: A subdural hematoma is a collection of blood between the brain and the skull, which can result from blunt force trauma to the head. It is a serious and potentially life-threatening condition that requires immediate medical attention. If the child has no history of head trauma, such as a fall or an accident, it suggests that he was hit or shaken by the abuser.
Choice E Reason: A bite mark on the shoulder that matches the child's own dental impression is not indicative of abuse. It may be a result of self-injury, anxiety, or curiosity. However, if the bite mark matches someone else's dental impression, it should be reported as a sign of abuse.
Choice A Reason: Bruises on the knees and elbows are common in children who are active and fall frequently. They are not necessarily indicative of abuse, unless they are in various stages of healing or have a pattern that suggests intentional injury.
Choice B Reason: A spiral fracture is caused by twisting or rotating force, which is unlikely to occur accidentally in children. It is a common sign of physical abuse, especially when there is no plausible explanation for the injury.
Choice C Reason: A burn mark in the shape of a cigarette is a clear evidence of intentional harm. It indicates that the child was exposed to a hot object, such as a cigarette, by the abuser.
Choice D Reason: A subdural hematoma is a collection of blood between the brain and the skull, which can result from blunt force trauma to the head. It is a serious and potentially life-threatening condition that requires immediate medical attention. If the child has no history of head trauma, such as a fall or an accident, it suggests that he was hit or shaken by the abuser.
Choice E Reason: A bite mark on the shoulder that matches the child's own dental impression is not indicative of abuse. It may be a result of self-injury, anxiety, or curiosity. However, if the bite mark matches someone else's dental impression, it should be reported as a sign of abuse.