Summary
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 to the child protective services as a possible indicator of abuse?
Reason: Bruises on the knees and elbows are common in children who are active and fall or bump into things. They are not usually a sign of abuse unless they are in unusual patterns or locations, such as the face, neck, abdomen, or genitals.
Reason: A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. This type of fracture is unlikely to occur from normal play or accidental falls, and should raise suspicion of abuse.
Reason: A small burn on the finger from touching a hot stove is an example of a minor injury that can happen to any child who is curious and exploring their environment. It is not a sign of abuse unless there are other burns or injuries that suggest intentional harm.
Reason: A rash on the buttocks from wearing a wet diaper is a common skin condition that can affect infants and toddlers who are not changed frequently enough. It is not a sign of abuse unless there is evidence of neglect, such as poor hygiene, malnutrition, or lack of medical care.
The correct answer is B. A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. The other options are not necessarily indicative of abuse, as they can be caused by normal childhood activities or accidents.
Choice A Reason: Bruises on the knees and elbows are common in children who are active and fall or bump into things. They are not usually a sign of abuse unless they are in unusual patterns or locations, such as the face, neck, abdomen, or genitals.
Choice B Reason: A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. This type of fracture is unlikely to occur from normal play or accidental falls, and should raise suspicion of abuse.
Choice C Reason: A small burn on the finger from touching a hot stove is an example of a minor injury that can happen to any child who is curious and exploring their environment. It is not a sign of abuse unless there are other burns or injuries that suggest intentional harm.
Choice D Reason: A rash on the buttocks from wearing a wet diaper is a common skin condition that can affect infants and toddlers who are not changed frequently enough. It is not a sign of abuse unless there is evidence of neglect, such as poor hygiene, malnutrition, or lack of medical care.