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Peds Ch.33
| Question | Answer |
|---|---|
| A group of nurses is discussing child abuse (child maltreatment) and one nurse suggests that inadequate parenting skills may lead to child maltreatment. The nurse recognizes that sometimes child maltreatment occurs because the parent: | C. may have unrealistic expectations of the child. |
| Caregiver works in hospital brings 9 yr son to ER w/spiral fracture tibia. States injury occurred when the boy's 5 yr sister hit w/ wooden bat. Injury is inconsistent w/ impact & w/ sister's strength. Which is appropriate for the nurse in the situation? | C. Leave the treatment area and call the social services department in the hospital. |
| Which situation should the nurse explore for possible emotional abuse of the child by the caregiver? | C. The caregiver of a 12-year-old reports, "I'm sorry we missed Jamal's appointment last week, but he was supposed to remind me to come. |
| The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused? | D. The child has a burn that has not been treated. |
| Nurse is interviewing caregiver of a 5 yr old child who was admitted w/ bruises on the abdomen/ thighs, bruises in various stages of healing. Which statement by caregiver might alert the health care team to child abuse (child maltreatment)? | A. "His brother just plays too rough with him." |
| In caring for a child who has been admitted after being sexually abused, which intervention would be included in the child's plan of care? | A. Observe for signs of anxiety |
| The nurse is caring for a small child who has been admitted with a diagnosis of abusive head trauma (shaken baby syndrome). Which condition or concern often occurs with shaken baby syndrome? | B. loss of vision and intellectual disability |
| A group of pediatric nurses is discussing the diagnosis of Munchausen syndrome by proxy. Which statement most accurately describes this disorder? | A. "It is seen when one person fabricates or induces illness in another to get attention." |
| The nurse is assessing an infant diagnosed with abusive head trauma (shaken baby syndrome). Clinical manifestations of shaken baby syndrome affect which body system the most? | D. nervous system |
| The health care provider is unsure of physical symptoms & diagnosis of a pediatric client. The health care provider is prescribing diagnostic testing to determine poisoning by the parent. When the parent asks why lab work is drawn, which response is best? | A. "Since we have not found the cause of the illness yet, the health care provider has ordered more blood tests." |
| The nurse on a pediatric unit is caring for a client who has been physically and emotionally abused. Which adjustment in care is most appropriate? | C. Assign consistent nursing staff to the client when possible. |
| The school nurse observes an elementary school child arriving in the winter in shorts and a short sleeved shirt with no coat. The nurse would consider this as which type of abuse? | D. neglect |
| Which statement made by a participant at a workshop on sexual abuse needs further clarification from the group leader? | C. "Mostly low-income people commit sexual violence against children." |
| A toddler is brought to the emergency department with burns on the feet and buttocks. The toddler is screaming in pain. The caregiver states that she did not know the bath water was so hot. What is the initial action completed by the nurse? | B. notifying a health care provider |
| The nurse is caring for a young child whose parents have been charged with physical abuse. Which child reaction is noted as a result of the parental behavior? | B. fretful and shrinks away when approached |
| The nurse is caring for a 4-year-old child with bruises on various areas of the body. Which parental statement does the nurse note as most suspicious? | B. "The child plays tackle football at the local school. He has advanced skills." |
| Which type of abuse is reported most quickly to the police? | A. sexual assault |
| Which is the primary physical sign of a child who the nurse suspects as being emotionally abused? | C. delays in physical development |
| Which physical symptoms confirm that a child has been sexually abused or assaulted? Select all that apply. | A. stained and bloody underclothing C. inappropriate vaginal opening measurements E. sperm on body or clothes |
| Which is essential in working with caregivers who have been affected by abuse? | B. developing a therapeutic relationship |
| The nurse is admitting a pediatric client for a common pediatric surgical procedure. When completing the domestic violence screening, which statements require clarification? Select all that apply. | A. "My Dad yells a lot but never means it and doesn't hit anyone." C. "I see my Dad drive by our new house to see who is here." E. "My Mom will hit my Dad when she is drunk but it doesn't hurt" |
| Which adolescent behavior is most common if the parents have substance use problems? | B. taking on adult responsibilities |
| The nurse has identified the outcome of improving parenting and coping skills in a caregiver who has shown past poor judgement in caring for the children. Which action promotes a positive image of his or her abilities? | C. providing a compliment when a caregiver does something well |
| Mother brings 23 month child for well check. Says Its allergies causing sniffle. Mother says child, slow at things than older kids. Nurse notice child sits in mother's lap w/out fear, fails to look at mothers face. Behaviors supportive of what assessment? | D. evidence of cocaine abuse by the caregiver affecting the child |
| A child is brought to the ER for evaluation. Caregiver states, Child was running & tripped over scooter on the sidewalk, landed on left arm. Nurse assess, records findings. Suspects child abuse, notifies authorities. Which findings will the nurse use to s | A. spiral fracture C. bruises on the thighs E. bruise on the upper back |
Created by:
Martinezj419