A mother brings her 8-year-old daughter to the clinic because the child says it hurts to urinate after she fell while riding her bicycle. On inspection, you find posterior vulvar and gross peri-neum bruising. These findings are consistent with:
a. chronic masturbation.
b. congenital defects.
c. acute urinary tract infection.
d. sexual abuse.
D
A straddle injury from a bicycle seat is usually evident over the symphysis pubis; injuries result-ing from sexual molestation are generally more posterior and may involve the perineum grossly.
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The best method to prevent a hypoglycemic episode in a diabetic school child is to:
1. Provide three large meals daily but avoid snacks. 2. Send candy bars to school with the student in case hypoglycemia symptoms occur. 3. Provide snacks during the day and prior to exercise. 4. Avoid extra calories and closely maintain the prescribed diet plan.
A client has reported all of the following; which should be given priority by the nurse?
1. Pain 2. Hunger 3. Anxiety 4. Constipation
A nurse is assessing a 12-month-old infant. Which statement best describes the infant's physical development a nurse should expect to find?
a. Anterior fontanel closes by age 6 to 10 months. b. Binocularity is well established by age 8 months. c. Birth weight doubles by age 5 months and triples by age 1 year. d. Maternal iron stores persist during the first 12 months of life.
A client suffering from chronic obstructive pulmonary disease complains that it is hard to cough up secretions and they are thick and sticky. The nurse should instruct the client to
A) Increase her fluid intake to thin secretions B) Eat small frequent meals to conserve energy C) Decrease exercise and increase rest periods D) Take a cough suppressant to decrease coughing