Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?
a. Swelling of the genitalia and pain on urination
b. Smooth philtrum and thin upper lip
c. Speech and physical development delays
d. History of constipation, drowsiness, and constricted pupils
A
Feedback
A Physical indicators of sexual abuse may include swelling or itching of the
genitalia and pain on urination. Other indicators may include bruises, bleeding,
or lacerations of the external genitalia, vagina, or anal area.
B The infant with fetal alcohol syndrome may have microphthalmia or abnormally
small eyes or short palpebral fissures, a thin upper lip, and a poorly developed
philtrum.
C Children who have been emotionally abused may exhibit speech disorders, lags
in physical development, failure to thrive, or hyperactive and disruptive
behaviors. Although there is a possibility for speech and developmental delays,
these are not more suggestive of sexual abuse than swollen genitalia and pain on
urination.
D Opiates can cause detachment and apathy, drowsiness, constricted pupils,
constipation, slurred speech, and impaired judgment.
You might also like to view...
A patient with severe hemorrhagic pancreatitis requires long-term nutritional support. Which of the following would be the best form of nutritional support for this patient?
A) Nasoduodenal tube B) Gastrostomy tube C) Total parenteral nutrition D) Peripheral parenteral nutrition
The nursing executive attempting to incorporate the American Association of Critical-Care Nurses' (AACN's) Healthy Work Environment Standards would formulate which policy? The manager would create a policy to
a. encourage all nurses to return to school to complete degrees. b. limit environmental hazards currently present in the facility. c. provide discounts to a local fitness center for all employees. d. use a standard "handoff" report format at change of shift.
New approaches to mental health care that include telemedicine, telephone counseling, and radio psychiatry are known as _______________ approaches
Fill in the blank(s) with correct word
A local hospital noticed a large amount of ventilator-acquired pneumonias when reviewing patient charts. The hospital devised a plan to try to reduce the number of pneumonias and implemented interventions to reduce the rate
Data was collected after 6 months to see if the changes were successful, and the hospital realized a reduction in ventilator-acquired pneumonia rates by 25%. Whose quality-improvement approach did this hospital implement? A) Joseph Juran B) W. Edwards Deming C) Phillip Crosby D) Toyota