A child is brought to the pediatric clinic for immunizations for school. The parent wants the immunizations to be given in the arm. The nurse explains that at least one of the injections has to be given in the buttocks
When the nurse pulls the diaper down, the nurse sees bite marks around the genital and buttock area. Which of the following explanations is most likely? a. A neighborhood toddler is in a biting stage.
b. This child is in a biting stage, and the parents bit him back to get him to stop biting.
c. The child is a victim of sexual or physical abuse.
d. This must have happened then the dog slept with the child.
C
Feedback
A Incorrect: This is not a credible explanation. Children tend to bite other children on areas other than the genitals or buttocks.
B Incorrect: This is not a likely explanation of the bite marks.
C Correct: Bite marks around the genital and buttock area are indicators of physical or sexual abuse. Lesions from bites are oval or semicircular. If the diameter across the lesion is greater than 3 cm, it was probably inflicted by an adult.
D Incorrect: A bite from an animal such as a dog has sharp, puncture, slash or tear marks. This is not a likely explanation.
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The client requires vacuum extraction assistance. To provide easier access to the fetal head, the physician cuts a mediolateral episiotomy. After delivery, the client asks what kind of episiotomy was performed
What is the best response for the nurse to make? "The episiotomy" 1. "Goes straight back toward your rectum." 2. "Is from your vagina toward the urethra." 3. "Is cut diagonally away from your vagina." 4. "Extends from your vagina into your rectum."
Which finding should the nurse suspect as abnormal in the newborn during the initial assessment?
a. Eyes crossed at times b. Persistent high-pitched cry c. Arms and legs flexed d. Slight bluish tinge of the extremities
An older patient asks the nurse for medication to promote sleep. What is the best alternative to sleep sedatives that the nurse can suggest?
A) Watch television before going to bed B) Drink some wine before going to bed C) Take a warm bath before going to bed D) Avoid eating carbohydrates before going to bed
A client tells the nurse that she wants to be checked for a bowel infection because she has been constipated. The nurse should instruct this client that constipation is NOT caused by:
a. low-fiber diet. c. diverticular disease. b. dehydration. d. infectious agents.