A Chinese-American infant is seen in a well-baby clinic
The parent reports that the baby is irritable and not eating well. The nurse notices several skin abrasions on the thighs and upper arms. What is the nurse's most appropriate initial intervention?
a. Ask if the parent has used coining.
b. Report the parent for suspected child abuse.
c. Assess whether or not the parent desires to harm the child.
d. Ask if the parent has taken the child to an acupuncturist.
A
Recognition of the characteristic marks of coining or skin scraping can keep the nurse from making a culturally insensitive judgment that child abuse is occurring. Coining is used by Asian families to restore equilibrium for babies and small children. The other options would be inappropriate or ineffective.
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