A parent brings a 3-year-old child to the clinic with a complaint of a painful elbow. The pediatrician orders an X-ray, which reveals the child has a dislocated elbow. The pediatrician or the office nurse will:
a. immediately call and report suspected child abuse
b. assess to see if this injury is related to rough play with other children
c. talk with the family about not forcibly lifting the child by the hand
d. question the parent to ascertain who might be abusing the child
C
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A Incorrect. A dislocated elbow is not typically caused by child abuse. Child abuse can cause fractures of the sternum, ribs, skull, nose, facial features, femur (in children less than 1 year of age); and spiral fractures.
B Incorrect. A dislocated elbow is usually not related to rough play with other children.
C Correct. Dislocation of the elbow results when a child's hand is suddenly jerked by an adult to prevent a fall or when a child is forcibly lifted by the hand. Therefore, The pediatrician or the office nurse will talk with the family about not forcibly lifting the child by the hand.
D Incorrect. A dislocated elbow is not typically caused by child abuse; therefore, this response is inappropriate.
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