A child, age 9, is being evaluated in the Emergency Department at the hospital. Her mother re-ports that the child fell down the stairs in her home. Her mother is with her and describes her as a "clumsy kid."
The nurse practitioner suspects child abuse. Which of these findings indicates that physical abuse may be a chronic problem for the child?
1. Bloody nose and blackened eyes
2. Unhealed fractures revealed on x-ray
3. Clinging to her mother as she attempted to leave
4. Struggling with the staff that attempts to obtain a blood specimen
ANS: 2
Unhealed fractures indicate that medical intervention was not sought at the time of injury. Op-tion 1 indicates recent injury. Option 3 is normal behavior. Option 4 could be prompted by fear of the unknown or pain.
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