The nurse is caring for a 19-month-old boy who has been admitted to the emergency department with a skull fracture. The parents state that the child fell down when running through the house and hit his head on the floor
Based on normal characteristics of skull fractures, what should be the initial focus of the assessment?
A) Possible physical abuse
B) Possible bone cancer
C) Possible chronic neurological disease
D) Possible developmental delay
Ans: A
Physical abuse must be investigated first because it takes a great deal of force to produce a skull fracture in infants and children younger than 2 years old. Due to the flexibility of the immature skull, it is able to withstand a great degree of deformation before a fracture will occur.
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