Unit 1: NR328 - Child Abuse

The nurse caring for a group of children on the pediatric unit should collect further data and explore the possibility of child abuse in which situation?​

A 7-year-old with a spiral fracture of the humerus, which the caregiver reports as having been caused when the child was hit by a bat swung by a little league teammate

The nurse has received orders from the healthcare provider. Select the 3 orders that the nurse should perform right away.​

Administer O2 via nasal cannula to maintain O2 saturation at 94% or greater Social services consult Notify the healthcare provider with any findings not WNL

Which term describes an inorganic cause of failure to thrive?​

Abuse

Select the 4 findings that require immediate attention.​

Bruises to the face, torso, and extremities Child continues gagging and retching The caregiver's statement Ingestion of unknown cleaning chemical​

As the nurse helps the child's mother provide morning care, the child states, "It hurts down there." Her mother becomes visibly upset and tells her daughter not to discuss the matter. What is the nurse's professional responsibility to this child? ​

Discuss with a supervisor that there is a possibility the child is being abused​

For each assessment finding, click to specify if the finding indicates that the client's condition has improved, has not changed, or has declined.​

Improved - Pale skin tone​ Pulse oximetry reading​ Temperature No change - Interacting with caregiver Declined - Pain

How can the nurse help prevent adverse childhood experiences (ACE)? Select all that apply.​

Safe dating education program for high school students Home visitation of a newborn to an unwed, teenage caregiver living alone Participation in national or local community mentoring organizations

An adolescent girl and her caregiver present at the pediatrician's office. The adolescent complains of severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is made. The nurse notes in the child's chart that this is the third time she has been treated for PID. Which action by the nurse would be most appropriate at this time?​

Take the child to a private room and interview her regarding her sexual history and partners.

After the nurse's initial assessment, the client is at the highest risk of --- as evidenced by the client's ----

abuse, history and physical assessment

For each potential nursing intervention, click to specify whether the intervention is indicated, nonessential, or contraindicated. Mark only one response per intervention. ​

Indicated - Ongoing assessment​ Request a social services and Child Protective Services consultation​ Nonessential - Request a child life consultation Contraindicated - Place the child in a client gown Treat the child as a victim​

The nurse is caring for a pediatric client with suspected child abuse. Select the appropriate category of abuse for each finding. Some findings may fit more than one category.

Physical - Failure to thrive ​ Multiple fractures or bruises at different stages of healing​ Emotional - Enuresis​ Failure to thrive ​ Sexual - Bruises, lacerations, or bleeding of external genitalia​ Recurrent UTIs​

A caregiver is seeking care for a 4-month-old who is listless and lethargic and states, "The baby wouldn't stop crying, and so I shook her in frustration." Based on this information, what should the nurse expect is occurring? ​

Physical abuse

A community health nurse is assessing an 18-month-old toddler in a community day care. Which finding should the nurse identify as a potential indication of physical neglect?​

Poor hygiene

A nurse working in the emergency department is caring for a 4-year-old child with a skull fracture. The parent states that the child rolled off the sofa. Which action by the nurse is most appropriate?​

Report suspected child abuse to appropriate agencies​

When the child's caregiver arrived at the ER, they were asked about the injuries. The nurse knows which assessment findings create an index of suspicion or warning signs of possible child abuse? Select all that apply.​

The caregivers have different stories when questioned separately​ Delay in treatment Uniform appearance of the burn