Please select all findings from the history and physical exam that suggest the
possibility of child maltreatment.
Mom's boyfriend did not come to the emergency department with them
Bruising in a 4 month old
Injuries in various stages of healing
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,Injuries inconsistent with developmental age
Mom has wrapped Alex in a blanket and is holding him close - Bruising in a 4
month old
Injuries in various stages of healing
Injuries inconsistent with developmental age
Based on the NP exam finding, which diagnosis is most likely?
Findings: difficult to arouse, retinal hemorrhages, lethargy, several chest bruises
Shaken baby syndrome (abusive head trauma) - retinal hemorrhages suggest a
contra coup brain injury
Meningitis - Alex is too young to be vaccinated
Dehydration - Alex hasn't eaten in almost 12 bourse
Anemia - Alex shouldn't bruise so easily - Shaken baby syndrome (abusive head
trauma) - retinal hemorrhages suggest a contra coup brain injury
Since the nurse suspects child maltreatment, a CPS report must be completed.
Which of the following is NOT necessary to include in the report?
Alex's full name and DOB
Mom's full name and address
Size, shape, and location of Alex's bruising
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,Mom switched from breast milk to formula without telling pediatrician - Mom
switched from breast milk to formula without telling pediatrician
Dylan, a 15 year old trans female, presents to the pediatric clinic asking to be
tested for STIs. She is accompanied by an older male who will not leave her side
and answers all the nurse's questions for Dylan. What action should be the
nurse's priority?
Check to make sure Dylan is up to date on her HPV vaccine
Find an opportunity to get Dylan alone and ask her if she's safe
Collect a urine sample for both a urinalysis and culture
Recommend that Dylan is also test for HIV - Find an opportunity to get Dylan
alone and ask her if she's safe
Categorize the below options to indicate which are characteristic of a successful
child maltreatment prevention program and which are not.
Connecting families to community resources
Caregiver education
Threatening teen parents with taking away their children
Building strong social connections
Shaming caregivers
Taking away resources as punishment
Close nurse-family partnerships - Successful programs:
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, Connecting families to community resources
Caregiver education
Building strong social connections
Close nurse-family partnerships
Elsa is a 4 month old female with a history of prematurity (ex 34 weeker) who is
exclusively breastfed. What is correct about Elsa's nutritional needs? Select all
that apply.
Elsa should be receiving vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron fortified
cereals by 4-6 months
Elsa will need less calories as a premature baby
Elsa requires extra fluids like water to avoid dehydration - Elsa should be receiving
vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron fortified
cereals by 4-6 months
Match the correct information with the corresponding vaccine.
vaccines: MMR, HiB, Varicella, Flu vaccine
info:
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