A child is brought to the pediatric clinic for immunizations for ...

[809779]

A child is brought to the pediatric clinic for immunizations for school. The parent wants the immunizations to be given in the arm. The nurse explains that at least one of the injections has to be given in the buttocks.
 
  When the nurse pulls the diaper down, the nurse sees bite marks around the genital and buttock area. Which of the following explanations is most likely? a. A neighborhood toddler is in a biting stage.
  b. This child is in a biting stage, and the parents bit him back to get him to stop biting.
  c. The child is a victim of sexual or physical abuse.
  d. This must have happened then the dog slept with the child.

Question 2

Unless contraindicated because of complications or secondary infections, home is the ideal environment for the management of children who have infectious or communicable diseases, because:
 
  a. it is quieter and more restful in the home environment
  b. the child can remain in his or her bed for comfort
  c. the spread of infection is limited to those in the immediate environment
  d. this qualifies the child for a home tutor so her or she will not get behind in her schoolwork

[Jane]

Answer to Question 1

C

Feedback
A Incorrect: This is not a credible explanation. Children tend to bite other children on areas other than the genitals or buttocks.
B Incorrect: This is not a likely explanation of the bite marks.
C Correct: Bite marks around the genital and buttock area are indicators of physical or sexual abuse. Lesions from bites are oval or semicircular. If the diameter across the lesion is greater than 3 cm, it was probably inflicted by an adult.
D Incorrect: A bite from an animal such as a dog has sharp, puncture, slash or tear marks. This is not a likely explanation.

Answer to Question 2

C

Feedback
A Incorrect. Home is the ideal environment for the management of children who have infectious or communicable diseases, but not because it is quieter and more restful in the home environment.
B Incorrect. Home is the ideal environment for the management of children who have infectious or communicable diseases, but not because the child can remain in his or her bed for comfort.
C Correct. Home is the ideal environment for the management of children who have infectious or communicable diseases, because the spread of infection is limited to those in the immediate environment.
D Incorrect. Home is the ideal environment for the management of children who have infectious or communicable diseases, but not because this qualifies the child for a home tutor so he or she will not get behind in her schoolwork.

[809779]

TYSM

[Sarahjh]

Gracias!