Author Question: The nurse notices that a 6-month-old infant born to Latino caregivers has deep-blue, almost black ... (Read 54 times)

berenicecastro · **on:** Jun 27, 2018

The nurse notices that a 6-month-old infant born to Latino caregivers has deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks. The nurse's first guess in looking for causes would be:

a. child abuse c. lack of bathing
b. ritual painting d. Mongolian spots

Question 2

The school nurse asks a child who has returned to school after an open reduction of a fracture to describe what she has eaten in the past 24 hours in order to see if the family is following the instructions regarding foods that will assist in bone

healing. Which of the following reports by the child would indicate that the child and her family are following discharge instructions? a. fish sandwich, potato chips, and soda
b. chicken breast, French fried potatoes, and tea
c. cheeseburger, broccoli, peaches, and milk
d. tuna fish sandwich, cookies, and lemonade

laurnthompson · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume child abuse.
B Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume ritual painting.
C Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume lack of bathing.
D Correct. Mongolian spots, a deep-blue pigmentation over the lumbar and sacral areas of the spine, buttocks, upper back or shoulders in newborns of African, Latino, or Asian descent, are extremely common and not to be confused with ecchymosis or signs of child abuse.

Answer to Question 2

C

Feedback
A Incorrect. These foods are low in calcium; therefore, this would indicate that she and her family are not following discharge instructions.
B Incorrect. These foods are low in calcium; therefore, this would indicate that she and her family are not following discharge instructions.
C Correct. The child needs an increase in calcium to assist in bone healing. If the child reports eating a cheeseburger, broccoli, peaches, and milk, it would indicate that she and her family are following discharge instructions.
D Incorrect. These foods are low in calcium; therefore, this would indicate that she and her family are not following discharge instructions.