Answer to Question 1
Correct Answer: 2
Laws mandate the reporting of suspected child abuse to child-protection authorities for follow-up. Nurses should not inject themselves into the situation, but rather make an accurate assessment and intervene through proper reporting.
Answer to Question 2
Correct Answer: 2, 5, 3, 4, 1
Victims of physical abuse may suffer a variety of injuries. During a head-to-toe assessment, the nurse may observe for indications of abuse, such as the following: Head; evidence of trauma from blows to the head, such as hematoma or facial bruises. Skin; swelling, tenderness or scars. Musculoskeletal system; fractures or evidence of previous fractures, particularly of the face, arms/legs, and ribs, or dislocated joints, especially in the shoulder when the victim is grabbed or pulled by the arm. Abdomen; intra-abdominal injuries. Neurological system; paresthesia.