Author Question: Which observations made by an emergency department nurse raises the suspicion that a 3-year-old ... (Read 26 times)

Medesa · **on:** Jun 27, 2018

Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?

a. The parents are extremely calm in the emergency department.
b. The injury is unusual for a child of that age.
c. The child does not remember how he got hurt.
d. The child was doing something unsafe when the injury occurred.

Question 2

At some hospitals in the United States, new mothers are given formula gift packs at discharge. Having been given the gift pack by hospital staff leads parents to believe that formula will be necessary even for breastfeeding mothers.

Is this statement true or false? Indicate whether the statement is true or false

wergv · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A The nurse should observe the parents' reaction to the child but must keep in
mind that people behave very differently depending on culture, ethnicity,
experience, and psychological makeup.
B An injury that is rarely found in children or is inconsistent with the age and
condition of the child should raise suspicion of child maltreatment.
C The child may not remember what happened as a result of the injury itself, for
example, sustaining a concussion. Also, a 3-year-old child may not be a reliable
historian.
D The fact that the child was not supervised might be an area for health teaching.
The nurse needs to gather more information to determine whether the parents
have been negligent in the care of their child.

Answer to Question 2

T
This is the goal of the formula manufacturers, and for this reason many hospitals have
stopped providing new mothers with formula gift packs. For many parents, having formula
available at home may lead them to feel that having to supplement breastfeeding is
necessary. Adding formula to the infant's diet will lessen breastfeeding success because the
introduction of supplemental feedings will reduce the amount of breastfeeding time, which
in turn will decrease milk production.