Answer to Question 1
D
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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
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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.