A child is admitted to the hospital unit with physical injuries. ...

[notis]

A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is
 
  1. I did not realize that my babywas able to roll over yet and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor.
  2. The baby's 18-month-old brotherwas trying to pull the baby out of the crib and dropped the baby on the floor.
  3. I placed the baby in the infantswing.His 6-year-old brother was running through the house and tripped over the swing,causing it to fall.
  4. I was walking up the steps andslipped on the ice,falling while carrying my baby.

Question 2

The nurse works in a pediatric unit.In working with a parent who is suspected of Munchausen Syndrome by Proxy,it is very important for the nurse to
 
  1. confront the parent with concerns ofpossible abuse.
  2. carefully document parent-childinteractions.
  3. try to keep the parent separated fromthe child as much as possible.
  4. explain to the child that the parent iscausing the illness and that the health team will prevent the child from being harmed.

[guyanai]

Answer to Question 1

Answer:2
Rationale: All of the statements made by the parents are plausible from a developmental prospective except the statement,The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor.Developmental ly,it would be very difficult for an 18-month-old child to pull an infant out of a crib.

Answer to Question 2

Answer:2
Rationale:Munchausen Syndrome by Proxy is very difficult to prove and evidence provided by the careful documentation of the nursing staff can be very influential.Care must be taken not to make the parent suspicious and to keep the child in the hospital until enough evidence is collected.Confronti ng the parent or separating the parent from the child may alienate the parent and cause him or her to leave with the child. Talking to the child about the healthcare team's suspicions may be confusing and frightening for the child.

[notis]

Gracias!

[bulacsom]

TYSM