An 18-month old was brought to the emergency department by her ...

[RRMR]

An 18-month old was brought to the emergency department by her mother, who states, I think she broke her arm.. The child is sent for a radiograph to confirm the fracture.
 
  Additional assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture would the radiograph most likely reveal? A) Plastic deformity
  B) Buckle fracture
  C) Spiral fracture
  D) Greenstick fracture

Question 2

The nurse is assessing an 11-year-old girl with scoliosis. Which of the following would the nurse expect to find? Select all answers that apply.
 
  A) Complaints of severe back pain
  B) Asymmetric shoulder elevation
  C) Even curve at the waistline
  D) Pronounced one-sided hump on bending over
  E) Diminished motor function
  F) Hyperactive reflexes

[SeanoH09]

Answer to Question 1

C
Feedback:
A spiral fracture is very rare in children. A spiral femoral or humeral fracture, particularly in a child younger than 2 years of age, should always be thoroughly investigated to rule out the possibility of child abuse. Plastic, buckle, and greenstick fractures are common in children and do not usually suggest child abuse.

Answer to Question 2

B, D
Feedback:
Assessment findings associated with scoliosis include asymmetric shoulder elevation, uneven curve at the waistline, rib hump on one side, and a pronounced hump on one side when bending over. Typically, only mild back discomfort is found and balance, motor strength, sensation, and reflexes are normal.