Author Question: The nurse gives a preschool-age child two anatomically correct dolls to play with in efforts to ... (Read 55 times)

stephzh · **on:** Jun 27, 2018

The nurse gives a preschool-age child two anatomically correct dolls to play with in efforts to determine if the child has been sexually abused. Which observation indicates to the nurse that this is a possibility?

A) Child inserts the male doll's penis into the female doll's mouth.
B) Child holds both dolls together to make them walk together holding hands.
C) Child takes off the dolls' clothing, laughs, and then puts the clothes back on.
D) Child holds dolls facing each other and moves the arms so that the dolls hug.

Question 2

The nurse visits the foster home of a newborn with failure to thrive syndrome. Which observation indicates a successful outcome for this child's care?

A) Birth mother has stopped visiting the child.
B) Birth father comes by the home to bring toys.
C) Child eagerly takes a bottle and is gaining weight.
D) Child is crying and has bruises over the lower legs.

joechoochoy · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
Allowing young children to play with anatomically correct dolls is a common method for determining whether sexual maltreatment is occurring. The child who is involved in an incestuous relationship may make the dolls perform a sexual act, such as placing the male doll's penis into the female doll's mouth. The average reaction of a preschool-age child who has not been maltreated is to undress the dolls, giggle for a moment or two about how they look, and then redress or put them aside. Playing with the dolls so that they hold hands and hug does not indicate that the child has been sexually abused.

Answer to Question 2

C
Feedback:
A successful outcome for the care of a child with failure to thrive syndrome would be that the child shows interest in bottle feedings and begins to gain weight. The child crying and having bruises over the legs could indicate physical abuse or another medical problem. The mother not visiting the child indicates ongoing psychological issues with the mother bonding with the child. The father bringing toys does not indicate that the care of the child has been successful. The father's bonding with the child cannot be determined by this action of bringing toys.