Which of the following is a likely indicator of abuse of a ...

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Which of the following is a likely indicator of abuse of a 2-year-old child?
 
  1. Parents indicating that they did not see the event occur
   2. Inconsistency of stories between caregivers
   3. Bruising noted on the knees and shins
   4. Acting out behavior of the child

Question 2

The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an infant who is:
 
  1. Between six and eight months old.
  2. Of a Native American family.
  3. Of a non-Hispanic black family.
  4. Younger than three weeks old.

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Answer to Question 1

2
Rationale:
1. This answer is a logical explanation for this age group.
2. Inconsistency of stories is a red flag for abuse.
3. This answer is a logical explanation for this age group.
4. This answer is a logical explanation for this age group.

Answer to Question 2

4
Rationale 1: About two-thirds of infant deaths occur much earlierin the first 28 days of life.
Rationale 2: Native American and Alaskan natives experience an infant mortality rate of 8.3 per 100,000 live births.
Rationale 3: During 2000, the infant mortality statistics for non-Hispanic blacks was 13.6 per 100,000 live births.
Rationale 4: Almost two-thirds of all infant deaths occur during the first 28 days after birth.
Global Rationale:

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TYSM

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