You have responded to a residence for an injured child. The mother presents you with a two-year-old boy who is crying loudly. She says he fell off the family playground equipment and won't stop crying. You ask the boy what happened, and he points to the jungle gym outside and cries more. You notice some seven- to ten-day-old bruises on his shins, and scrapes on his palms and elbows. What impression could you form using your knowledge of child abuse?
A) The child indicates the same story as the mother, and children of that age tend to injure themselves playing.
B) Continual crying is a sign of abuse, and so are the old bruises.
C) The child was obviously unsupervised and may be neglected.
D) There are some warning signs, and the police should be involved.
Question 2
A patient who has lost 1 liter of blood is conscious with a patent airway, but his extremities are pale and cold to the touch. Vital signs are pulse 130, respirations are 22 and adequate, blood pressure is 74/56, and SpO2 is 95 on room air. Which one of the following is most needed by this patient to increase perfusion to the cells?
A) Increased blood pressure by giving IV fluids
B) Administration of oxygen
C) Increased number of red blood cells and plasma volume
D) Keeping the patient warm
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