Question 1

What intervention should the primary care provider (PCP) encourage all parents to implement to engage in the best management of potential serious child related injuries?&#10;A) Being aware of the causes of common childhood injuries&#10;B) Actively engaging in attentive parenting practices&#10;C) Actively supporting state and federal programs like Safe Kids USA&#10;D) Being proficient in basis pediatric life support techniques

Accepted Answer

Being proficient in basic pediatric life support techniques equips parents to respond effectively to serious injuries, potentially saving a child's life before professional help arrives.

Question 2

The primary care pediatric nurse practitioner is evaluating a 12-year-old girl who reports penile penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP reports this to the local child abuse hotline. What is the PNP's next action?

A) Attaining a history of the abuse from the child
B) Obtaining urethral specimens for STI testing
C) Performing a colposcopic examination to evaluate for trauma
D) Referring the child to the ED for forensic specimen collection

Accepted Answer

The nurse practitioner is mandated to report suspected abuse according to state laws in order to protect the safety and well-being of the family. It is important for the nurse practitioner to ensure that the appropriate authorities are notified in order to provide support and resources for the family. Referring the family to a social worker and suggesting that the parent avoid the abusive situation may be appropriate interventions, but reporting the suspected abuse should be the primary response. Notifying the child's school counselor may also be appropriate, but it does not address the suspected abuse of the parent.

Question 3

The primary care pediatric nurse practitioner is examining a young child who was brought in by a grandmother for evaluation of a partial-thickness burn on one arm. The PNP suspects that this is an intentional injury, but the grandmother states that the parents are "just careless" and that the child is now living with her. What will the PNP do?

A) Flag this as a concerning incident in the child's record.
B) Reassure the grandmother that she is doing the right thing.
C) Refer the child's parents to a parenting resource center.
D) Report a suspicion of abuse to child protective services.

D

Accepted Answer

The PNP has a duty to report any suspicion of child abuse to child protective services in order to protect the child from further harm. Intentional injuries, such as burns, are a red flag for abuse and require immediate attention. While flagging this incident in the child's record and referring the parents to a parenting resource center may be helpful, it is not sufficient to ensure the safety of the child. Reassuring the grandmother that she is doing the right thing may also be inappropriate, as it could potentially validate her decision to ignore or cover up potential abuse.

Question 4

The primary care pediatric nurse practitioner is evaluating a 12-year-old girl who reports penile penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP reports this to the local child abuse hotline. What is the PNP's next action?

A) Attaining a history of the abuse from the child
B) Obtaining urethral specimens for STI testing
C) Performing a colposcopic examination to evaluate for trauma
D) Referring the child to the ED for forensic specimen collection

Accepted Answer

The PNP should refer the child to the ED for forensic specimen collection. This is because the child may need a physical examination and evidence collection to document any injuries sustained during the abuse. It is important to follow protocol and guidelines for reporting suspected abuse, and referring the child to the appropriate resources for evaluation and treatment.

Question 5

The primary care pediatric nurse practitioner is evaluating a 12-year-old girl who reports penile penetration of her vagina by her mother's boyfriend the day before yesterday. The PNP reports this to the local child abuse hotline. What is the PNP's next action?

A) Attaining a history of the abuse from the child
B) Obtaining urethral specimens for STI testing
C) Performing a colposcopic examination to evaluate for trauma
D) Referring the child to the ED for forensic specimen collection

Accepted Answer

Limited financial resources may be a risk factor for child maltreatment, as stressors such as unemployment or poverty can increase family tension and decrease parental coping abilities. Attending day care, having a working mother, and not being a member of a church are not necessarily concerning factors for potential child maltreatment.

Deck 24: Injury Prevention and Child Maltreatment