Pediatric Nursing by Kathryn Rudd,Diane Kocisko

Exercise 1

An 8-year-old female is seen in the emergency room with pain and swelling to her right wrist. She claims she fell off the monkey bars and landed on an outstretched arm (FOOSH injury). She is holding her arm carefully and crying. X-rays reveal no abnormality but she is tender on palpation at her distal physis. Your understanding of children with open growth plates and cartilaginous bone qualities makes you realize which of the following?
A) She probably has strained her wrist.
B) She probably sustained a Salter Harris I growth plate fracture.
C) She probably wants a doll and her mother said no.
D) Children heal their bones quickly; therefore another x-ray in a few weeks may reveal the healing bone.
E) Both B and D