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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

E) A) and C)
F) All of the above

Correct Answer

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D

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?


A) Being aware of the causes of common childhood injuries
B) Actively engaging in attentive parenting practices
C) Actively supporting state and federal programs like Safe Kids USA
D) Being proficient in basis pediatric life support techniques

E) B) and D)
F) B) and C)

Correct Answer

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The primary care pediatric nurse practitioner is examining a young child who has cerebral palsy. Which part of the family history raises concerns about potential child maltreatment?


A) Child attends day care
B) Limited financial resources
C) Mother works outside the home
D) No membership in a church

E) A) and D)
F) B) and C)

Correct Answer

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B

The primary care pediatric nurse practitioner suspects that the parent of a child who is doing poorly in school is being abused by a partner. What is a priority response by the nurse practitioner?


A) Notifying the child's school counselor about this problem
B) Referring the child and family to a social worker
C) Reporting this according to any mandated reporting laws
D) Suggesting that the parent avoid the abusive situation

E) C) and D)
F) B) and C)

Correct Answer

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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.

E) All of the above
F) A) and B)

Correct Answer

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D

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