A nurse in an urgent care clinic is collecting data from a group of clients. Which of the following findings should alert the nurse to the possibility of child maltreatment?
Explanation & Rationale
A. A 6-year-old child who is toilet trained and bedwetting is not necessarily indicative of maltreatment. Regression in behavior, such as bedwetting, may occur due to stress or developmental changes, but it can also be related to other factors like illness or changes in routine. B. An 18-month-old child who has several bruises on their shins is concerning. While some bruises are normal in children, particularly active toddlers, multiple bruises or bruises in unusual areas (such as the torso, ears, or neck) or in various stages of healing may indicate physical abuse. A careful assessment is needed to determine if the bruises are accidental or inflicted. C. An 8-month-old infant who has stranger anxiety is a typical developmental milestone. Stranger anxiety often occurs between 6 to 9 months of age, and it is a normal part of infant development as they begin to differentiate between familiar and unfamiliar people. D. A 1-year-old child who kicks and screams when their parent leaves is also a normal behavior at this stage of development. Separation anxiety typically peaks between 8 to 14 months of age and is considered a normal emotional response.