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    Paediatrics Proctored Exam ( Copp State University Examplify)

    Drag and drop the physical exam findings that would make the nurse suspicious of child abuse.

    Explanation & Rationale

    Choice A reason: A splash-pattern scald burn in a 2-year-old may indicate non-accidental trauma, as it suggests hot liquid thrown or poured, inconsistent with accidental spills. Such patterns, per tools like TEN-4-FACESp, raise suspicion of abuse, requiring further investigation to ensure the child’s safety. Choice B reason: An injury explanation matching the child’s developmental abilities (e.g., a toddler falling while running) is less likely to indicate abuse. Consistent histories align with accidental injuries, not raising suspicion under abuse screening tools, making this an incorrect choice for findings suggestive of child abuse. Choice C reason: Bruising on the torso of a 9-month-old, per the TEN-4-FACESp tool, is highly suspicious for abuse, as non-mobile infants rarely sustain accidental torso bruises. Such findings suggest external force inconsistent with developmental capabilities, warranting investigation for non-accidental trauma to protect the child. Choice D reason: Sock-like burns on bilateral feet from immersion indicate non-accidental trauma, as they suggest forced submersion in hot liquid, creating uniform burn patterns. This is a classic abuse finding, distinct from accidental burns, requiring immediate reporting to child protective services for the child’s safety.

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