Nu632U14peerresponseKayla

What additional information would you want to obtain?

When did the injury happen, has she lost consciousness, was the injury witnessed, does she have any bleeding or clotting disorders? I would want to obtain a baseline cognitive report from the parents and compare to the current assessment and monitor for changes. Does she have any other bruises, what are those stages of healing, review medical history for similar injuries or inconsistencies in care. Is the child unkempt, is the family unkempt, what is the dynamic between the parents, are there other children and how do they present?

The American Academy of Pediatrics recommends using the M.O.R.E acronym to gather more information:

M: Mechanism- Gather as many details as possible about the reported injury

O: Others present- Who was present for and observed the injury to corroborate the story

R: Review of developmental ability- is the injury and reported mechanism appropriate for the childâ€™s age

E: Examination Details- Fully disrobed physical examination (Asnes & Leventhal, 2022).

Is this explanation consistent with the injury? Explain your answer.

The injuries do not appear consistent with rolling off a couch. There is significant bruising to the orbit/cheek and a laceration to the posterior ear. The bruising appears to have happened with more force than an approximately three-foot fall would illicit.

Is this injury developmentally appropriate?

From the picture, I am assuming the child is 12-24 months old. This injury would be more appropriate for a non-walking infant. Children in the assumed age are more prone to falling due to being â€œheadâ€ heavy and clumsy. Bruising found on infants and toddlers that is not caused by trauma is more likely to be found on the front of the body and over bony prominences like the shins, forehead, and facial bones (Asnes& Leventhal, 2022).

How would you manage this case?

From just the pictures I would manage this case as suspicious for child abuse due to my interpretation of the injuries being beyond the extent of simply rolling off the couch. The child should be transported to the ED via ambulance if being seen in the office. I would provide appropriate care for the laceration. The AAP does not recommend neuroimaging for children over 12 months old, but instead a skeletal survey with repeated assessments. The child needs neuro checks as well to monitor for subdural hematoma. Per your organizations policy the appropriate authorities should be alerted and the child separated from the parent as necessary (Asnes & Leventhal, 2022).

Are you struggling to create a sound and comprehensive nursing paper? Do you feel overwhelmed with the amount of time and effort it takes to write a good piece? Are you looking for the best nursing paper writing service that can assist you in your nursing paper needs? Look no further than our skilled team of professional writers who specialize in providing high-quality papers with the best nursing paper writing services reviews. Make your order at nursingpaperhelp.com