Maternal and Child Health Nursing 4Rcap ped

1. Immediately after the birth of a newborn who was delivered vaginally, which of the following actions should the nurse take first? a. Assess the anterior & posterior fontanels b. Initiate cord care for the baby c. Obtain the babys footprints d. Keep the baby warm *

2. Which of the following nursing diagnosis would be given priority in the care plan of a newborn at 1 hour of age? a. Risk of infection b. Altered nutrition c. Ineffective thermoregulation * d. Impaired skin

3. Following a birth, after the Dr. has cut the cord, and before the baby is given to the mother, which should the nurse do? a. Confirm identification of the infant & apply bracelets to mother & infant. b. Examine the infant for any observable abnormalities. c. Wrap the infant in a pre warmed blanket & cover the head. d. Instill the prophylactic medication in the infants eye

4. The reason the nurse keeps the neonate in a neutral thermal environment is that when the newborn becomes too cool, he or she requires: a. Less O2 & the newborns metabolic rate increases b. More O2 & the newborns metabolic rate decreases c. More O2 & metabolic rate increases * d. Less O2 & metabolic rate decreases

5. Which of the following would note as a deviation from the normal characteristics of the term neonate? a. Head circumference larger than the chest circumference b. Diaphragmatic breathing c. Passage of meconium stool d. Epicanthal folds & simian line *

6. Which of the following findings in a NB girl does not indicate pathology? a. Passage of meconium within the first 24 hours * b. Respiratory rate of 70/minute at rest c. Yellow skin tones at 12 hours of age d. Bleeding from umbilicus

7. When suctioning the NB, the oral cavity is suctioned first because: a. Stimulation of the nasal mucosa will cause reflex inhalation of pharyngeal secretions into the trachea & bronchi * b. The gag & cough reflex would be activated, thus facilitating the infants own effort to clear his air sacs c. The greatest accumulation of secretion is bucopharyngeal due to relatively large size of his tongue & nostrils d. The infant is an obligate nasal breather & his air passages are best cleared by the normal activity of the cells

8. Unless otherwise contraindicated, the position of a normal neonate in the nursery after birth is generally one that: a. Promotes drainage of respiratory secretions * b. Posters rest and sleep c. Facilitates frequent observation of the infant d. Prevent pressure on the abdominal organs

9. All of the following are normal characteristics of the newborn, EXCEPT: a. The circumference of the NB is equal to or slightly less than that of the head b. The abdomen is dome-shaped c. Irregular patterns of respiratory activity including occasional short periods of apnea d. The NBs hemoglobin & hematocrit are equal to or less than that of the adult *

10. When Baby Ciaras mother removed her blanket & started to examine her infant, she became concerned because she assumed a fencing position as she turned her head. The mother suspected a neurologic damage. The nurse would discuss with the mother that: a. This is normal response b. Tonic neck rarely indicates neurologic damage in the newborn c. Reflex disappears around 4-5 months of age d. All of the above *

11. The morning temperature on a NB is 97.6F (36.4C). In order to prevent cold stress, which nursing action should be included in the plan of care? Teach the mother to: a. Keep the babys head covered * b. Keep the baby unwrapped c. Turn up the thermostat in the nursery d. Use warm water for bath

12. A new mother is distressed because her baby looks a little yellow, she says, The other nurse said she has physical jaundice. What is that? Is it bad? The nurses explanation is based on the knowledge of the normal physiological changes of a newborn. Which of the following is responsible for a newborns physiologic jaundice? a. Liver immaturity & polycythemia * b. Oliguria & kidney immaturity c. Infection d. Dehydration

13. While performing a newborn assessment the nurse notes yellowish vernix. The nurse promptly calls this to the physician's attention because this maybe sign of: a. Rh or ABO incompatibility or maternal ingestion of sulfisoxazole (Gantrisin) * b. An intrauterine gonorrheal infection c. Maternal Diabetes Mellitus d. Fetal post maturity

14. Which of the following findings of a full term newborn, which is not expected outcome of maternal hormone influence, & therefore should be reported? a. Witch milk b. Slight vaginal bleeding c. Undescended testicles * d. Linea Nigra

15. Which of the following should elicit the Moro reflex in a healthy newborn? a. Sudden or loud noise * b. Stroking the sole of the feet c. Turning a newborns head to one side d. Stroking a newborns cheek

16. Mrs. C. delivers a 6 lbs 5 oz (2863 g) boy. The nursery nurse carries the baby into his mothers room. Mrs. C states, I think my baby is afraid of me. The nurse should: a. Encourage Mrs. C not to be so nervous of her baby. b. Reassure her that this is normal reflexive reaction for her a baby. * c. Take the baby back to the nursery for a neurologic examination. d. Wrap the baby more tightly in warm blankets.

17. Mrs. S. asks how much her 3-day-old baby weighs. When the nurse tells her 5 lbs 11 oz (2580g), she starts to cry because the baby weighed 6 lbs 5oz (2863 g) at birth. What is the expected weight loss pattern in a newborn? a. None b. 5% c. 5%-10% * d. 10%-15%

18. The nursery nurse brings Mrs. C. her baby son for his 1st feeding. Mrs. C. relates, I wish I could handle the baby like that; you nurses make everything so easy. What response by the nurse would best meet the mothers needs in this situation? a. In time you will do as well. All you need is to develop more confidence in your innate ability to give your baby the proper care. b. All new mothers feel this way. Ill demonstrate some basic techniques you may find helpful in feeding your baby. c. Show me how you planned to manage. Ill be here for a while should you need assistance. * d. Perhaps if I stayed here with you & feel the baby myself, youd better able to manage the 2nd feeding independently.

19. Another mother tells you that at some times her baby seems cross-eyed. She asks you, Why is this? Your best response would be: a. This is normal during the first few months of life. b. If no one is cross-eye in your family there is no need to worry. c. The coordination of eye muscles has not developed yet. * d. This is a congenital defect. Ill inform the Dr.

20. MR. B., primipara, expressed concern over her ability to care for her newborn baby. You recognize Mrs. B.s fears regarding her baby to be: a. A sign of over rejection of the newborn baby b. A predisposing factor in maternal deprivation c. An indication that this was an unwanted pregnancy d. Within normal limits in the new situation *

21. The nurse is performing an admission assessment on a 6-month-old infant with diagnosis of hydrocephalus when the nurse: a. Test the urine protein b. Takes the apical pulse c. Palpates the anterior fontanel * d. Takes the BP

22. Which of the following definitions most accurately describes meningocele? a. Complete exposure of the spinal & meninges b. Herniation of spinal cord & meninges into a sac c. Sac formation containing meninges & spinal fluid * d. Spinal cord tumor nerve roots

23. The primary reason for surgical repair of a myelomeningocele is to do which of the following? a. Correct the neurologic defect b. Prevent hydrocephalus c. Prevent seizure disorders d. Decrease the risk of infection *

24. A nurse makes an observation to a patient with meningomyelocele. Which of the following indicate increase intracranial pressure? a. Constricted pupil, increase reactivity to light b. Resting pulse rate of 120, RR 40 c. High pitched cry, irritability * d. Projectile vomiting, sunken fontanels

25. While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised? a. Sucking ability * b. Respiratory status c. Locomotion d. GI function

26. When providing postoperative care for the child with a cleft palate, the nurse should position the child in which of the following positions? a. Supine b. Prone * c. In an infant seat d. On the side

27. A 16-month old baby was scheduled for repair of cleft palate. What response of the mother shows a correct understanding of the procedure? a. I wont let the baby play with a stuff toy. b. I will practice applying restraint on the elbow. * c. I will let my child cry so that her lungs will expand. d. I will feed my child as soon as possible.

28. Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation? a. Patent ductus arteriosus b. Tetralogy of Fallot * c. Coarctation of the aorta (COA) d. Aortic stenosis

29. While assessing a child with COA, the nurse would expect to find which of the following? a. Absent or diminished femoral pulses * b. Cyanotic tet spells c. Squatting posture d. Severe cyanosis at birth

30. One of the symptom frequently observed in a child with COA is: a. Bounding pulse * b. Cyanosis of lower extremities c. Decreased peripheral pulses of upper extremities d. Pitting edema of all extremities

31. When developing a teaching plan for the parents of a child with pulmonic stenosis, the nurse would keep in mind that this disorder involves which of the following? a. Return of blood to the heart without entry into the left atrium b. Obstruction of blood from the right ventricle * c. Obstruction of blood from the left ventricle d. A single vessel arising from both ventricles

32. Which of the following represents as effective nursing intervention to reduce cardiac workload? a. Scheduling care to provide for uninterrupted rest periods * b. Developing & implementing consistent plan of care c. Feeding the infant over long periods of time d. Allowing the infant to have her way to avoid conflict

33. Which of the following are defects associated with tetralogy of Fallot? a. COA, aortic valve stenosis, mitral valve stenosis, & PDA b. VSD, overriding aorta, pulmonic stenosis, & right ventricular hypertrophy * c. Tricuspid valve atresia, atrial septal defect, VSD, hypoplastic right ventricle d. Aorta exist from the right ventricle, pulmonary artery exists from left ventricle, & 2 noncommunicating circulations

34. A child with cyanotic heart defect was seen on squatting position. Your initial nursing action is to: a. Have him lie down b. Continue to observe the child since it is a comfortable position for the child * c. Have him sit in a chair d. Start CPR

35. Which of the following would the nurse expect to see a cardinal sign of digoxin toxicity in a child with congestive heart failure who is receiving digoxin? a. Respiratory distress b. Extreme bradycardia * c. Constipation d. Headache

36. A 3-year-old child has CHF. What indication will indicate the patients condition is worsening? a. Facial edema * b. Mucoid nasal discharges c. Apical pulse 115 bpm d. RR 26-28

37. Which of the following indicates that a child with CHF is carefully following the prescribed medical regimen? a. Elevation in RBC count b. Normal weight for age * c. Pulse rate below 50 bpm d. Use of daily antibiotic

38. While assessing a child with pyloric stenosis, the nurse is likely to note which of the following? a. Regurgitation b. Steatorrhea c. Projectile vomiting * d. currant jelly stools

39. A symptom typical of pyloric stenosis: a. A sausage-shaped mass in the lower abdomen b. Peristaltic waves are visible during & after feeding abdominal wall * c. Abdominal pain d. Periorbital edema

40. An infant suspected of pyloric stenosis is scheduled for an upper gastrointestinal radiographic studies. What would the nurse say to the mother regarding the procedure? a. Dye will be given thru a catheterization to the rectum b. Sound instrument will be passed over the babys abdomen c. Baby will be given a chalky liquid to drink * d. Radiopaque dye will be injected into an artery

41. Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with GERD? a. Vomiting * b. Stools c. Urine d. Weight

42. A child admitted for intussusception is scheduled for Ba enema. The father asks the nurse regarding the purpose of the procedure. The nurse is corect to say that it will: a. Increase the peristalsis of bowel b. Will reduce the intussusception * c. Aids in visualization of other bowel obstruction d. Helps in evacuation of fecal material in the bowel

43. When assessing a child for possible intussusception, which of the following would be least likely to provide valuable information? a. Stool specimen b. Pain pattern c. Family history * d. Abdominal

44. A newborns failure to pass meconium the 1st 24 hours after birth indicate which of the following? a. Hirschprungs disease * b. Celiac disease c. Intussusception d. Abdominal wall defect

45. Which of the following should the nurse do 1st after noting that a child with Hirschprungs disease has a fever & watery explosive diarrhea? a. Notify the Dr. immediately * b. Administer antidiarrheal medications c. Monitor the child every 30 minutes d. Nothing, this is characteristics of Hirschprungs disease

46. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following? a. Symmetrical gluteal folds b. Trendelenburg sign c. Ortolani sign * d. Characteristic limp

47. Prior to surgery for correction of congenital hip dysplasia in a 4-month old infant, which of the following home care instructions would a nurse include in the teaching plan for the infants family? a. Apply double diapers when changing the infant. * b. Perform passive range of motion on the lower extremities c. Support the legs in an adducted position with pillows during sleep d. Avoid placing the infant in an upright position

48. Collection of fluid around the testicles resulting to an enlarged scrotum and which is usually diagnosed thru a transillumination test using a flashlight is known as: a. Epispadias b. Hydrocele * c. Hypospadias d. Hermaphroditism

49. Which of the following should be avoided if the child has hypospadias? a. Circumcision * b. Catheterization c. Surgery d. Intravenous pyelography

50. Which of the following principles of development is being addressed when new partners are taught that the infants are able to lift their heads before their trunks? a. Cephalocaudal * b. Proximodistal direction c. Simple to the complex d. General to the specific

51. Which of the following factors play the GREATEST role in adversely affecting a childs health? a. Cultural background b. Religious influences c. Environmental influences d. Socioeconomic status *

52.When assessing a client from a cultural different than nurses own. Which of the following should the nurse do FIRST? a. Be sensitive to the familys beliefs b. Understand his or her own beliefs * c. Enact Western values on the family d. Modify familys cultural beliefs

53. The parents of a child with an autosomal dominant genetic disorder ask the nurse, What are the chances of our next child having this disorder? Which of the following would the nurses BEST response? a. Each child has a 25% chance of being born with the disorder. b. Each child has a 50% chance of being born with the disorder. * c. Your male children will be affected, but not your daughters. d. Females of the affected father will be affected, but not your sons.

54. When assessing the weight of a 5month-old, which of the following indicates healthy growth? a. Doubling of birth weight * b. Tripling of birth weight c. Quadrupling of birth weight d. Stabilizing of birth weight

55. While performing physical assessment of a 12-month-old, the nurse notes that the infants anterior fontanel is still slightly open. Which of the following is the nurses MOST appropriate action? a. Notify the Dr. immediately because there is a problem b. Perform an intensive neurologic examination c. Perform an intensive developmental examination d. Do nothing because this is normal finding for the age *

56. When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done? a. 1 month b. 2 months c. 3 months d. 4 months *

57. The infant of a substance abusing mother is at risk for developing a sense of which of the following? a. Mistrust * b. Shame c. Guilt d. Inferiority

58. Which of the following toys should the nurse recommend for a 5-month-old? a. A big red balloon b. A teddy bear with button eyes c. A push-pull wooden truck d. A colorful busy box *

59. The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurses BEST response? a. Let her cry for a while before picking her up, so you dont spoil her. b. Babies need to be held & cuddled, you wont spoil her this way. * c. Crying at this age means the baby is hungry, give her a bottle. d. If you leave her alone she will learn how to cry herself to sleep.

60. Which of the following is the PRIMARY nursing intervention used to help a 1month-old infant tolerate hospitalization? a. Using consistent caregivers * b. Providing sensorimotor stimulation c. Following the home schedule as possible d. Keeping the infant warm & dry

61. Which of the following types of play would the nurse expect to see when assessing a 10-month-old infant? a. Parallel b. Solitary * c. Associative d. Cooperative

62. Which of the following signs of socialization would the nurse expect to see when assessing a 5-month-old infant? a. Displaying of a social smile b. Enjoying social interactions c. Smile at mirror image * d. Exhibiting fear of strangers

63. Which of the following is the PRIMARY cause of death & disability in children over the age of 1 year? a. Cancer b. Injuries * c. AIDS d. Anomalies

64. When examining a 2-year-old, which of the following should the nurse do FIRST? a. Chest auscultation * b. Abdominal palpation c. Otoscopic examination d. Oral examination

65. If parents keep a toddler dependent in areas where he is capable of using skills, the toddler will develop a sense of which of the following? a. Mistrust b. Shame * c. Guilt d. Inferiority

66. Which of the following fears would the nurse typically associate with toddlerhood? a. Mutilation b. The dark c. Ghosts d. Going to sleep *

67. A 2-year-olds mother has just left the hospital to check on her other children. Which of the following would best help the 2-year-old who is now crying inconstantly? a. Taking a nap b. Peer play group c. Large cuddly dog d. Favorite blanket *

68. Which of the following is an appropriate toy for an 18-month-old? a. Multiple-piece puzzle b. Miniature cars c. Finger paints * d. Comic book

69. When responding to a mother who is concerned that her 1-year-old is not yet walking, the nurses response would be based on the knowledge that the age when most children should be able to walk is which of the following? a. 12 months b. 15 months * c. 18 months d. 24 months

70. When teaching parents about the childs readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler? a. Demonstrates dryness for 4 hours b. Demonstrates ability to sit & walk c. Has a new sibling for stimulation d. Verbalizes desire to go to the bathroom *

71. The mother of a 20-month-old boy asks the nurse why her son has temper tantrums. Which of the following would be the nurses best response? a. It is the only way he can get attention from his mother. b. He is probably spoiled & needs discipline. c. He cannot express his feeling or frustrations verbally. * d. He is expressing his need for identity.

72. A 30-month-old girl always puts her teddy bear on the left side of her bed immediately after her mother reads a bedtime story. Which of the following describes the purpose of this repeated behavior? a. Manipulation of the adults in the childs environment b. Establishment of learning behaviors c. Provision of a sense of security * d. Establishment of a sense of identity

73. When teaching parents about typical toddler eating patterns, which of the following should be included? a. Food jags * b. Preference to eat alone c. Consistent table manners d. Increase in appetite

74. When interviewing a 4-year-old, the nurse should do which of the following? a. Ask detailed questions b. Maintain confidentiality c. Disallow the use of equipment d. Avoid the words with double meaning*

75. When providing health teaching for a 5-year-old boy, the nurse knows that the child is capable of which of the following? a. Understanding anothers point of view b. Making simple classifications * c. Exhibiting intuitive thought d. Seeing relationships in reverse

76. A preschooler who is made to feel that his imagination & activities are unacceptable is likely to develop a sense of which of the following? a. Mistrust b. Shame c. Guilt * d. Inferiority

77. Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night? a. Allow him to fall asleep in your room, then move him to his own bed. b. Tell him that you will look him in his room if he gets out of bed one more time. c. Encourage active play at bedtime to tire him out so he will fall asleep faster. d. Read him a story & allow him to play quietly in his bed until he fall asleep. *

78. When providing therapeutic play, which of the following toys would BEST promote imaginative play in a 4-yearold? a. Large blocks b. Dress-up clothes * c. Wooden puzzle d. Big wheels

79. When assessing gross motor development in a 3-year-old, which of the following activities would the nurse expect to find? a. Riding a tricycle * b. Hopping on the foot c. Catching a ball d. Skipping on alternate feet

80. Which of the following best describes preschool sexual identification? a. Identification with same-sex parent, attachment to opposite-sex parent * b. Identification with opposite-sex parent, attachment to same-sex parent c. Identification & attachment to same-sex parent d. Identification & attachment to oppositesex parent

81. A preschooler typically views parents as which of the following? a. Necessary evil b. Persons who keeps order c. Omnipotent persons * d. Very rigid individuals

82. After administering an IM injection to a preschooler, which of the following is the PRIMARY reason for the nurse to place an adhesive bandage to the site? a. Children will use them to get attention from their parents b. Children are afraid that they will leak from the hole * c. Bandage help to alleviate fear of strangers d. Children collect bandage to show their peers

83. Which of the following statements should the nurse stress when teaching parents to maintain a consistent bedtime schedule for their 9-year-old? a. The childs need for sleep is greater now than in adolescence. b. Nightmares & night terrors are common. c. The child often is unaware of his own fatigue level. * d. Ten hours of sleep every night is the minimum requirement.

84. Which of the following activities, when voice by the parents following a teaching session about the characteristics of school-age cognitive development would indicate the need for additional teaching? a. Collecting baseball cards and marbles b. Ordering dolls according to size c. Considering simple problem d. Developing plans for the future *

85. The mother 0f a 5-year-old asks, When do the deciduous teeth usually begin to fall out? Which of the following is the nurses MOST appropriate response? a. Age 5 years b. Age 6 years * c. Age 7 years d. Age 8 years

86. Unrealistic expectations or a sense of failing to meet the standards would cause a school age to develop a sense of which of the following? a. Shame b. Guilt c. Inferiority * d. Role confusion

87. Which of the following skills is the MOST significant one learned during the school age is significant? a. Collecting b. Ordering c. Reading * d. Sorting

88. When teaching a parent of a 4-year-old child about expected age-appropriate behaviors during hospitalizations, which of the following instructions would a nurse give a parent? a. It would not be unusual if your child starts to wet the bed. * b. Most children this age dont cry when their parents go home for the night. c. You can expect your child to stop eating for few days. d. The child may pretend to be sick to stay in the hospital.

89. If an 8-year-old childs development level is within the normal range, the nurse should expect the child who has rheumatic fever to hav fole: a. An imaginary companion b. A perception that the illness is punishment to misdeeds * c. Separation anxiety d. The ability to follow the usual bedtime routines

90. The mother of an 8-year-old boy brings him all of the following toys. Since the child is in a mist tent with O2, which of these toys should be removed from the childs environment? a. A model air b. A board game c. A battery-powered cassette player d. A friction-wheel car *

91. A teenager with acne says to the nurse in the Dr.s office, Look at my face I still get pimples. The nurse should explain to the teenager that the contributing cause of acne in adolescent is? a. Eating a large amount of foods high in fat b. Eating foods that are high in complex CHO c. An increase in secretions of the sebaceous glands * d. An increase in the secretions of adrenals

92. Which of the following would the nurse use to respond to the mother of an 8year-old girl who asks about when her child will begin puberty? a. It begins between ages 8-14 & ends within 3 years. * b. It begins between ages 9 and16 & ends by age 18 or 19. c. It begins between ages 8 and 14 & ends by age 18 or 19. d. It begins between ages 16 & ends by age 3 years.

93. When teaching about accident prevention to a group of high school juniors, the school nurses PRIMARY focus would be on which of the following areas? a. Falls b. Motor vehicle accidents * c. Firearms d. Diving accidents

94. According to Erickson, which of the following reasons explains why an adolescent may have difficulty mastering appropriate psychosocial tasks? a. The basic focus is on mastering of sexual relationship b. Only a limited interaction occurs between culture & individual development c. Modern culture tends to make identity crisis the most challenging to resolve * d. The adolescent commonly lacks positive role models

95. To foster achievement of goals in the teen-age: a. Allow teenagers increasing independence b. Discuss future plans with the adolescents * c. Encourage heterozygous peer relationship d. Tolerate the adolescents need to be away from home as frequent as possible

96. Which of the following comments by a 16-year-old male student should the nurse give immediate attention to? a. Im having wet dreams almost every night. b. I use condom & petroleum jelly during sexual intercourses. c. My girlfriend uses pills. * d. I read sexual magazines while masturbating.

97. Some of the tasks of the adolescent years include the following except: a. Accepting & developing a personal identity b. Achieving independence from parents c. Deciding vocations and/or future plans d. Unlimited expressions of sexual drives *

98. Adolescents usually spend so much time getting dressed up & constantly stay on the mirror. The nurse explains to the frustrated angry parents that this behavior is: a. An attempt to delay activities b. A usual concern with self c. An indication of protest & rebellion d. A result of rapid body changes & developing self-concept *

99. A 14-year-old girl wants to eat left over pizza instead of eating her breakfast. What should the nurse do? a. Tell her she can eat the pizza after she ate her breakfast b. Give her the pizza * c. Tell her that pizza is not good for her d. Dont give her the pizza

100.Some teenagers may engage in sex without knowing the consequences of their actions. Which of these parental responses would be most appropriate for this problem? a. Enforcing stricter rules & punishment b. Screening the teenagers friends c. Providing regular & open communication * d. Limiting the number of teenagers social activities

101. Adolescents nutritional profile can be described as: a. There is a rapid growth, they want companionship with meals * b. There is a rapid growth & they love to eat alone c. There is slow but steady growth, they are fond of food fads d. There is stunted growth but they have voracious appetite

102. One important concept on adulthood is characterized by the following except: a. Adults developmental tasks are generally completed b. Adults state of health has stabilized c. Adults need to adopt to active physical activities * d. Adults maximum capacity of living has been attained

103. Furthermore, adulthood is characterized by the following except: a. Their immediate concern is focused on themselves * b. The need to be productive c. Colleagues at work are important d. Creative pursuit in life for the welfare of the family

104. Normally, the behavior of the elderly is characterized by: a. Adaptation to changes in living b. Acceptance of community responsibility c. Attainment of job security d. Adjustment to altered relationship *

105. Child abuse and neglect often occurs nowadays. Which of the parental responses might alert the nurse that a child might have been abused? a. Participating in a child care activities b. Giving love & care to the child c. Blaming the child for his injury * d. Scolding the caregivers