[Answered]: Tyler Marsh brings his 9-year-old daughter,…

Tyler Marsh brings his 9-year-old daughter, Maggie, to the emergency department because she is complaining that her right arm hurts. She returned home several hours ago after spending the weekend with her mother. Maggie’s right arm is swollen and appears bruised. When asked about her arm, Maggie says, “I fell off my bike at Mommy’s.” Further examination reveals several bruises on Maggie’s thighs and the inner aspect of both of her upper arms. The bruises on her thigh are a varying stages, with two of the bruises about 2 days old and one relatively new. An x-ray of her arm reveals a spiral fracture of the ulna as well as an old healed fracture of the humerus and the wrist. When asked, Tyler states that he doesn’t remember her having broken any bones before this. 1. What are the physical signs that would suspect physical abuse and why 2. What behavioral manifestations would add to the nurse’s suspicion that Maggie is a victim of physical abuse? 3. How would the nurse intervene?