Which sign is NOT typically associated with clinical shock in a child?

High urine output is not typically associated with clinical shock in a child. In states of shock, the body's response includes prioritizing blood flow to vital organs, which can lead to decreased urine output as the kidneys receive less perfusion. Shock often causes the body to conserve fluid, resulting in oliguria or anuria (reduced or absent urine output), indicating impaired renal function due to poor perfusion.

In contrast, prolonged capillary refill, cold extremities, and mottled skin are all signs frequently observed in children experiencing shock. Prolonged capillary refill suggests poor peripheral perfusion, cold extremities indicate reduced circulation and potential hypothermia, and mottled skin can point to inadequate blood flow and changes in skin perfusion. These signs reflect the body's compensatory mechanisms and distress, highlighting the severity of the situation in a child.