Abuse

A parent will not leave the room, when you perform a physical assessment on a 6 year old child. The child also refuses to take off his shirt. What form of abuse might you expect?

Physical- there may be bruises, welts, or burns that the parent and child are trying to conceal.

CAPTA is responsible for?

Provides funding to states in support of preventing, assessment, investigation, prosecution and treatment activities. Also sets forth the minimum definition of child abuse and neglect.

What times of physical finding might you fine in a sexually abused child?

Trauma to external genitalia, anus, mouth or throat; torn, stained, or bloody underclothing; pain on urination or pain, swelling, and itching of genital area; penile discharge, STI, difficulty walking or sitting; unusual odor in genital area; recurrent UTI; presence of sperm; pregnancy in young adults

According to Missouri's child abuse law, a student nurse's responsibility is to report their suspicion of child abuse to their supervisor.

True

An abused child is viewed by his parents as being different.

True

Attachment problems on the part of the abused child may provoke hostility in normally loving parents.

True

Battered children have a love/hate relationship with their parents.

True

Child abuse is reported to be more prevalent in families with a low socio-economic status.

True

Isolation from family and social support is a warning sign for potential child abuse.

True

Low self-esteem, high dependency needs, isolation, and poor parenting as children identify "at risk" parents and children for potential abuse.

True

The abused child often provokes abuse in his new foster home

True

The child or the child's condition may play a role in the abusive pattern.

True

The mother is most likely to be the abuser of the child.

True

What types of behavioral problems are associated with physical abuse?

Wary of physical contact with adults, apparent fear of parents or going home, lying very still while surveying environment, failure to cry from pain, lack of reaction to frightening events, apprehension when hearing other children cry, superficial relationships, acting-out behavior, withdrawal behavior.

A child is see in the ED and shows signs of emotional abuse. What kinds of manifestations should you expect?

lack of social smile and stranger anxiety during infancy, withdrawal from people and environment, unusual fearfulness, antisocial behavior, extremes of behavior, lags in emotional and intellectual development, and suicide attempts.

Risk factors for abuse of a child

parental characteristics, characteristics of the child, and environmental characteristics

Is it required to report any form of abuse of a child?

yes, all states in North America have laws for mandatory reporting of child maltreatment. Suspected child abuse must be reported to the authorities.

Signs of SBS (Shaken baby syndrome)

Extreme irritability Difficulty staying awake Breathing problems Poor eating Tremors Vomiting Pale or bluish skin Seizures Paralysis Coma

SBS can be cause by bouncing a child on your knee, minor falls, or rough child's play. T or F

F

Different cultures differ in their opinions on what constitutes acceptable dicipline and/or abuse T or F

F: Recent studies suggest that parents across cultural groups believe that it is unacceptable to abuse children and agree on the types of practices that constitute extreme forms of abuse, how different cultural groups define "good" and "bad"child behavior and the strategies that parents find acceptable in response to "bad" or "inappropriate" behavior across groups is less clear.

Child abuse is a relatively new social problem which is drastically increasing in incidence.

False

Child abuse represents an isolated incident.

False

Child sexual abuse occurs primarily from strangers, not family members or friends.

False

Most abusive adults are isolated physically and psychologically.

False

Someone who physically beats or injures a child is mentally disturbed or ill.

False

We are doing a good job to help prevent and treat child abuse.

False

Sexual abuse is the most common form of abuse in children. T/F?

False: Neglect

Behavior findings of a sexually abuse child include:

Sudden emergence of sexually related problems, withdrawn behavior, preoccupation with fantasies, poor relationships with peers, sudden changes in behavior, regressive behavior, sudden onset of phobias or fears, running away from home, substance abuse, profound and rapid personality changes, rapidly declining school performance, or suicidal attempts or ideation.

Abusive parents have little knowledge of normal developmental expectations for their child.

True

Characteristics common to abused children include: low birth weight, prematurity, behavior problems, birth defects, and developmental delay.

True

Child abuse or neglect should be suspected when the child is below the 25th percentile on the growth grid and does not perform on an age appropriate level on the DDST.

True

Cultural approval of violence as a childrearing technique contributes to child abuse.

True

Missouri has a mandatory child abuse law.

True

Parents Anonymous is a nationwide organization of adults with child abuse problems.

True

The first reported case of serious child abuse was made to the Society for the Prevention of Cruelty to Animals.

True

Typically the environment of the potential abusing situation is one of chronic stress.

True

Unlike neglectful parents, those who abuse their children tend to be possessive of them.

True

Usually a crisis precipitates the abusive occurrence.

True

Younger parents and single parent families are the most common parental characteristics of abuse children. T/F?

True

A child comes in to the ED with dull and inactive affect, poor hygiene, frequent injuries, self-stimulatory behaviors you suspect what type of abuse?

neglect