abuse I- pediatric maltreatment

Approximately how many children die as a result of abuse and neglect each year in the United States?

1,720

physical abuse

24-bruises 20-lacerations/abrasions 17-no visible injury 10-burns 10-fractures locations 26-face/neck 25-extremities 17- head

types

62.8-neglect 16.6- physical abuse 9.3-sexual abuse 7.1-psychological maltreated 2.1 medically neglected

Which of the following scenarios should raise the MOST concern for the possibility of abuse?

A 9 month old girl with multiple bruises on her abdomen and back.

Which of the following children is MOST likely to be a victim of abuse, based on epidemiologic data?

A child with a disability who had previously been abused

When responding to a call of physical abuse, which of the following injuries are you MOST likely to encounter?

Bruises

CAPTA

Child Abuse Prevention and Treatment Act requires all states have mandatory reporting requirements and its imperative that all providers educated themselves on the specific requirements in their state

According to the 2002 Blue Ribbon Panel Report, CPS personnel prefer receiving EMT reports of possible pediatric maltreatment ___________.

Directly from the EMT.

Which of the following statements concerning the assessment of a victim of suspected child abuse is CORRECT?

During the patient history, you should ask the caregiver how many times the patient has been hospitalized and for what conditions.

Denigration, threats, ridicule, and rejection fall under which of the following categories of abuse?

Emotional abuse

In 2005, 6,000 children between 0 and 17 years of age died because of abuse and neglect.

False

Injury to which of the following locations is the leading cause of morbidity and mortality in child abuse cases?

Head

Which of the following statements concerning the legal issues of reporting pediatric maltreatment is CORRECT?

If there is a court action leading to substantiation, then this court is a civil court, not a criminal court.

Which of the following forms of abuse involves the failure to provide food, clothing, shelter, health, and education?

Neglect

Which of the following groups of people represents the majority of perpetrators of pediatric abuse and neglect?

Parents

Which of the following is a key warning sign of physical abuse?

Stocking and glove burns.

Which of the following statements concerning the child welfare system is CORRECT?

Substantiated cases may be closed with no further CPS involvement.

Which of the following statements concerning the initial assessment of a suspected victim of child abuse is CORRECT?

Surveying the scene and identifying the mechanism of injury can help you to identify cases of potential pediatric maltreatment.

Which of the following statements concerning the CAPTA definition of maltreatment is CORRECT?

The CAPTA definition states that the perpetrator must be a caretaker responsible for the child's welfare for the incident to be considered abuse

Which of the following statements concerning the consequences of abuse and neglect is CORRECT?

The outcomes of abuse cases are influenced by a number of factors, including the patient's age and developmental status.

Which of the following statements concerning the reporting of pediatric maltreatment is CORRECT?

The threshold for reporting typically involves the reporter suspecting or having reason to believe a child has been abused or neglected.

Mongolian spots

a dark, bluish rounded or oval area of discoloration on the buttocks of young children

viscus

a hollow organ

frenulum

a narrow fold of mucous membrane that passes from fixed anatomic part to moveable part

You respond to a call of an 11 year old male with cerebral palsy who just fell out of his wheelchair and broke his leg. He is cared for by his biological parents who are in their 30s. He has one older brother. Which of the following elements of the patient history is MOST concerning for potential abuse?

chronic condition

otorrhea

discharge form the ear, typically cerebrospinal fluid, in the case of skull fracture

2018

four-fifths (84.5%) of victims suffer a single type of maltreatment. sixty percent (60.8) are neglected only 10.7% are physically abused, and 7% are sexually abused

colic

in infants, prolonged outburst or crying and irritability

Apnea

the absence of breathing

retina

the light sensitive membrane that forms the inner-most layer of the eyeball

dorsum

the posterior surface or backside of any part of the body

sepsis

the presence of pathogenic organisms of their toxins in the blood or tissues

Exposure to illegal substances, whether by producing, selling, distributing, or giving to children; or use of a substance by a caregiver that impairs the caregiver's ability to care for the child, can be considered part of the definition of abuse and neglect.

true

battle's signs

bruising behind ear, resulting from fracture at the base of the skull