Child abuse

Question 1

Most common form of child abuse

Answer 1

Neglect

Question 2

How much of the population has had a prior experience with child abuse and neglect?

Answer 2

1/3 in adult population

Question 3

Most common forms of child maltreatment

Answer 3

1. Physical abuse
2. Sexual abuse
3. Emotional abuse
4. Physical neglect
   Emotional neglect

Question 4

Most common triggers to child abuse

Answer 4

Chronic crying

Question 5

4 preconditions that can lead to sexual abuse in children

Answer 5

1. Indiv is aroused by children and viewed as nl
2. Internal inhibitors are inhibited
   - alcohol and drugs are disinhibitors
3. External inhibitors
   - presence of other indiv
4. Resilience of child (self esteem)

*what stops most people #2.

Question 6

MAO activity role in survival of early abuse

Answer 6

higher presence of gene = associated w/ survival

Question 7

Common features in child abuse cases

Answer 7

1. Discrepant Hx
2. Delay in seeking care
3. Stressed caretaker
4. Behavior by the child that triggers the abuse
5. Prior Hx of abuse in the abuser
6. Unrealistic expectations of child
7. Social isolation of caretaker
8. Patterns of increased severity if 1st is unrecognized
9. Use of multiple hospitals or caretakers

Question 8

What type of fractures are diagnostic of abuse and rough handling of child?

Answer 8

Spiral fractures

Metaphyseal fractures
- bucket handle

Question 9

Presence of subdural hematomas in the presence of what type of hemorrhage are almost always assoc. w/ abuse?

Answer 9

Retinal hemorrhages

Question 10

If a child in immediate danger, what should you do?

Answer 10

Call police

Question 11

Which gene is suspected of helping indiv nuture and care for young?

Answer 11

fosB

- give NE before birth