Child Maltreatment Flashcards

1
Q

“Physical injury inflicted on a child by other than accidental means”

A

Abuse

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2
Q

“Failure, refusal or inability on the part of a parent, guardian, legal custodian or other person exercising temporary or permanent control over a child, for reasons other than poverty, to provide necessary care, food, clothing medical or dental care,or shelter so as to seriously endanger the physical health of the child”

A

Neglect

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3
Q

Long-term Consequences of CAN (Impaired brain development)

A

Mental retardation, learning disabilities.

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4
Q

Long-term Consequences of CAN (Physical disabilities)

A

Shaken baby syndrome, blindness,

Feeding problems, seizures,

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5
Q

Long-term Consequences of CAN (Poor school performance)

A

Truancy, discipline problems, lower test scores

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6
Q

Long-term Consequences of CAN Criminality

A

Increases likelihood of juvenile arrests by 59%

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7
Q

Long-term Consequences of CAN (ALL)

A
  • Criminality
  • Poor school performance
  • Physical disabilities
  • Impaired brain development
  • Substance Abuse
  • Psychological problems
  • Financial cost to society
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8
Q

Long-term Consequences of CAN (Psychological problems)

A

Poor self-esteem, suicidal behavior, depression and/or anxiety

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9
Q

Maltreatment Risk factors (child)

A
  • difficult temperament
  • chronic illness
  • multiple births (twins…)
  • developmental or physical disabilities
  • Low birth weight babies
  • Premature infants
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10
Q

Which of the below is associated with juvenile delinquency and adult criminality?
A) Abuse and neglect
B) Maltreatment

A

B) Maltreatment

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11
Q

Most victims were abused by a _____?

A

parent or parents

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12
Q

Sexual abuse victims are most likely to be abused by ______?

A

non-relatives.

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13
Q
  • Patterned injury which is caused by being whooped with a folded cord or belt.
A

Loop Marks

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14
Q

Suspect abuse If measurement between incisors on a bite mark is _______?

A

> 3mm

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15
Q

most common location for an inflicted burn on a child?

A

back of hands

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16
Q

Injuries seen in AHT

A
  • Subdural hematomas
  • Cerebral edema
  • Skull fractures
  • Rib fractures
  • Retinal hemorrhages
  • Not associated with neck injuries
  • There may be no other signs of trauma!!!!!
17
Q

Signs and Symptoms

A
  • Seizures
  • Abrupt change in LOC (early sign)
  • Vomiting without diarrhea due to ICP
  • Coma
  • Fever
  • Irritability
  • Breathing difficulty
  • Changes in visual gaze, sunset eyes
18
Q

falls of )_______ can cause

  • Bruising
  • Swelling
  • Small skull fracture (occassionally)
  • SMALL subdural bleed under the contact site
A

3 feet or less

19
Q

Metaphyseal Fractures

A
  • Found at the end of the bone near the growth plate
  • More suspicious for abuse
  • Caused by “flailing limbs”
  • Caused by yanking on limbs
  • Can be seen when joints are forced into extension
20
Q

Diaphyseal Fractures

A
  • Involves the shaft of the long bones
  • Can be seen in abuse or trauma
  • Spiral Fracture
  • Transverse or Oblique
  • History should support the mechanism of injury
  • Always more concerning in a younger child
21
Q

Most common fracture seen in Children?

A

Skull Fractures

22
Q

the highest rates of fatal child abuse occurs at what age?

A

< 4 y/o

23
Q

Most common causes of child abuse deaths?

A

1) head injuries
2) abd injuries
3) intentional suffocation

24
Q

what is the most common form of child maltreatment?

A

neglect

25
Q

children between ages ______ to ______ are most at risk of abuse?

A

birth to 2 y/o

26
Q

Behaviors that should raise suspicion of abuse include?

A
  • being wary of adults
  • cringing with sudden movements
  • apathy
  • excessive daydreaming
  • any signs of anxiety or depression
  • not turning to the parent for support
  • attentive to other children crying
  • poor hygiene and unusual dress (appropriate for weather?)
27
Q

common unintentional injury sites?

A
  • forehead
  • elbows
  • knees (patella)
  • shins
28
Q

If sexual assault is suspected, collection of evidence should occur?

A

within 72 hours of the event`

29
Q

most common rib fractures in child abuse?

A

posterior rib fractures

30
Q

S/S of shaken baby syndrome?

A
  • lethargy
  • seizures
  • hyperirritability
  • poor feeding
  • bulging fontanels
  • hypothermia
  • dyspnea
  • in severe cases: coma or cardiopulmonary arrest