Childhood Maltreatment :( - Unit 1

Question 1

What is child abuse defined as?

Answer 1

Any recent act or failure to act on that results in death, serious physical or emotional harm, sexual abuse, exploitation, or risk of harm…” Child abuse prevention and treatment act, 2010

Question 2

What are the 4 types of maltreatment? Which is #1?

Answer 2

Neglect, Physical abuse, psychological maltreatment, sexual abuse. Neglect is #1

Question 3

Neglect - failure to provide the child’s basic needs. T/F?

Answer 3

True

Question 4

What are some contributing factors of neglect?

Answer 4

Lack of knowledge (I didn’t know I was supposed to feed my baby that many times!), lack of resources, and substance abuse by the caretaker

Question 5

What is psychological abuse?

Answer 5

pattern of behavior where the child is made to feel unloved, worthless, flawed, or endangered.

Question 6

What is NCANDS?

Answer 6

National Child Abuse and Neglect Data System - data on child abuse.

Question 7

Who are mandated reporters of child abuse?

Answer 7

HCP’s, teachers, school staff, social workers, police officers, day care providers.

Question 8

It is estimated that roughly 681,000 kids were victims of abuse in 2011. T/F?

Answer 8

true - that’s 681,000 too many.

Question 9

Abuse has boundaries - only certain kids get abused. T/F?

Answer 9

FALSE - it knows no boundaries

Answer 10

True :(

Question 11

Boys - higher rate of death from abuse than girls. T/F?

Answer 11

True

Question 12

80% of perpetrators were parents, 40% female, 60% male, 75% under the age of 40.
T/F?

Answer 12

True

Question 13

What are some risk factors for abuse?

Answer 13

children with a disability, kids with behavioral problems, medical conditions, preemies, congenital defects, chronic illness, multiple birth, developmental disabilities, etc.

Question 14

What type of caregivers are at risk for being an abuser?

Answer 14

Abused themselves, young, stressed, low self esteem, history of drug/alcohol abuse, history of mental illness

Question 15

What are some characteristics of the abuser?

Answer 15

little concern, little interaction with child, blames the child, sees the kid as a burden, demanding, wants the child to fulfill parental needs

Question 16

Poverty, divorce, unemployment….don’t help the abuser. T/F?

Answer 16

True

Question 17

What are some red flags for abuse?

Answer 17

Cries (or doesn’t cry when it should be painful), EXTREME mood swings, does not look to mom or dad for reassurance, always fearful, withdrawn, does not want to leave hospital, incompatible injury***, delay in seeking treatment, told to keep secrets, plays on fears, etc.

Question 18

If the history changes or evolves, we should worry. T/F?

Answer 18

True

Question 19

How should we ask kids about a suspected abuse?

Answer 19

CLARIFY, not investigate. “Tell me about this bruise. Tell me what happened” NOT “Did daddy do this to you?”

Question 20

Physical abuse - injuries can be anywhere. T/F?

Answer 20

True

Question 21

Bruises aren’t always a sign…but many bruises in different healing stages could be. T/F?

Answer 21

True

Question 22

Maxillary intercanine distance >3cm indicates what?

Answer 22

An adult bite. :(

Question 23

Normal developmental bruises are on soft spots. T/F?

Answer 23

FALSE - they are on bony prominences.

Question 24

Bites on butt, inside legs, cheeks, upper lip, inside mouth - alright to see. T/F?

Answer 24

FALSE - these are a major red flag.

Question 25

fractures - red flag if they don't match the history. T/F?

Answer 25

true

Question 26

what kinds of injuries cause a high index of suspicion?

Answer 26

Injuries to both sides of the body, injuries to soft tissues, injuries with patterns, injuries that do not match what was explained, injuries that were not treated.

Question 27

What are the priorities of care for these kids?

Answer 27

necessary medical care, protection, DOCUMENTATION, photos, skeletal series, CPS notification

Question 28

Shaken Baby Syndrome - shaking for __ to __ seconds can cause bleeding in and around the brain.

Answer 28

2-3 seconds

Question 29

What is SBS now called? what was it called?

Answer 29

Shaken Impact Syndrome - was called Parent-Infant Stress Syndrome in the 40's when it was identified.

Question 30

SBS - what can happen after?

Answer 30

Could be fatal, could cause trauma, learning disabilities, etc.

Question 31

SBS can occur by a young sibling. SBS can occur while bouncing a baby. SBC can occur if the baby rolls of the couch. T/F?

Answer 31

FALSE to all...usually it's a teenager or above.

Question 32

What are some signs and symptoms of SBS?

Answer 32

vague, subdural hematoma, increased ICP (vomiting, bulging fontanel), retinal hemorrhages (KEY), seizure, dilated pupils, lethargy, apnea.

Question 33

Retinal hemorrhages - huge sign of SBS. T/F?

Answer 33

True

Question 34

The wife is usually the one doing SBS. T/F?

Answer 34

FALSE - usually the BF.

Question 35

Why are kids at risk for SBS? Long term complications?

Answer 35

Risk because of big heads, weak neck muscles, immature brain. Complications include learning disabilities, cerebral palsy, visual impairment, seizure disorder.

Question 36

Education isn't important with SBS. T/F?

Answer 36

FALSE - it is very important. Prevention is key!

Question 37

What is munchausen syndrome by proxy?

Answer 37

Discovered in 1977, it is the fabrication of symptoms and history reported by the parent (it's done to the kid). Usually done by the mother, too. :(

Question 38

What are some characteristics of MSbP?

Answer 38

prolonged, unusual illness, history of SIDS, overly attached parent, parent with medical knowledge.

Question 39

Are there adverse effects of MSbP?

Answer 39

Yes, kids can have many disabilities because of it.