Unit 26

Question 1

What are the signs of child neglect?

Answer 1

Deprivation of basic needs
Lack of nurturance

Question 2

What are signs of child physical abuse?

Answer 2

Shaken baby syndrome
Munchausen syndrome by proxy

Question 3

What are signs of child sexual abuse?

Answer 3

Abrasions in genitalia
Withdrawal
UTI
STI
Personality changes

Question 4

What are predisposing factors to abuse?

Answer 4

Parents:
- Young, single
- Low income, little education
- Drug abuse/alcoholism
- History of abuse
Child:
- Infants
- Disabled
- Unwanted
- Prematurity
Environment:
- Relocation
- Poverty
- Poor housing
- Substitute caregivers

Question 5

What are clinical manifestations of potential child maltreatment?

Answer 5

Undernutrition
Poor hygiene
Dull affect
Multiple bruises/injuries
Frequent UTI
Regressive behaviors

Question 6

What are characteristics of abusers?

Answer 6

A person the victim knows
Controlling
Incest between father/stepfather and daughter
Boys are less likely to report

Question 7

What is the nursing priority in abusive situations?

Answer 7

Remove the child from the situation

Question 8

What can you do to prevent abuse?

Answer 8

Prepare expectant families for adjustment to parenthood
Foster attachment process and teach coping mechanisms
Teach children to protect themselves
Teach parents appropriate methods to care for children
Helpful games
Importance of saying “no”
Reassurance about repercussions of reporting