Flashcards in Childhood Maltreatment :( - Unit 1 Deck (39)
What is child abuse defined as?
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
What are the 4 types of maltreatment? Which is #1?
Neglect, Physical abuse, psychological maltreatment, sexual abuse. Neglect is #1
Neglect - failure to provide the child's basic needs. T/F?
What are some contributing factors of neglect?
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
What is psychological abuse?
pattern of behavior where the child is made to feel unloved, worthless, flawed, or endangered.
What is NCANDS?
National Child Abuse and Neglect Data System - data on child abuse.
Who are mandated reporters of child abuse?
HCP's, teachers, school staff, social workers, police officers, day care providers.
It is estimated that roughly 681,000 kids were victims of abuse in 2011. T/F?
true - that's 681,000 too many.
Abuse has boundaries - only certain kids get abused. T/F?
FALSE - it knows no boundaries
Boys - higher rate of death from abuse than girls. T/F?
80% of perpetrators were parents, 40% female, 60% male, 75% under the age of 40.
What are some risk factors for abuse?
children with a disability, kids with behavioral problems, medical conditions, preemies, congenital defects, chronic illness, multiple birth, developmental disabilities, etc.
What type of caregivers are at risk for being an abuser?
Abused themselves, young, stressed, low self esteem, history of drug/alcohol abuse, history of mental illness
What are some characteristics of the abuser?
little concern, little interaction with child, blames the child, sees the kid as a burden, demanding, wants the child to fulfill parental needs
Poverty, divorce, unemployment....don't help the abuser. T/F?
What are some red flags for abuse?
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cry when it should be painful), EXTREME mood swings, does not look to mom or dad for reassurance, always fearful, withdrawn, does not want to leave hospital, incompatible injury***, delay in seeking treatment, told to keep secrets, plays on fears, etc.
If the history changes or evolves, we should worry. T/F?
How should we ask kids about a suspected abuse?
CLARIFY, not investigate. "Tell me about this bruise. Tell me what happened" NOT "Did daddy do this to you?"
Physical abuse - injuries can be anywhere. T/F?
Bruises aren't always a sign...but many bruises in different healing stages could be. T/F?
Maxillary intercanine distance >3cm indicates what?
An adult bite. :(
Normal developmental bruises are on soft spots. T/F?
FALSE - they are on bony prominences.
Bites on butt, inside legs, cheeks, upper lip, inside mouth - alright to see. T/F?
FALSE - these are a major red flag.
fractures - red flag if they don't match the history. T/F?
what kinds of injuries cause a high index of suspicion?
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.
What are the priorities of care for these kids?
necessary medical care, protection, DOCUMENTATION, photos, skeletal series, CPS notification
Shaken Baby Syndrome - shaking for __ to __ seconds can cause bleeding in and around the brain.
What is SBS now called? what was it called?
Shaken Impact Syndrome - was called Parent-Infant Stress Syndrome in the 40's when it was identified.