NUR 1050 PEDs: Child Maltreatment

Define: Failure to provide a child with appropriate food, clothing, shelter, medical care, and schooling.

Neglect

Define: May be verbal denigration of a child or may occur as a result of a child witnessing domestic violence.

Emotional abuse

Define: Injuries that are intentionally inflicted on a child and result in morbidity and mortality.

Physical abuse

Define: Involvement of the child in any activity meant to provide sexual gratification to an adult.

Sexual abuse

Who is most at risk for child maltreatment?

Poor, children under three years old, those with chronic illnesses, intellectual disability

Who is the most common perpetrator of child maltreatment?

Parents and caregivers

Childhood abuse is associated with development of...

Anxiety, depression, suicide, alcohol and drug use, developmental and behavioral problems, decreased cognitive functioning, poor academic achievement, relationship deficits

Risk factors for parents being abusive:

Hx of being abused, substance abuse, extreme stress

What are behaviors that might indicate a child is being maltreated?

Self harm, hurting others, running away, attempting suicide, risk taking behaviors

Indicators of sexual abuse:

Inappropriate seductiveness for age, chronic sore throat, genital itching or burning

Indicators of emotional abuse:

Low self confidence, sleep disturbances, hypervigilance, headaches, stomachaches

True or false: You should use whatever the child's vocabulary is to discuss body parts rather than anatomical names.

True

Injuries that might indicate physical abuse:

Injuries in various stages of healing, burns in stocking or glove pattern, bruises on chest, head, neck or abdomen, fractures in nonambulatory children

Conditions that are mistaken for children abuse:

Bleeding disorders, osteogenesis imperfecta, sudden infant death syndrome (SIDS), congenital dermal melanocytosis

What is congenital dermal melanocytosis?

congenital blue/gray macular lesions

Unintentional injuries that are commonly mistaken for child abuse:

Burns from seatbelts, bruising from seatbelts in MVC, spinal fractures from falling off monkey bars

What is the cultural practice of coining?

Dermabrasion therapy