N301: OB/Peds

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  1. Maltreatment
    whether or not a person meant to cause harm, or if injury resulted from excessive discipline or physical punishment
  2. CAPTA- federal child abuse prevention and treatment act
    identifies minimum set of acts or behaviors that constitute maltreatment
  3. neglect
    • most common form of child abuse
    • failure of parent to provide for basic needs
  4. risk factors for neglect
    • lack of resources
    • ignorance of child's needs
    • poor parenting skills
    • failure to recognize need for emotional nurturing
    • previous CPS contacts
  5. physical neglect findings
    • failure to thrive
    • poor personal hygiene
    • unclean and inappropriate dress
    • poor health care
    • no immunizations
    • frequent colds or injuries
    • dull and inactive
    • begging or stealing food
    • absenteeism
    • finger sucking or rocking
  6. emotional neglect
    acts of omission that could cause serious behavioral, cognitive, emotional, or mental disorders
  7. clinical manifestations physical abuse
    • unexplained burns, bites, bruises, broken bones, black eye
    • fading bruises or other marks after school absence
    • seems afraid of parents and cries when its time to go home
    • pulls back/shies away around adults
    • reports of injury by parents
    • volunteers conflicting or unconvincing story
    • describes child as bad or evil
    • uses harsh discipline
  8. emotional abuse
    • pattern of behavior by parent that results in impairment of child's social, emotional, or intellectual functioning
    • ignoring
    • belittling
    • blaming
    • isolating
    • using harsh, inconsistent punishment
  9. behavioral manifestations of emotional abuse
    • extremes in behavior - overly compliant or demanding, extreme passivity or aggression
    • parentified child or inappropriately childish
    • delayed physical or emotional development
    • hx of attempted suicide
    • self mutilation
    • detached from parents
    • frequently absent from school
    • begs or steals
    • failure to thrive
    • sleep disorders
    • enuresis
    • anxiety disorders
    • rejects child
    • acts unconcerned about child/ refuses to help
  10. sexual abuse
    use of persuasion and/or coercion to engage a child in any sexually explicit conduct such as exhibitionism, child pornography, child prostitution, pedophilia, incest, and molestation
  11. clinical findings of sexual abuse
    • bruises, bleeding, lacerations, or irritations of external genitalia
    • torn or stained underwear
    • pain on urination
    • penile discharge
    • difficulty walking or sitting
  12. suggestive behaviors of sexual abuse
    • becomes pregnant
    • contracts STD
    • reports sexual abuse
    • anxiety
    • substance abuse
    • any profound change in personality
    • reports nightmares and/or bedwetting
    • sudden change in appetite
    • sudden emergence in sexually related problems
    • presence of sperm
  13. Suspect sexual abuse if...
    • suicidal
    • poor relationships with peers
    • regressive behavior
    • running away from home
    • declining in school performance
    • unusual odor in genital area
    • recurrent UTIs
    • pregnancy in young adolescent
    • superficial relationships
    • indiscriminate relationships with strangers
    • parent overly protective or isolates child from other kids esp. opposite sex
    • parent is secretive and isolated
    • childĀ is jealous and controlling with family members
  14. Munchhausen syndrome by proxy
    illness that one person fabricates or induces in another person
  15. witnessing violence: infancy
    • disrupted attachment
    • disrupted routines
    • risk of physical injury
    • decreased responsiveness
    • increased crying
  16. witnessing violence: preschoolers
    • don't feel safe
    • irritable
    • somatic complaints
    • regressive, clingy behaviors
    • separation anxiety
    • sleep problems
  17. witnessing violence: school age
    • more prone to violence
    • blames self for violence at home
    • shame, embarrassment
    • distracted, inattentive hyper vigilant
    • blunted affect
    • guarde
  18. witnessing violence: adolescent
    • feeling shame and betrayal
    • truancy
    • early sexual activity
    • substance abuse
    • delinquency
  19. assessment of maltreatment
    • critical to identify as early as possible
    • thorough physical exam and detailed history
  20. what to report
    • name and address of child and caretakers
    • nature and extent of injuries
    • name of responsible party
    • family composition
    • person making report and how to be reached
    • actions taken (xrays, photos,etc.)
  21. primary intervention of child abuse
    • prevent by identifying those high risk, provide health teaching, provide supportive services to prevent crisis
    • strategies to reduce stress, influence of risk factors, and increase social support, coping skills, and self esteem
  22. secondary prevention of child abuse
    • early intervention in abusive situations
    • screen for stress and depression
    • support groups
    • safe houses
    • counseling and education
  23. tertiary prevention of child abuse
    • healing and rehab
    • assisting survivors
    • empowerment
    • individual, family, and group therapy
Card Set:
N301: OB/Peds
2014-01-06 02:43:31
Child Abuse FINAL
nursing school
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