CFN Child Maltreatment Recognition and Reporting

Question 1

Which bruise pattern is considered a classic indicator of child physical abuse?

Accepted Answer

Bruising on the ears, neck, or buttocks in non-ambulatory children

Answer

Scattered bruises on shins and knees

Answer

Bruising on the forehead from a fall

Answer

Bruising at bony prominences

Question 2

A forensic nurse suspects child abuse but the caregiver provides a history that seems inconsistent with the injury. What is the appropriate documentation approach?

Accepted Answer

Document the injury findings and record the caregiver's history verbatim, noting any inconsistencies

Answer

Document only the caregiver's explanation

Answer

Confront the caregiver and withhold documentation until resolved

Answer

Delay documentation until law enforcement arrives

Question 3

Shaken Baby Syndrome (Abusive Head Trauma) most commonly presents with which triad of findings?

Accepted Answer

Subdural hemorrhage, retinal hemorrhage, and encephalopathy

Answer

Femur fracture, bruising, and hypoglycemia

Answer

Skull fracture, epistaxis, and vomiting

Answer

Rib fractures, petechiae, and apnea alone

Question 4

Which fracture type in an infant is most suspicious for child abuse?

Accepted Answer

Metaphyseal (corner/bucket-handle) fractures of long bones

Answer

Linear skull fracture from a short fall

Answer

Greenstick fracture of the forearm

Answer

Clavicle fracture during birth

Question 5

As a forensic nurse, you are a mandatory reporter of suspected child abuse. To whom must you report in the US?

Accepted Answer

To child protective services (CPS) and/or law enforcement

Answer

Only to the attending physician

Answer

To the hospital ethics committee first

Answer

To the child's school

Question 6

What is the primary purpose of a skeletal survey in a suspected child abuse case?

Accepted Answer

To identify occult fractures in various stages of healing

Answer

To assess bone density for rickets

Answer

To rule out congenital bone disorders only

Answer

To document current injuries for billing purposes