ATI RN Pediatric Nursing Edition 12.0 Chapter 44 |
Maltreatment of Infants and Children | Questions &
Answers | Latest Update 2026 | Exam Prep | Graded A+
1. Describe how environmental factors can influence the likelihood of child
abuse and neglect.
Environmental factors only affect physical abuse, not emotional or
sexual abuse.
Environmental factors have no impact on child maltreatment.
Environmental factors such as poverty and social isolation can
increase stress on caregivers, leading to a higher risk of abuse.
Only parental behavior influences child abuse and neglect.
2. Red flags for sexual abuse for children and adolescents include all of the
following, EXCEPT:
Sleep problems or nightmares
Age-inappropriate sexual knowledge or experience
Sudden change in personality or behavior
Presence of bleeding genital tumor
Evidence of trauma and/or scarring in the gential, anal, and perianal
areas.
Presence of sexually transmitted infection (oral, anal, genital)
3. Which of these should a nurse know as being an indicator of sexual abuse in
children?
Inappropriate sexual play with other children
, Self-injurious behaviors
Running away
All of the above
4. Signs that an individual is suffering from neglect include
excessive hunger and thirst
pressure sores
soiled, dirty clothes
all of the above
5. Describe the role of nurses as mandatory reporters in the context of child
maltreatment.
Nurses are legally required to report any suspicions of child
maltreatment to the appropriate authorities.
Nurses must inform the parents before reporting suspected child
maltreatment.
Nurses are responsible for investigating child maltreatment cases
themselves.
Nurses can choose whether to report suspicions of child maltreatment
based on their judgment.
6. Describe how the signs of inappropriate sexual behaviors and fear of adult
males can be interpreted in the context of child maltreatment.
These signs indicate the child is experiencing emotional neglect.
These signs are unrelated and may indicate normal childhood
behavior.
These signs may indicate that the child is experiencing sexual abuse,
, as they reflect trauma and fear associated with inappropriate adult
interactions.
These signs suggest the child is simply shy around adults and has a
medical condition.
7. A nurse is assessing the dynamics of a family in which child maltreatment is
suspected. Which of the following findings should the nurse report to the
provider?
The child cries and appears afraid of the health care provider.
The child has several unexplained scars and bruises.
The parents provide emotional support to the child during the
assessment process.
The parents offer consistent, detailed stories about the child's injuries.
8. Discuss why a parent's uncertainty about their child's injuries could be a
significant red flag in identifying potential child abuse.
A parent's uncertainty usually means they are concerned about their
child's well-being.
A parent's uncertainty is irrelevant to the assessment of child
maltreatment.
A parent's uncertainty about their child's injuries may indicate a lack
of knowledge about the child's activities or may suggest they are
hiding information related to abuse.
A parent's uncertainty is often just a sign of a busy lifestyle and not
related to abuse.
9. What is a key indicator that may suggest a parent is potentially involved in
child maltreatment?
The parent states the child is 'always getting hurt.'
, The parent is unsure of how the child's injuries occurred.
The parent is overprotective and rarely lets the child play outside.
The parent becomes defensive and refuses to leave the child alone
with the nurse.
10. Injuries that don't coincide with the explanation and untreated medical (ex.
accidental findings of broken rib) or dental needs are also red flags for child
...
physical abuse
sexual abuse
emotional abuse
neglect abuse
11. Which of the following is considered an environmental risk factor for child
maltreatment?
Stable family structure
High academic achievement
Poverty
Access to healthcare
12. If a nurse observes a child who is withdrawn, refuses to engage in
conversation, and avoids eye contact during a routine check-up, what
should be the nurse's immediate course of action?
Conclude that the child is shy and needs more time to adjust.
Ask the child direct questions to encourage communication.
Ignore the behavior as it may be a phase.
Maltreatment of Infants and Children | Questions &
Answers | Latest Update 2026 | Exam Prep | Graded A+
1. Describe how environmental factors can influence the likelihood of child
abuse and neglect.
Environmental factors only affect physical abuse, not emotional or
sexual abuse.
Environmental factors have no impact on child maltreatment.
Environmental factors such as poverty and social isolation can
increase stress on caregivers, leading to a higher risk of abuse.
Only parental behavior influences child abuse and neglect.
2. Red flags for sexual abuse for children and adolescents include all of the
following, EXCEPT:
Sleep problems or nightmares
Age-inappropriate sexual knowledge or experience
Sudden change in personality or behavior
Presence of bleeding genital tumor
Evidence of trauma and/or scarring in the gential, anal, and perianal
areas.
Presence of sexually transmitted infection (oral, anal, genital)
3. Which of these should a nurse know as being an indicator of sexual abuse in
children?
Inappropriate sexual play with other children
, Self-injurious behaviors
Running away
All of the above
4. Signs that an individual is suffering from neglect include
excessive hunger and thirst
pressure sores
soiled, dirty clothes
all of the above
5. Describe the role of nurses as mandatory reporters in the context of child
maltreatment.
Nurses are legally required to report any suspicions of child
maltreatment to the appropriate authorities.
Nurses must inform the parents before reporting suspected child
maltreatment.
Nurses are responsible for investigating child maltreatment cases
themselves.
Nurses can choose whether to report suspicions of child maltreatment
based on their judgment.
6. Describe how the signs of inappropriate sexual behaviors and fear of adult
males can be interpreted in the context of child maltreatment.
These signs indicate the child is experiencing emotional neglect.
These signs are unrelated and may indicate normal childhood
behavior.
These signs may indicate that the child is experiencing sexual abuse,
, as they reflect trauma and fear associated with inappropriate adult
interactions.
These signs suggest the child is simply shy around adults and has a
medical condition.
7. A nurse is assessing the dynamics of a family in which child maltreatment is
suspected. Which of the following findings should the nurse report to the
provider?
The child cries and appears afraid of the health care provider.
The child has several unexplained scars and bruises.
The parents provide emotional support to the child during the
assessment process.
The parents offer consistent, detailed stories about the child's injuries.
8. Discuss why a parent's uncertainty about their child's injuries could be a
significant red flag in identifying potential child abuse.
A parent's uncertainty usually means they are concerned about their
child's well-being.
A parent's uncertainty is irrelevant to the assessment of child
maltreatment.
A parent's uncertainty about their child's injuries may indicate a lack
of knowledge about the child's activities or may suggest they are
hiding information related to abuse.
A parent's uncertainty is often just a sign of a busy lifestyle and not
related to abuse.
9. What is a key indicator that may suggest a parent is potentially involved in
child maltreatment?
The parent states the child is 'always getting hurt.'
, The parent is unsure of how the child's injuries occurred.
The parent is overprotective and rarely lets the child play outside.
The parent becomes defensive and refuses to leave the child alone
with the nurse.
10. Injuries that don't coincide with the explanation and untreated medical (ex.
accidental findings of broken rib) or dental needs are also red flags for child
...
physical abuse
sexual abuse
emotional abuse
neglect abuse
11. Which of the following is considered an environmental risk factor for child
maltreatment?
Stable family structure
High academic achievement
Poverty
Access to healthcare
12. If a nurse observes a child who is withdrawn, refuses to engage in
conversation, and avoids eye contact during a routine check-up, what
should be the nurse's immediate course of action?
Conclude that the child is shy and needs more time to adjust.
Ask the child direct questions to encourage communication.
Ignore the behavior as it may be a phase.
