CFN Wound Assessment and Injury Documentation 3

Question 1

Which bruising pattern is considered HIGH SPECIFICITY for non-accidental trauma in young children under the TEN-4 rule?

Accepted Answer

Bruising on the torso, ears, or neck in children under 4

Answer

The TEN-4 rule identifies bruising on the Torso, Ears, and Neck in children under 4 years (and any bruising in infants under 4 months) as high-specificity indicators of abuse.

Question 2

When re-photographing injuries after the initial forensic exam, what is the RECOMMENDED timing?

Accepted Answer

24–72 hours after initial exam

Answer

Re-photography at 24–72 hours captures peak bruise visibility as subcutaneous hemorrhage tracks to the skin surface, revealing injuries not apparent at initial examination.

Question 3

In forensic wound assessment, 'tissue bridging' within a wound cavity is pathognomonic of which injury type?

Accepted Answer

Laceration

Answer

Tissue bridging — intact strands of connective tissue crossing the wound — is characteristic of lacerations caused by blunt force, distinguishing them from sharp-force incised wounds.

Question 4

Which standardized scale is recommended by the American Board of Forensic Odontology for bite mark documentation?

Accepted Answer

ABFO No. 2 scale

Answer

The ABFO No. 2 scale is the accepted standard for bite mark photography, providing accurate dimensional scale and circular reference markers for distortion correction.

Question 5

A 'sentinel injury' in the context of child maltreatment BEST refers to:

Accepted Answer

A minor injury that precedes and signals a pattern of abuse

Answer

A sentinel injury is a seemingly minor injury (such as a small bruise in a pre-mobile infant) that serves as an early warning sign of an abusive pattern requiring investigation.

(CFN) Certified Forensic Nurse Practice Test

(CFN) Certified Forensic Nurse Practice Test

CFN Wound Assessment and Injury Documentation 3