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

Bruising on protected areas such as ears, neck, and buttocks in non-ambulatory infants is a strong indicator of non-accidental trauma.

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

Objective documentation of both physical findings and the caregiver's exact history — including inconsistencies — is critical for forensic and legal purposes.

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

Abusive Head Trauma classically presents with subdural hemorrhage, retinal hemorrhage, and encephalopathy resulting from violent shaking forces.

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

Metaphyseal fractures occur from jerking or twisting forces on an infant's limbs and are highly specific for non-accidental trauma.

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

Mandatory reporters must report suspected child abuse to child protective services and/or law enforcement, depending on state law.

(CFN) Certified Forensic Nurse Practice Test

(CFN) Certified Forensic Nurse Practice Test

CFN Child Maltreatment Recognition and Reporting