Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Tell the father that the child needs antiobiotics to treat the bacterial infection
3%
5/193
Discuss with the father that the child is being sexually abused
2%
3/193
Contact the mother instead of the father
1%
1/193
Contact Child Protective Services
89%
172/193
Treat the child with antibiotics and schedule a follow up
4%
7/193
Select Answer to see Preferred Response
The girl has a N. gonorrhoeae infection, which is not common in prepubescent, non-sexually active girls; this infection is indicative of sexual abuse in a girl of this age. Therefore, in cases of suspected sexual abuse, it is imperative the physician contact Child Protective Services. Sexual abuse should be suspected when the child displays sexual behavior not appropriate for their age, such as simulating intercourse, foreplay, or using sexual language not appropriate for their age. Physical evidence for sexual abuse includes the following: genital/anal trauma, STDs, and UTIs. Typically the abuser is male and is known to the victim. The peak incidence of abuse is around the ages of 9-12. It is therefore necessary to contact Child Protective Services so that the child may be removed from the environment where the abuse is occurring. Kellogg reviews sexual behaviors in children, where > 40% of children show some sexual behavior by the age of 13. It is of concern if this sexual behavior is not appropriate for their developmental age. Behaviors that involve coercion or distress to other children are concerning. Many children who have been sexually abused do not show problems in sexual behavior, although some will show deviant behavior for their age. Children who have been sexually abused at a young age, by a family member, or if the abuse involves penetration, are at significant risk for having sexual behavioral problems. Betchel discusses STDs in child sexual abuse cases. A finding of an STD should alert a physician to the possibility of sexual abuse, as STDs are uncommon in children. Infections with N. gonorrhoeae or C. trachomatis are due to sexual abuse and Child Protective Services should be contacted. Incorrect Answers: Answers 1-3: Although not certain, it could be possible that the father may be the abuser, and this would only make the situation worse. Contacting child protective services, not the mother, is indicated. Answer 4: Treating the infection is necessary; however, the main problem is that the child is a victim of sexual abuse.
3.8
(9)
Please Login to add comment