Consequences of violent shaking of an infant may include which of the following?
A. Cerebral edema
B. Cerebral hemorrhage
C. Development of motor abnormalities as the infant matures
D. Emergence of cognitive deficits as the infant matures
E. All of the above
ANS: E
Rationale: The trauma from shaking is due to the impact of the brain repeatedly striking the skull. Soon after the incident, cerebral edema may increase the infant's head circumference and cause bulging of the anterior fontanelle. Brain scans show hemorrhage and edema. Survivors may exhibit motor signs similar to those of developmental delay or cerebral palsy and have a pattern of cognitive deficits similar to that seen in adults with traumatic brain injury.
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