Which finding noted by the nurse on a physical assessment may suggest that a child has been sexually abused?
a. Swelling of the genitalia and pain on urination
b. Smooth philtrum and thin upper lip
c. Speech and physical development delays
d. History of constipation, drowsiness, and constricted pupils
A
Physical indicators of sexual abuse may include swelling or itching of the genitalia and pain on urination. Other indicators may include bruises, bleeding, or lacerations of the external genitalia, vagina, or anal area. The infant with fetal alcohol syndrome may have microphthalmia or abnormally small eyes or short palpebral fissures, a thin upper lip, and a poorly developed philtrum. Children who have been emotionally abused may exhibit speech disorders, lags in physical development, failure to thrive, or hyperactive and disruptive behaviors. Opiates can cause these behaviors: detachment and apathy, drowsiness, constricted pupils, constipation, slurred speech, and impaired judgment.
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