The nurse gives a preschool-age child two anatomically correct dolls to play with in efforts to determine if the child has been sexually abused. Which observation indicates to the nurse that this is a possibility?
A) Child inserts the male doll's penis into the female doll's mouth.
B) Child holds both dolls together to make them walk together holding hands.
C) Child takes off the dolls' clothing, laughs, and then puts the clothes back on.
D) Child holds dolls facing each other and moves the arms so that the dolls hug.
A
Feedback:
Allowing young children to play with anatomically correct dolls is a common method for determining whether sexual maltreatment is occurring. The child who is involved in an incestuous relationship may make the dolls perform a sexual act, such as placing the male doll's penis into the female doll's mouth. The average reaction of a preschool-age child who has not been maltreated is to undress the dolls, giggle for a moment or two about how they look, and then redress or put them aside. Playing with the dolls so that they hold hands and hug does not indicate that the child has been sexually abused.
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