Table of Contents
Section I: Anatomical Review
Section II: Case Histories
1. 6-month-old Female Infant of Parent in Possession of Child Pornography
2. 26-month-old Female Patient Referred by Pediatrician
3. 30-month-old Female Patient Assaulted by Mother’s Boyfriend
4. 4-year-old Male Patient With Possible Abuse by Teenage Male Relative
5. 5-year-old Female Patient Assaulted by Adult Male Relative
6. 6-year-old Female Patient Missing for 24 Hours
7. 7-year-old Female Patient Assaulted by Child Next Door
8. 8-year-old Male Patient Assaulted by Stepfather
9. 9-year-old Female Patient Abused by Her Mother’s Live-in Boyfriend
10. 10-year-old Female Patient Assaulted by Male Cousin
11. 12-year-old Female Patient Assaulted by Adult Cousin
12. 13-year-old Female Patient Assaulted by an Adult Male Stranger
13. 13-year-old Female Patient Assaulted by Friend’s Older Brother
14. 14-year-old Female Patient Assaulted by Trainer
15. 15-year-old Male Patient Assaulted at a Party
16. 16-year-old Female Patient Assaulted by a Teammate
17. Documenting a History and Reviewing a Case
Section III: Appendix
Section IV: Answer Key
The Child Sexual Abuse Assessment provides detailed information about assessment, photodocumentation, evidence collection, and treatment planning in cases of child sexual abuse, as well as information for the identification of normal anatomical features and normal variants that might be observed during a forensic evaluation. It is an excellent resource for health care personnel who frequently or infrequently encounter children and adolescents who are suspected or confirmed victims of sexual abuse. The case histories in this book address a variety of scenarios that forensic nurses and other medical professionals might encounter in practice, including abuse committed by strangers and by individuals known to their victims, child-on-child sexual abuse and peer sexual assault of adolescents, as well as cases of abuse involving strangulation. I recommend the Child Sexual Abuse Assessment both for students and for health care professionals involved in the response to child and adolescent sexual abuse.
Qiana A. Johnson, DNP, FNP-C
SANE Program Director
Day League (formerly DeKalb Rape Crisis Center)
Decatur, Georgia
Child Sexual Abuse Assessment will be a useful resource for nurse examiners who work with child abuse victims. The case histories and examination photos make each case come alive and challenge readers first to formulate their own opinions of a given case and then recommend a course for case management. The Case History Evaluations provided throughout include additional research to supplement the case histories and accompanying exercises. Child Sexual Abuse Assessment will provide readers a clear understanding of the requirements and recommended practices for competent child sexual abuse evaluations. Having read this book and completed the exercises inside, readers will be better equipped to conduct holistic, comprehensive, and nonthreatening evaluations in order to promote resilient healing in child abuse victims.
Kim Martinez, MPH, RN, APRN, CPNP, PSANE
Program Manager, Medical Academy
Midwest Regional Children’s Advocacy Center
Edina, Minnesota
The Child Sexual Abuse Assessment is an excellent resource for nursing classes as well as for personal study. Each chapter includes a case history and a set of full-color photographs, with exercises and supplemental information related to every given case that will help readers to enhance their knowledge of sexual abuse examinations and documentation and promote fruitful discussion among colleagues and students. Readers at every level of experience, from new forensic nurses to seasoned frontline practitioners, can benefit from the detailed cases and recommendations for evidence collection and treatment planning included in this book. I would gladly recommend the Child Sexual Abuse Assessment for guided learning in the classroom or for self-directed study at home.
Steadman McPeters, DNP, CPNP-AC, CRNP, RNFA
Board Certified Acute Care Pediatric Nurse Practitioner
Assistant Professor, School of Nursing
Director of Graduate Clinical Subspecialty Tracks
Dual Option Pediatric Nurse Practitioner Specialty Track Coordinator
University of Alabama at Birmingham
Birmingham, Alabama
Forensic nurses must be prepared to review a wide variety of conditions, assess patients, and provide accurate conclusions regarding patients’ conditions and likely contributing factors. Given the difficulty of mastering the full range of diagnoses that could apply to children and adolescents, I am pleased to find a current and comprehensive guide in the Child Sexual Abuse Assessment. This book illustrates both common and uncommon scenarios that medical professionals might encounter in the course of assessing child abuse and provides recommendations for approaching child and adolescent patients based on their developmental stages. The Child Sexual Abuse Assessment is a fantastic resource for both experienced practitioners and those new to assessing child maltreatment. I highly recommend this book for any medical providers who care for children or adolescents involved in potential cases of abuse.
Sarah Pederson, BSN, RN, SANE-A, SANE-P
SANE Coordinator
liveSAFE Resources
Marietta, Georgia
The Child Sexual Abuse Assessment is another excellent resource from STM Learning for health care professionals committed to providing excellent medical forensic health care responses to the population of children and adolescents impacted by abuse. The collection of complex, authentic case histories, exceptional digital images, and evidence-based references provides a valuable tool for clinicians as well as educators. The standardized format guides the reader through the phases of assessment, critical thinking, and interpretation and emphasizes the necessity of a team approach and interprofessional collaboration in cases of child abuse. The Child Sexual Abuse Assessment, authored by forensic nursing experts, is a much-needed resource for both novices and established professionals providing services to children, adolescents, and their families in the aftermath of abuse.
Valerie Sievers MSN, RN, CNS, SANE-A, SANE-P
Clinical Nurse Specialist, Forensic Healthcare Consultant
Forensic Nurse Examiner, Safe Passage-Child Advocacy Center
Colorado Springs, Colorado
