Child Sexual Abuse Assessment

Child Sexual Abuse Assessment includes 16 case studies with accompanying photos and evaluative exercises, aiming to enhance the reader’s skills in injury identification, evidence collection, and treatment of sexual abuse in children.

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Child Sexual Abuse Assessment

SANE/SAFE Forensic Learning Series

STM Learning’s Child Sexual Abuse Assessment is a comprehensive, self-directed evaluation of sexual abuse cases in children. Forensic examiners will benefit from this concise assessment that details the best methods for providing enhanced care for survivors.

Readers will have the opportunity to assess 16 case histories of child sexual abuse, with victims ranging from infants to adolescents. Each case features a detailed history and accompanying full-color examination photographs for reference. Chapters also include a series of evaluative exercises designed to refine and reinforce readers’ skills in injury identification, evidence collection, recommended treatment, and follow-up care for victims of sexual abuse.

Features & Benefits:

  • Over 150 high-quality images
  • Authored by internationally recognized experts in forensic nursing
  • Ideal for self-directed study or group instruction
  • Written for forensic examiners at every level of experience, from novice to advanced
Product Details:

Perfect Bound 11 x 8.5 inches
200 pages, 153 images, 7 contributors

Child Sexual Abuse Assessment is jointly provided by the Postgraduate Institute for Medicine and STM Learning, Inc. This activity offers up to 3.75 AMA PRA Category 1 Credits ™ and 3.7 ANCC contact hours. Certificate fees are $45 for MD/DOs and $30 for RNs and all other health care professionals. Instructions to access the course evaluation and other information necessary to receive the CE credits are detailed in the workbook.


Forensic Nurses, Sexual Assault Nurse Examiners, Sexual Assault Forensic Examiners, Emergency Nurses, Nurse Practitioners, Nursing Students, Physicians, Emergency Physicians, Medical Students, Physician Assistants, Victim Advocates.

Publication date:

October 2018


978-1-936590-19-3 (Print)
978-1-936590-80-3 (eBook)

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


Patricia Speck is an internationally recognized family nurse practitioner who specializes in public health and forensic nursing. She graduated from the University of Tennessee Health Science Center, College of Nursing and later completed her doctoral dissertation on sexual assault program evaluation. As a board certified family nurse practitioner, Patricia’s clinical practice focuses on the health aftermath of violence and her research centers on forensic nursing practice topics. She is a consultant, author, and lecturer on forensic nursing and has earned more than 20 local, national, and international awards and professional honors for her work. Patricia chairs the American Public Health Association’s Family Violence Forum and is a former president of the International Association of Forensic Nurses.

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Diana Faugno, a Minnesota native, graduated from the University of North Dakota in 1973 with a degree in nursing and obtained an MSN in 2006. Her professional experience includes nursing in the Medical/Surgical, Labor and Delivery, Pediatrics, and Neonatal Intensive Care departments. Ms. Faugno obtained her certification in pediatric nursing in 1990, began a career as a sexual assault nurse examiner in 1991, and became a certified sexual assault nurse examiner in 2002. She is the former director of Forensic Health Services, which includes a child abuse program, sexual assault team, and a family violence program in North San Diego County. Currently, Ms. Faugno is a board director for End Violence Against Women International. She has made several presentations to the scientific community and has led workshops on sexual assault presented at the American Academy of Science.

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Angelia Clark Trujillo, DNP, APRN, WHNP-BC, SANE-P

Angelia Trujillo is an associate professor of nursing at the University of Alaska, Anchorage, School of Nursing and primary nurse planner for the Continuing Education unit of the Alaska Nurses Association. She received her doctorate of nursing practice in 2008 from the University of Tennessee Health Science Center with a concentration in forensic nursing and program evaluation. She has five years of experience as a forensic nurse examiner for adults and adolescents and seven years of experience in pediatric and adolescent response. She has worked on 20 peer-reviewed publications over the course of six years, including the first and second volume of Sexual Assault Across the Lifespan 2E: A comprehensive Clinical Reference. In 2015, she received the award for Education Article of the Year from the Journal of Forensic Nursing.

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Tracey L. Wiese, DNP, APRN, FNP-BC, PMHNP-BC

Tracey Wiese is a certified family and psychiatric mental health nurse practitioner with professional experience in acute, residential, and outpatient psychiatry; pediatrics; and family nursing practice. Tracey Wiese is the owner and medical director of and a family nurse practitioner at Full Spectrum Health, LLC in Anchorage, Alaska. In that capacity, she founded the state of Alaska’s first LGBTQ+-focused primary care clinic, offering integrated behavioral health and social services support. She earned her doctorate of nursing practice and a master of science in nursing from Frontier Nursing University in Hyden, Kentucky. She is an active member of the American Academy of Nurse Practitioners, a member and co-chair of the Advanced Practice Registered Nurse Alliance, and a member, former secretary, and former president of the Alaska Nurse Practitioners Association.

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Christine Hallas, RN, BSN, BA, SANE-A, SANE-P

Christine Hallas is a board certified pediatric nurse practitioner with 20 years’ experience working in pediatrics. Upon completing her bachelor of science in nursing she was inducted into Sigma Theta Tau International Honor Society of Nursing. Christine’s nursing career has centered around the care of children in the Pediatric Intensive Care, Neonatal Intensive Care, Pediatric Emergency Department, and medical-forensic evaluation of child maltreatment. She advanced through her career earning certification as a SANE-P (sexual assault nurse examiner-pediatrics) and forensic nurse examiner. Christine has been involved in over 1200 medical forensic evaluations, provided peer reviews, and testified in criminal hearings and trials. She has provided training to law enforcement and healthcare providers on team response to child maltreatment and the medical forensic exam. Christine has held membership in the American Nurses’ Association, International Association of Forensic Nurses, Academy on Violence and Abuse, and the American Professional Society on the Abuse of Children.

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Colleen O. James, RN, BSN, BA, SANE-A, SANE-P

Colleen James is a forensic registered nurse at South Peninsula Hospital Clinical Forensic Services in Homer, Alaska. For over ten years, she served as the Clinical Forensic Services Coordinator of the Kenai Peninsula SART/SANE Team at Central Peninsula General Hospital in Soldotna, Alaska and at South Peninsula Hospital of Homer, Alaska. Colleen James has over 30 years’ experience in practice as a registered nurse and 24 years’ experience as a forensic nurse. She is a member in good standing of the International Association of Forensic Nurses, the Alaska Nurses Association, and the Alaska Children’s Alliance. She is also a past member of the Child Advocacy Coalition of Homer and the Forensic Nurses Association of Alaska and has previously served as president of both organizations. In recognition of her contributions to violence prevention and child advocacy in the State of Alaska, Colleen James was named the 2016 recipient of both the Alaska Nurses’ Association Visionary Award and the Alaska Children’s Alliance Lights in the Night Award.

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Jennifer L. Johnson, DNP, APRN, WHNP-BC, AFN-BC, SANE-A, SANE-P

Jennifer Johnson is a board-certified advanced forensic nurse, certified forensic nurse, and sexual assault nurse examiner with more than 20 years’ experience in practice. She currently works as assistant manager of the Forensic Assessment Consultation and Treatment (FACT) Program at Shawnee Mission Medical Center in Shawnee Mission, Kansas and is the president and owner of Johnson Legal Nurse Consulting, LLC. Jennifer Johnson earned her doctorate of nursing practice from Maryville University in St. Louis and her master of science in nursing from the University of Missouri, Kansas City. Jennifer Johnson is an appointed member of a number of professional and governmental organizations related to forensic medicine, including the National Institute of Standards and Technology/National Institute for Justice Evidence Management Project and End Violence Against Women International’s Medical Forensic Expert Panel. She is a regular guest speaker at medical and forensic professional conferences throughout the United States and is frequently called upon to stand as an expert witness in cases of child abuse and sexual assault.

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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

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