1 Child Abuse Nursing Care Plan PDF

3/4/2020 4 Child Abuse Nursing Care Plans - Nurseslabs
4 Child Abuse Nursing Care Plans

By Paul Martin, BSN, R.N. - Updated on April 10, 2019
The term child abuse is used to describe any neglect or mistreatment of infants or
children including in iction of emotional pain, physical injury, or sexual exploitation.
Neglect or abuse is most often in icted by the child’s biological parents. Others who
have been implicated include foster parents, babysitters, boyfriends, friends, and
daycare workers. Nurses are legally and morally responsible to identify children who
may be maltreated and to report ndings to protect the child from further abuse.
Neglect is the most common form of abuse and may include deprivation of basic
physical or emotional needs: food, clothing, shelter, healthcare, education, a ection,
love, and nurturing. Emotional abuse stems from rejection, isolation, and/or
terrorizing the child.
Physical abuse may result in burns, bruises, fractures, lacerations, or poisoning.

Infants may su er from “shaken baby syndrome” with severe or fatal neurologic
injuries caused
by violent shaking of the infant. Signs of shaken baby syndrome include retinal and
subarachnoid hemorrhage. Signs of sexual abuse include bruising or bleeding of the
anus or genitals, genital discharge, odor, severe itching or pain, and sexually
transmitted diseases. A discrepancy between the nature of the child’s injuries and the
reported cause of injury is a frequent clue that abuse has occurred.
Nursing Care Plans

The major nursing care planning goals for the child experiencing abuse includes
ensuring adequate nutrition, safety of the abused child, relief from anxiety, improving
https://nurseslabs.com/4-child-abuse-nursing-care-plans/ 1/7
parenting skills and building parental con dence.
Here are four (4) nursing care plans (NCP) and nursing diagnosis (NDx) for child
abuse:
1. Imbalanced Nutrition: Less Than Body Requirements
2. Anxiety
3. Impaired Parenting
4. Risk for Trauma
 1 - Imbalanced Nutrition: Less Than Body Requirements 
Imbalanced Nutrition: Less Than Body Requirements

Imbalanced Nutrition: Less Than Body Requirements: Intake of nutrients
insu cient to meet metabolic needs.
May be related to
Inability to ingest food
Parental neglect on nutritional status
Possibly evidenced by
Loss of subcutaneous fat
Inadequate amount of food
Weight loss
Malnutrition
Withholding of food by parent/caretaker
Failure to thrive
Desired Outcomes
Child will manifest no further weight loss and, if malnourished, will gain 2.2 lb (1
kg)
per week.
Nursing Interventions Rationale

Assess for signs and symptoms of A child with nutritional de ciency
malnutrition. manifest decreased attention span,
confused, pale and dry skin,
subcutaneous tissue loss, dull and
brittle hair, and red, swollen tongue and

mucous membranes.
Allows the evaluation of the number of
Monitor intake and output and food
calories being consumed per day and
intake; Weigh client daily.
progress of nutritional therapy.
Assess and record the amount,
Provide a guide on the absorption of
consistency, and color of stools and
nutrients in the body.
emesis.
Promotes good appetite and enhances
Maintain good oral hygiene prior meals.
the taste of foods/ uids.
Encourage parents to assist the child Eating as a self-care activity enhances
during feeding. self-esteem.
Encourage small, frequent feedings high Small meals decrease fatigue and are
in carbohydrates and protein. easier to tolerate.
Minimizes fatigue and improve the
Encourage adequate rest periods.
child’s appetite.
Nutritional support may be
Consider the possible need for enteral
recommended for those who are
or parenteral nutritional support as
unable to maintain nutritional intake by
indicated.
the oral route.
A dietitian or nutritional support team
Consult and refer to a dietitian or
can
nutritional support team for dietary
individualize the child’s diet within
counseling.
prescribed restrictions
 1 - Imbalanced Nutrition: Less Than Body Requirements 
See Also
You may also like the following posts and care plans:
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Nursing Diagnosis: The Complete Guide and List – archive of di erent nursing
diagnoses with their de nition, related factors, goals and nursing interventions
with rationale.
Pediatric Nursing Care Plans
Nursing care plans for pediatric conditions and diseases:
Acute Glomerulonephritis | 4 Care Plans
Acute Rheumatic Fever | 4 Care Plans
Apnea | 4 Care Plans
Brain Tumor | 3 Care Plans
Bronchiolitis | 5 Care Plans
Cardiac Catheterization | 4 Care Plans
Cerebral Palsy | 7 Care Plans
Child Abuse | 4 Care Plans
Cleft Lip and Cleft Palate | 6 Care Plans
Congenital Heart Disease | 5 Care Plans
Congenital Hip Dysplasia | 4 Care Plans
Croup Syndrome | 5 Care Plans
Cryptorchidism (Undescended Testes) | 3 Care Plans
Cystic Fibrosis | 5 Care Plans
Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
Dying Child | 4 Care Plans
Epiglottitis | 5 Care Plans
Febrile Seizure | 4 Care Plans
Guillain-Barre Syndrome | 6 Care Plans
Hospitalized Child | 5 Care Plans
Hydrocephalus | 5 Care Plans
Hypospadias and Epispadias | 4 Care Plans
Intussusception | 3 Care Plans
Juvenile Rheumatoid Arthritis | 4 Care Plans
Kawasaki Disease | 6 Care Plans
Meningitis | 7 Care Plans
Nephrotic Syndrome | 5 Care Plans
Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
Otitis Media | 4 Care Plans
Scoliosis | 4 Care Plans
Spina Bi da | 7 Care Plans
Tonsillitis and Adenoiditis | 4 Care Plans
Umbilical and Inguinal Hernia | 4 Care Plans
Vesicoureteral Re ux (VUR) | 5 Care Plans
Wilms Tumor (Nephroblastoma) | 4 Care Plans

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Paul Martin, BSN, R.N.

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-
surgical nurse for ve years, he handled di erent kinds of patients and learned how to provide individualized
care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students
achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing
management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his
goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of
themselves and ultimately make an impact in uplifting the nursing profession.
About Nurseslabs 
Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses
with knowledge for the progression and empowerment of their nursing careers. Since we started in 2010, Nurseslabs has
become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to
help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to
become RNs, and for the working nurse – helping them achieve success in their careers.
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What are the different types of child abuse discussed?

What are the different types of child abuse discussed?

What are some signs that can indicate a child is being abused?

What are some signs that can indicate a child is being abused?

3/4/2020 4 Child Abuse Nursing Care Plans - Nurseslabs

4 Child Abuse Nursing Care Plans

Physical abuse may result in burns, bruises, fractures, lacerations, or poisoning.

Nursing Care Plans

parenting skills and building parental con dence.

1. Imbalanced Nutrition: Less Than Body Requirements

4. Risk for Trauma

 1 - Imbalanced Nutrition: Less Than Body Requirements 

Imbalanced Nutrition: Less Than Body Requirements

Inability to ingest food

Parental neglect on nutritional status

Loss of subcutaneous fat

Inadequate amount of food

Withholding of food by parent/caretaker

Nursing Interventions Rationale

brittle hair, and red, swollen tongue and

 1 - Imbalanced Nutrition: Less Than Body Requirements 

Pediatric Nursing Care Plans

Nursing care plans for pediatric conditions and diseases:

Acute Glomerulonephritis | 4 Care Plans

Acute Rheumatic Fever | 4 Care Plans

Apnea | 4 Care Plans

Brain Tumor | 3 Care Plans

Bronchiolitis | 5 Care Plans

Cardiac Catheterization | 4 Care Plans

Cerebral Palsy | 7 Care Plans

Child Abuse | 4 Care Plans

Cleft Lip and Cleft Palate | 6 Care Plans

Congenital Heart Disease | 5 Care Plans

Congenital Hip Dysplasia | 4 Care Plans

Croup Syndrome | 5 Care Plans

Cryptorchidism (Undescended Testes) | 3 Care Plans

Cystic Fibrosis | 5 Care Plans

Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans

Dying Child | 4 Care Plans

Epiglottitis | 5 Care Plans

Febrile Seizure | 4 Care Plans

Guillain-Barre Syndrome | 6 Care Plans

Hospitalized Child | 5 Care Plans

Hydrocephalus | 5 Care Plans

Hypospadias and Epispadias | 4 Care Plans

Intussusception | 3 Care Plans

Juvenile Rheumatoid Arthritis | 4 Care Plans

Kawasaki Disease | 6 Care Plans

Meningitis | 7 Care Plans

Nephrotic Syndrome | 5 Care Plans

Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans

Otitis Media | 4 Care Plans

Scoliosis | 4 Care Plans

Spina Bi da | 7 Care Plans

Tonsillitis and Adenoiditis | 4 Care Plans

Umbilical and Inguinal Hernia | 4 Care Plans

Vesicoureteral Re ux (VUR) | 5 Care Plans

Wilms Tumor (Nephroblastoma) | 4 Care Plans

WANT TO LEARN MORE ABOUT NURSING?