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delay in seeking treatment for a significant injury, inconsistencies or changes in the history of the child, evidence of old injuries no reported, high incidence of UTI'sAs with all types of family violence, detection and accurate identification are the first steps. Signs that may lead the nurse to suspect abuse or neglect include serious injuries such as fractures or lacerations with no reported history of trauma, delay in seeking treatment for a significant injury, child or parent giving an inconsistent history with the severity of the injury, inconsistencies or changes in the child's history, unusual injuries for the child's age or developmental level, high incidence of urinary tract infections or swollen genitalia, and evidence of old injuries not reported. The finding of the child or parent giving a history consistent with the severity of the injury would not be concerning for abuse or neglect at this time.

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