1. What are the severe signs and symptoms of SBS?
2. What is the primary trigger for SBS and risk factors for SBS perpetrators and victims?
3. What are the ways to calm your crying baby?
4. What is the most lethal form of child abuse?
5. What is Pediatric Abusive Head Trauma?
6. In Case One, what is the reason that both parents were convicted in court and are serving jail time?
7. What are the Perpetrator Characteristics?
8. What are the factors that can increase a caregiver’s risk for harming a child?
9. Give an example message for Health Care Providers that encourage positive and protective factors through parenting skills can create a positive norm of good parenting?

Answers:

A. Inconsolable Crying
B. Abusive Head Trauma (AHT)
C. Unresponsive and Unconscious
D. Rubbing his/her back, gently rocking, offering a pacifier, singing or talking, and taking a walk using a stroller or a drive with the baby in a properly-secured car seat.
E. Due to the severe abuse that the child suffered.
F. Defined as an injury to the skull or intracranial contents of an infant or young child (aged <5 years) due to inflicted blunt impact and/or violent shaking.
G. Remind parents and caregivers that crying is normal for babies. Explain to parents that excessive crying is a normal phase of infant development. Share the Crying Curve with parents.
H. In 18 of the 26 cases (69%), the abuser was reported to be male. Females were identified as the abuser in 6 cases and gender was not reported for 2 cases. The child’s parent/guardian was identified as the abuser in more than half of the cases. In 42% of the cases, the father was identified as the abuser. The boyfriend of the child’s parent/guardian (23%), a female baby sitter (11%) and female parent (7.7%) were also commonly identified.
I. Being tired, Limited anger management or coping skills, Limited social support, Low socioeconomic status, Unrealistic expectations about child development and child-rearing, Negative childhood experiences, including neglect or abuse, Young parental age, Unstable family environment, Rigid attitudes and impulsivity, Feelings of inadequacy, and Being a victim or witness to intimate partner violence.