Shaken Baby Syndrome

Question 1

What is shaken baby syndrome?

Answer 1

Brain trauma characterized by shearing forces that tear blood vessels and neurons

Question 2

What is the incidence of shaken baby syndrome?

Answer 2

Leading cause of death as a result of physical abuse occurring in children < 2
3rd month of life is the peak incidence

Question 3

What are the common clinical manifestations of shaken baby syndrome?

Answer 3

Vomiting, irritability, poor feeding and listlessness

Question 4

What are the severe clinical manifestations of shaken baby syndrome?

Answer 4

Seizures, posturing, altered LOC, apnea, respiratory problems

Question 5

What education is needed for parents regarding SBS & crying?

Answer 5

Peak of crying at 2 months
Unexpected crying will come and go
Resists soothing; baby will cry no matter what at times Pain-Like face; baby will appear in pain when crying Long lasting crying for up to 5 hours throughout day Evening crying is common

Question 6

How should SBS be managed by the nurse?

Answer 6

ABCs, monitor child’s LOC, nonjudgmental attitude & focus on child medical needs

Question 7

Who will likely be involved in the investigation of a SBS case?

Answer 7

Law enforcement and CPS