Certified Case Manager Practice Test

Among the following injuries, which is considered the most concerning for a child?

1. Bruises on the stomach of a ten-year-old

2. Retinal hemorrhage in an infant

3. Broken leg on a non-ambulatory child

4. Burns on the hands of a three-year-old

The correct answer is: Retinal hemorrhage in an infant

Retinal hemorrhage in an infant is particularly concerning because it may be indicative of underlying trauma or a more serious condition, such as abuse or a non-accidental injury. In infants, the presence of retinal hemorrhage can suggest significant force was applied or that the child has experienced abusive head trauma, which can lead to serious neurological outcomes or even death. While other injuries listed, such as bruises or burns, can also be serious, they do not inherently suggest the same level of potential life-threatening conditions or insinuate severe abuse as clearly as retinal hemorrhage does. Bruises on a child's abdomen can raise concern, but they are not as alarming as retinal hemorrhage in terms of indicating direct harm to the brain or the possibility of non-accidental trauma. Similarly, a broken leg in a non-ambulatory child may need further assessment to determine its cause, but it does not carry the same immediate risk profile as retinal hemorrhage. Burns on the hands of a three-year-old can be serious and may raise questions about safety, yet they do not typically signal the immediate danger to life and development that retinal hemorrhage might indicate.