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학습 자료 둘러보기 →A 4-year-old exhibiting age-inappropriate sexual knowledge or using explicit sexual language is a highly specific behavioral red flag for sexual abuse. This is learned behavior and constitutes a pediatric forensic emergency.
Immediate nursing priorities include ensuring the child's safety, contacting Child Protective Services and law enforcement as mandated by law, and preparing for a specialized forensic interview by a trained professional. Avoid detailed questioning that could compromise the investigation.
Do not dismiss sexualized behavior as normal curiosity. Distinguish from common accidental injuries: bruises over bony prominences (knees, elbows) are typical in active children, whereas bruises on protected areas (torso, ears, neck) are suspicious for physical abuse.
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