Child Protection Investigation Specialist (CPIS) Practice Exam

Which of the following statements regarding accidental fractures in children is true?

1. Most occur between ages 0-4

2. Most occur between ages 5-8

3. Most occur after age 8

4. They are uncommon until adolescence

The correct answer is: Most occur between ages 5-8

The statement that most accidental fractures in children occur between ages 5-8 reflects the common patterns observed in pediatric injury statistics. During this age range, children are becoming more active and engaging in play that often includes rough-and-tumble activities, sports, and exploration that can lead to falls and accidents. Their developing motor skills and increasing independence contribute to a higher likelihood of experiencing injuries, including fractures. Children under the age of 4 may also experience fractures, but they are typically more related to specific situations or uncommon accidents. Fractures become more frequent as children grow older, particularly in the 5-8 age range when their physical activities escalate. After the age of 8, while fractures remain common, the nature and types of play begin to shift, and the frequency of certain types of injuries may change as children participate in organized sports and other activities with varying risks. Therefore, the emphasis on the 5-8 age range as the period with the highest incidence of accidental fractures accurately aligns with observed trends in pediatric injury.