Child Protection Investigation Specialist (CPIS) Practice Exam

Which term refers to common markings, appearing as bruises in people of color, on the lower back and buttocks of infants?

1. Mongolian spots

2. Impetigo

3. Hemangiomas

4. Striae

The correct answer is: Mongolian spots

The term that refers to common markings that appear as bruises on the lower back and buttocks of infants, particularly in individuals of color, is Mongolian spots. These spots are a type of benign melanocytic nevus that are typically blue or gray in color and are generally found in various locations on the bodies of newborns. Mongolian spots are a normal phenomenon and commonly occur in darker-skinned populations, where they may resemble bruises, which raises the importance of recognizing them to avoid misunderstandings related to potential child abuse. Their presence is linked to the accumulation of melanocytes in the dermis during fetal development. Understanding Mongolian spots is crucial for child protection professionals, as misinterpretation of these markings could lead to inappropriate investigations or interventions. This knowledge also supports the importance of cultural competency in understanding variations in physical indicators across different populations.