A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would provide the most suspicion of abuse is:
1. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when he rolled off the couch and onto our tile floor.".
2. "The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor.".
3. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall.".
4. "I was walking up the steps, slipped on the ice, and fell while carrying my baby.".
2. "The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor.".
Rationale:
All of the statements made by the parents are plausible from a developmental prospective except the statement, "The baby's 18-month-old brother was trying to pull him out of the crib and dropped the baby on the floor.". Developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
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