An infant presents to the emergency department (ED) with physical injuries. The nurse is taking the child's history. Which parental statement would cause the nurse to be suspicious of abuse?
1. "I was walking up the steps and slipped on the ice and fell while carrying my baby."
2. "The baby's 18-month-old brother was trying to pull the baby 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 did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
2
Explanation:
1. This statement is plausible from a developmental perspective; therefore, the nurse would not be suspicious of abuse.
2. Developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
3. This statement is plausible from a developmental prospective; therefore, the nurse would not be suspicious of abuse.
4. This statement is plausible from a developmental prospective; therefore, the nurse would not be suspicious of abuse.
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