A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. Which statement by the parent is most suspicious for abuse?
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 the baby rolled off of the couch and onto our tile floor.".
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 feel so bad. I was holding the baby in one arm and some towels in the other and did not see my toddler's toys on the floor. I tripped, and when I fell, the baby slipped out of my arms.".
2
Rationale:
1. From a developmental perspective, this is a plausible statement made by the parent. The statement "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor" is the most suspicious for abuse because developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
2. The statement "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor" is the most suspicious for abuse because developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
3. From a developmental perspective, this is a plausible statement made by the parent. The statement "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor" is the most suspicious for abuse because developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
4. From a developmental perspective, this is a plausible statement made by the parent. The statement "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor" is the most suspicious for abuse because developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
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