What is the appropriate initial response by the nurse when abuse is suspected in a child?

• A. Contact local child protective services
• B. Interview the caregiver
• C. Wait for corroborating evidence
• D. Document privately and do nothing

Answer: (A)

When abuse is suspected, the first priority is to protect the child and report the concern to the proper authorities without delay. Nurses are mandated reporters and must notify local child protective services (or the designated child abuse hotline) as soon as abuse is suspected. This immediate report triggers a formal safety assessment and investigation by professionals who are trained to handle these cases, helping to ensure the child’s immediate protection and access to needed services.

Document objective observations carefully and promptly, including what was seen or heard, dates, times, and any injuries or statements, but avoid drawing conclusions about abuse yourself. If possible, ensure the child’s immediate safety and seek appropriate medical care for any injuries. It’s not appropriate to delay reporting for corroborating evidence, interview the caregiver in a way that could compromise the investigation, or keep the concerns private without notifying authorities.