A 5-month-old who is not yet mobile has a bruise on the cheek, and the parents give no explanation. What is the correct action?
Answer and explanation
Correct answer: C. Refer urgently for paediatric and social care assessment
- Step 1: Bruising in a non-mobile infant is unusual and a recognised indicator of non-accidental injury. Step 2. Safeguarding guidance advises prompt referral, as the principle is that those who do not cruise rarely bruise. Answer: Refer urgently for paediatric and social care assessment. Why not the others: Reassurance, discharge and mere documentation ignore the risk to the child.
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