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Pediatrics · Child protection
Sample itemA nonmobile infant is brought with bruising on the torso and a history that changes between caregivers. What is the appropriate clinical response?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Consider nonaccidental injury and follow safeguarding procedures urgently
Bruising in a nonmobile infant is unusual and should prompt careful assessment for possible nonaccidental injury. The child must be medically assessed, findings documented, and local safeguarding pathways followed.
Option by option
A. Delay documentation until a later visit
Contemporaneous documentation is important for care and protection.
B. Confront caregivers without assessing the child
A nonconfrontational, child-centered assessment is required while safeguarding is activated.
C. Assume bruising is developmentally normal
Nonmobile infants do not commonly acquire unexplained bruises.
D. Consider nonaccidental injury and follow safeguarding procedures urgently (correct)
Correct. This pattern warrants urgent safeguarding consideration.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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