A newborn is admitted with a diagnosis of a spiral fracture of the right femur. The mother states the child received the injury when the baby fell off the changing table. Which would be the priority nursing intervention?

Choice A rationale A spiral fracture in a newborn is highly suspicious for non-accidental trauma, given the developmental stage and typical mechanisms of injury. The inconsistency between the stated cause (fall from changing table) and the type of injury (spiral fracture, often indicative of twisting force) necessitates immediate investigation for child abuse. Choice B rationale While educating the mother on safety is generally important, it is not the priority when there is a strong suspicion of child abuse. Addressing the potential for harm to the child and ensuring their safety takes precedence over general educational interventions. Choice C rationale Requiring the mother to call the nurse for all diaper changes does not address the underlying concern of potential child abuse. It is a restrictive measure that doesn't ensure the child's safety from the alleged perpetrator and might hinder identification of the actual cause of injury. Choice D rationale Documenting the mother's statement without further action would be a breach of the nurse's ethical and legal obligation to protect a child suspected of being abused. Healthcare professionals are mandated reporters and must act on suspicions of child maltreatment.