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 rationaleReporting to a child abuse hotline is a priority intervention when there is a suspicion of non-accidental trauma, such as a spiral fracture in a non-ambulatory infant. Spiral fractures are highly indicative of twisting injuries, which are unlikely to result from a fall and suggest possible abuse.Choice B rationaleEducating the mother on safety is an important intervention for accidental injuries but does not address the immediate concern of potential abuse. The focus should be on investigating the cause of the injury to ensure the child’s safety.Choice C rationaleInforming the mother to call the nurse for all diaper changes is not relevant to investigating potential abuse. This action fails to prioritize the safety and protection of the child in cases where abuse is suspected.Choice D rationaleCompleting the Morse Fall Scale assesses fall risk and is not appropriate for investigating the etiology of the injury. It does not address the immediate need to ensure the child’s safety or initiate an investigation into possible abuse.