A nurse in a pediatric clinic is caring for a school-age child who has a perforated eardrum and the nurse suspects abuse.Which of the following actions should the nurse take?

Choice A rationaleInterviewing the child about suspected abuse with a parent present could compromise the investigation and potentially endanger the child further. The parent, if the abuser, might intimidate or coach the child, preventing the disclosure of crucial information. A private, safe environment is necessary for the child to speak freely.Choice B rationaleCompleting an incident report for risk management is an important internal administrative step for the healthcare facility. However, it does not fulfill the legal and ethical obligation to report suspected child abuse to the appropriate external authorities who can initiate an investigation and ensure the child's safety.Choice C rationaleInforming the parents that the findings must be reported to authorities might alert a potential abuser and could lead to further harm or the destruction of evidence. The priority is the child's safety, and direct reporting to the appropriate agency is the necessary first step.Choice D rationaleReporting suspected child abuse to the appropriate child protective services agency is the mandated legal and ethical responsibility of healthcare professionals. A perforated eardrum in a school-age child, especially if the explanation is inconsistent with the injury, raises suspicion of non-accidental trauma and requires immediate reporting to ensure the child's safety and well-being.