A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?

A. Although a referral to social services may be needed, this action does not come first. Before involving other departments, the nurse must gather adequate assessment data to support the suspicion of abuse. B. Incorrect as the first action. Nurses are mandatory reporters, and reporting suspected abuse is required; however, the nurse must first collect accurate assessment data and a history to ensure the report is complete and factual. Reporting comes after the initial assessment. C. Explaining legal or procedural steps to the child at this point can increase fear or confusion. The nurse should first focus on gathering information and ensuring the child's immediate safety before offering explanations or reassurance. D. The first action is to perform a focused assessment and obtain a detailed history of the injuries. This provides essential, objective information needed for accurate documentation and mandatory reporting. Proper assessment lays the foundation for all subsequent interventions.