The nurse is performing a pre-op assessment on an 18-month-old client who is scheduled for minor surgery. The nurse observes numerous bruises of different stages over the client's back and buttocks. The mother states that the child must have fallen down while playing alone outside, but she does not provide any specific information. Which statement regarding the assessment data should the nurse enter into the electronic medical record?
A. Suspected child abuse and neglect.
B. Immature parenting.
C. Normal findings in an 18-month-old.
D. Indications of tissue fragility.
These aren’t things children normally just have out of the blue, the moms reasoning isn’t very detailed and she seems to be brushing off the nurses concerns, which is quite suspicious in itself
