What is the nurse's obligation when suspecting possible sexual abuse of a child?

• A. Confront the parent
• B. Report to authorities
• C. Ask the child
• D. Document in chart

Answer: (B)

When a nurse suspects possible sexual abuse of a child, the immediate responsibility is to report to the designated authorities because professionals who work with children are legally required to do so. This mandatory reporting ensures that a proper evaluation can begin, child safety can be prioritized, and the situation is investigated by the appropriate child protective services or law enforcement. Confronting the parent directly can jeopardize the child’s safety and interfere with the investigation, and relying on the child’s statements alone without timely reporting can leave the child exposed to ongoing risk. It’s important to document objective observations and relevant details clearly in the chart, including dates, times, signs observed, and any statements, in a non-leading, factual manner. After reporting, continue to support the child within safety and confidentiality boundaries and follow the facility’s policies for follow-up.