If a five-year-old child presents with large bruises and seems fearful during examination, what should be your next course of action?

In cases where a young child presents with large bruises and exhibits signs of fear during an examination, it is crucial to prioritize the child’s safety and well-being. Reporting suspected child abuse is essential because unexplained or unusual bruising can be indicative of physical harm that could be either accidental or intentional. Taking action by reporting the situation not only provides immediate protection for the child but also ensures that they receive the necessary evaluations and interventions by experts in child protection.

Keeping the child in a safe environment until help arrives is critical in preventing any further harm that could arise from potential abuse. The objective is to safeguard the child's welfare and ensure that the appropriate authorities, who are trained to handle such sensitive matters, can take over the situation.

While documenting findings and monitoring the child is important, it should not be the sole course of action in a potentially abusive situation. Similarly, notifying the parents may pose a risk if they are involved in the abuse or could lead to further complications. Continuing treatment without concern could endanger the child, as it would neglect the possibility of abuse and not address the immediate need for protection.

Thus, reporting suspected child abuse establishes a protocol that prioritizes intervention and support for the child in a highly critical situation.