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Safeguarding child — DipIMC MCQ

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HardScene Safety and MedicolegalSafeguarding childDipIMC

A non-mobile 5-month-old has a single cheek bruise. The carer gives changing explanations that do not fit the child’s developmental ability. The infant is otherwise stable. What is the most appropriate professional response?

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Correct answer: C — Suspect maltreatment, document concerns and refer

The best answer is “Suspect maltreatment, document concerns and refer”. NICE identifies bruising in a child who is not independently mobile, especially with an unsuitable explanation, as a feature that should trigger suspicion of maltreatment. Treat immediate needs, record observations and accounts factually, seek safeguarding advice and refer through local arrangements. The clinician should not investigate by confrontation or postpone action for more injuries.

Reference: NICE CG89, Child maltreatment: when to suspect maltreatment: https://www.nice.org.uk/guidance/cg89/chapter/recommendations