A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?

Rationale:

A. Smiles when a parent appears: This is a social and emotional developmental milestone typically achieved by an 8-month-old infant and is not indicative of cerebral palsy.

B. Sits with pillow props: Difficulty sitting without support or requiring props to maintain a sitting position can be a manifestation of cerebral palsy, reflecting motor delays and impaired muscle control.

C. Tracks an object with eyes: Tracking objects with eyes is a visual developmental milestone and does not directly relate to cerebral palsy.

D. Uses a pincer grasp to pick up a toy: The pincer grasp typically develops around 9 to 12 months of age and is not directly related to cerebral palsy.

Rationale:

A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate

action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.

B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.

C. Separating the child from the parents may not be feasible or appropriate in all situations.

Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.

D. Report the suspected abuse to the authorities. Suspected child abuse must be reported

immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.