In a toddler, which of the following injuries is most likely the result of child abuse.. Several small, dime-sized circular burns on the child’s back

In a toddler, which of the following injuries is most likely the result of child abuse?
a. A hematoma on the occipital region of the head
b. A 1-inch forehead laceration
c. Several small, dime-sized circular burns on the child’s back
d. A small isolated bruise on the right lower extremity

Answer C.
Small circular burns on a child’s back are no accident and may be from cigarettes. Toddlers are injury prone because of their developmental stage, and falls are frequent because of their unsteady gait; head injuries aren’t uncommon. A small area of ecchymosis isn’t suspicious in this age-group.
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