The nurse is examining a 3-year-old child who was brought to the emergency department after a fall. Which bruise, if found, would be of most concern?

A) Bruises on the knee
B) Bruises on the elbow
C) Bruises on the abdomen
D) Bruises on both of the shins

Bruising in atypical places, such as the buttocks, hands, feet, and abdomen, is exceedingly rare and should arouse concern. In children younger than 4 years, bruising on the torso, ears, and neck are significantly correlated with abuse in the absence of a compelling history. Children who are walking often have bruises over the bony prominences of the front of their bodies, so bruises on the knees, elbows, and shins are not unusual.