The nurse assesses a 3-year-old brought in with a broken arm. Which finding most strongly suggests physical abuse?

1. 1A fracture that does not fit the caregiver's story of the injury, with delayed care
2. 2A scraped knee that the caregiver says happened when the child fell outside
3. 3A fever that began the evening before the visit, with a runny nose and cough
4. 4A fracture that matches a witnessed fall from a low chair and was treated promptly

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Maladaptive Coping Behaviors: Abuse. Licensed under CC BY 4.0.