Note: These questions include ones similar to alternative format questions as seen on the NCLEX-RN exam.
A nurse is assessing a 6-year-old Asian child with injuries sustained after “falling from a bicycle.” The child’s injuries are inconsistent with the provided history. He is brought in by his mother, a physician, who also has resolving facial injuries. When questioned, the mother cannot recall how she received her injuries. Which of the following factors supports the nurse’s suspicion of child abuse?