A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

The correct answer is B: Bruising around the wrists. This finding is a potential indicator of physical abuse because bruising around wrists can be a sign of being grabbed or restrained forcefully. It is important to consider the location of the bruising in areas not commonly injured accidentally. Bruising can also indicate repeated trauma. The other choices are less likely indicators of physical abuse. Choice A (Weight in 45th percentile) is a normal growth parameter. Choice C (Abrasions on the knees) could be from common childhood activities. Choice D (Front deciduous teeth missing) is a dental issue that is not specific to physical abuse.