Which finding noted by the nurse on a physical assessment is most suggestive that a child has been sexually abused?

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Physical indicators of sexual abuse may include swelling or itching of the genitalia and pain on urination.Other indicators may include bruises,bleeding,or lacerations of the external genitalia,vagina,or anal area.The infant with fetal alcohol syndrome may have microphthalmia or abnormally small eyes or short palpebral fissures,a thin upper lip,and a poorly developed philtrum.Children who have been emotionally abused may exhibit speech disorders,lags in physical development,failure to thrive,or hyperactive and disruptive behaviors.Although there is a possibility for speech and developmental delays,these are not more suggestive of sexual abuse than swollen genitalia and pain on urination.Opiates can cause detachment and apathy,drowsiness,constricted pupils,constipation,slurred speech,and impaired judgment.

Which Finding Noted by the Nurse on a Physical Assessment