A child is brought to the emergency department after falling down the basement stairs. Which finding may cause the nurse to suspect child maltreatment on assessment? Select all that apply.

A. History of a broken arm last year from falling off a swing: While "repeated injuries" are a concern, a fall from a swing is a common and developmentally appropriate accident for a child. This specific history does not necessarily point toward maltreatment without more context. B. Bruising located only on the right arm and leg: Bruising isolated to bony prominences such as arms or legs is common in accidental falls among children. Location and pattern are consistent with expected injury, not necessarily suggestive of maltreatment. C. Caregiver anxious that the child get immediate medical attention: Prompt concern and seeking care for an injured child is appropriate and expected behavior. Anxiety in this context reflects appropriate parental vigilance rather than suspicion of abuse. D. Brought to the emergency department by an unrelated adult: Presentation by an adult who is not the primary caregiver, particularly without a clear explanation, can be a warning sign of potential abuse or neglect. Verification of caregiver identity and circumstances is warranted. E. Red, green, and yellow bruising on more than one plane of the body: Bruises of varying colors on multiple body surfaces suggest injuries at different stages of healing. This pattern is often associated with repeated trauma and may indicate physical abuse rather than accidental injury.