A nurse is assisting with the development of an education program about child maltreatment. Which of the following findings should the nurse include in the program as a possible indication of sexual abuse?

A. Lack of subcutaneous fat: This may suggest neglect or malnutrition, but it is not specifically associated with sexual abuse. It is more commonly seen in cases where the child is not receiving adequate nutrition or care. B. Recurrent urinary tract infections: Recurrent UTIs, especially in young children, can be a red flag for sexual abuse. Genital trauma or inappropriate sexual contact can introduce bacteria into the urinary tract, leading to repeated infections. C. Unexplained illness: While vague or frequent illnesses may raise suspicion of neglect or emotional distress, they are not definitive indicators of sexual abuse without accompanying signs. D. Poor personal hygiene: This may indicate neglect but is not specific to sexual abuse. It reflects a lack of basic care rather than trauma or inappropriate contact.