A nurse is caring for multiple clients at a pediatric clinic. Which of the following clients should the nurse identify as being at the highest risk of child maltreatment?

A. A 3-year-old child who has cystic fibrosis: Young children with chronic illnesses are at higher risk for maltreatment due to their dependency on caregivers for complex medical care, frequent hospitalizations, and ongoing supervision. The combination of young age and chronic medical needs increases vulnerability. B. A 12-year-old child who has diabetes mellitus: While chronic illness can be a risk factor, older children are generally less vulnerable to maltreatment because they have greater independence and ability to communicate needs. Diabetes management in a 12-year-old may be shared with the child, reducing dependence on caregivers. C. A 6-year-old child who is recovering from mononucleosis: Mononucleosis is typically a self-limiting illness, and recovery usually occurs at home without complex care. This child’s risk for maltreatment is lower compared to a younger child with a chronic condition requiring intensive management. D. An 8-year-old child who has a fractured tibia following a soccer game: An accidental injury in a school-age child is not inherently associated with maltreatment. This child’s age and the nature of the injury (traumatic but accidental) place them at lower risk for abuse compared with a younger child with chronic health needs.