A nurse is conducting a health screening of a school-age child. The nurse should recognize which of the following as a risk factor for child maltreatment?

A. Caregiver is employed: Caregiver employment is generally a protective factor, as it often contributes to family stability, financial security, and access to resources. Employment alone does not increase the risk for child maltreatment. B. Being diagnosed with a chronic illness: Children with chronic illnesses are at increased risk for maltreatment due to factors such as caregiver stress, increased dependency, frequent medical appointments, and potential frustration with care demands. This population requires careful monitoring and support. C. Presence of a supportive social network: A strong social network provides emotional and practical support to caregivers, reducing stress and the likelihood of maltreatment. This factor is protective rather than a risk factor. D. Lives with biologically related adult: Living with a biologically related adult is generally associated with a lower risk of maltreatment compared with non-related caregivers. This factor is protective and does not indicate increased risk.