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?

Rationale: A. Employment is generally considered a protective factor rather than a risk factor for child maltreatment. Financial stability may reduce stressors such as poverty and resource insecurity, which are associated with increased risk of abuse or neglect. B. Children with chronic illnesses are at increased risk for maltreatment due to factors such as frequent healthcare needs, increased caregiver stress, financial burden, and dependency. These stressors can contribute to neglect or, in some cases, abuse if caregivers become overwhelmed or lack adequate support. C. Living with a biological parent or relative is generally a protective factor. While maltreatment can still occur in any setting, risk is statistically higher in non-biological caregiver arrangements such as foster care or unrelated guardianship. D. A supportive social network is a protective factor against child maltreatment. It reduces caregiver isolation, provides emotional and practical support, and helps identify and intervene early if concerns arise.