The practical nurse (PN) is assisting with screening examinations at a community clinic where a toddler is brought by a parent for scheduled vaccines. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the PN?

A. Several dime-sized circular burns on the back: Highly suspicious for abuse; requires immediate intervention and reporting. B. Refusal to answer simple questions: May be fear or shyness; not as urgent as evidence of abuse. C. One-inch laceration across center of forehead: May occur with typical toddler activity; assess but not as high-priority for abuse suspicion. D. Small bruises on the lower extremities: Common in active toddlers; less suspicious for abuse.