Which choice is NOT a sign of sexual abuse?

Rationale: A. Condyloma acuminata (genital warts) in a child older than 3 years may indicate sexual abuse. B. Bruising of the labia is a concerning sign for sexual abuse and warrants further evaluation. C. Herpes simplex virus infection in the anogenital area beyond the neonatal period is also suspicious for sexual abuse. D. Labial adhesions are a common, benign condition in prepubertal girls and are not indicative of sexual abuse.