A nurse in a community clinic is caring for a 20-month-old toddler who has spiral fractures of the right ulna and radius. Which of the following findings should the nurse recognize as a potential indication of abuse?

The child begins to cry when her arm is examined by the provider.

The child's examination shows a single injury.

The child was brought to the facility 30 min after the injury occurred.

The parents report that the child injured herself by falling off the couch.