A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?

A toddler has a spiral fracture, and the parent reports a fall from a swing.

A preschooler has bruises on the shins, and the parent reports a collision with furniture.

An adolescent has a head injury, and the parent reports a fall from a bike.

A school-age child has a black eye, and the parent reports a fight with a classmate.