Which of the following indicates possible sexual abuse?

• A. Good sleep patterns
• B. Frequent headaches
• C. STDs or injury to genitalia
• D. Fear of being alone with a caregiver

Answer: (C)

The key idea here is identifying concrete signs that point to sexual abuse. STDs or injury to the genitalia are direct physical indicators of sexual contact or trauma, which strongly suggests possible abuse and warrants prompt reporting and investigation. Other signs listed are less specific: good sleep patterns are normal and non-concerning on their own; frequent headaches can have many causes; fear of being alone with a caregiver is a behavioral cue that may indicate distress or abuse, but it’s not a definite physical indicator like genital injuries or STDs. So the presence of STDs or genital injuries stands out as the clearest indicator of possible sexual abuse.