Which observation should alert the nurse to a possible battering situation for a client at 24 weeks gestation?

• A. The woman and her partner are having a loud and hostile argument.
• B. The woman avoids eye contact and hesitates while answering questions.
• C. Other parts of her body have injuries that are in different stages of healing.
• D. Examination reveals a fracture to the right humerus and multiple bruises.

Answer: (C)

Repeated injuries in different stages of healing signal ongoing physical abuse. When you see wounds at varying points of healing, it means the person has likely endured multiple violent incidents over time, rather than one isolated event. In a pregnant client, this pattern is a critical red flag for battering because it indicates chronic exposure to violence, which can threaten both maternal and fetal health.

Other observations can raise concern, such as a tense, hostile environment or fear-based responses, but they’re not as definitive for ongoing abuse. A single fracture with bruises could result from one incident and doesn’t confirm repeated trauma. Recognizing the pattern of healing injuries prompts confidential, respectful screening, careful documentation, and planning to enhance safety and connect the person with resources.