Which of the following best defines bruising in non-walking infants?

Bruising in non-walking infants is typically considered a concerning sign. Generally, infants who have not yet begun to walk are not expected to have bruises, as they don’t engage in the types of activities that would lead to such injuries. The presence of bruising in these infants raises the potential for underlying issues, including the possibility of abuse, as the only forces that could cause bruising would typically come from external contact or trauma.

In assessing such cases, it is critical to consider the context and history of the child. Non-walking infants lack the mobility that would usually lead to incidental bruising seen in toddlers or older children who are actively exploring their environment. Thus, if bruising is found, it may indicate that the infant has been subjected to harmful situations, necessitating further investigation for the well-being and safety of the child.

Understanding the context of bruising is essential for medical death investigators, as it can inform assessments about child safety, child abuse investigations, and the requirement for protective interventions.