A physical examination of the child in suspected cases of maltreatment must be done and the data recorded precisely. Laboratory data should be obtained to support or refute the evidence of abuse. If the reported history of an injury or injuries changes during the course of an investigation, or if there is conflict between two adult caretakers as to the cause of injury, the likelihood of child maltreatment increases. The demeanor of the child's parents or caretakers is sometimes revealing. For example, the mother's assessment of her pregnancy, labor, and delivery will often provide an insight into her attitude about her child as well as give an indication of whether there is something about the child that is influencing her behavior.
Hospital records can confirm or eliminate the existence of birth injuries.
Any child may be abused, and child abuse occurs in all levels of society. However, there are some factors that increase a child's risk of abuse. Having a variety of diseases or congenital abnormalities. Having a high level of motor activity, being fussy or irritable, or exhibiting behavior that is different from the parent's expectations. Living in poverty or with families who are unemployed.