RATIONALE: Small circular burns on a child's back are no accident and may be from cigarettes. Toddlers are injury prone because of their developmental stage, and falls are frequent because of their unsteady gait; head injuries aren't uncommon. A small area of ecchymosis isn't suspicious in this age-group.NURSING PROCESS STEP: AssessmentCLIENT NEEDS CATEGORY: Safe, effective care environmentCLIENT NEEDS SUBCATEGORY: Safety and infection controlCOGNITIVE LEVEL: Application