Which of the following is NOT a physical indicator of sexual abuse?

Excessive trust in adults is not a physical indicator of sexual abuse; rather, it reflects a psychological or emotional response that may develop in a child due to their experiences and environment. Children who have been abused might exhibit a range of behavioral changes, including mistrust towards adults or difficulty forming relationships.

In contrast, the other choices directly relate to observable physical signs that may suggest abuse. Torn, stained, or bloody underclothing could indicate trauma or inappropriate sexual activity. Difficulty in walking or sitting can arise from physical injuries or pain associated with sexual abuse. Pain or itching in the genital area can also reflect previous abuse or infection resulting from such experiences. Each of these physical indicators points to potential trauma or harm, illustrating why they are significant in the context of identifying signs of sexual abuse.