Which child should the nurse refer for further assessment due to a probable diagnosis for autism spectrum disorder (ASD)?
1. A 4-year-old girl who doesn't make eye contact with mother and resists the mother's touch
2. A 3-year-old boy who joins one group of children, then moves to another group of children without joining their activities
3. An 18-month-old child who walks around the area using the furniture to provide balance
4. A 6-year-old boy who chatters constantly to anyone who will listen
1
Explanation:
1. Although boys are affected more often than girls, lack of eye contact and resistance to physical touch are common symptoms of autism.
2. Although this child is not interacting with other children, it is obvious that the child is aware of other children and interested in their activities, actions that are not indicative of autism.
3. This child may be developmentally delayed, as this behavior is typical of a 10- to 12-month-old child.
4. Children with autism often have language delays and impairment. This child does not have any obvious language issues.
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