The nurse admits a 20-month-old toddler diagnosed with autism and finds which of the following assessments in keeping with the diagnosis?
1. The child laughs and plays peek-a-boo with the nurse.
2. The child avoids looking at the nurse, and rocks back and forth in the chair.
3. The child explores the equipment in the room at eye level.
4. The child sits on the mother's lap and holds her tightly, with his arms around her neck.
2
Rationale: Children diagnosed with autism generally have limited social interaction and communication, and a restricted repertoire of activity, so the child who avoids eye contact and sits rocking back and forth in the chair would be an anticipated finding for the child diagnosed with autism. The child who laughs and plays, explores the environment, or clings tightly to the mother would not be expected findings in an autistic child, although there are varying degrees of autism.
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