Reference no: EM133801946

Question

A nurse is caring for a 5-year-old child. Nurses' Notes Medical History Nurses' Notes Parent reports the child had expected development until 3 years of age, when they began speaking less, avoiding physical touch, and showing less emotion. Parent reports the child is now withdrawn and does not want to play with other children; repeatedly places toys and shoes in rows; eats only 3 foods (bananas, peanut butter sandwiches, green beans). Child's last physical exam was 3 years ago, at age 2 years. Parent states child does not attend school because they are "not ready." Child is awake and alert but does not respond when spoken to and avoids eye contact with nurse. Child noted to persistently shake both hands and rock back and forth frequently when sitting still.