While Visiting the Home of a Single Patient Who Is

While visiting the home of a single patient who is raising school-age children, the nurse becomes concerned that the quality of care for the children after school is less than adequate. What did the nurse observe that led to this conclusion?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Children fighting in the front yard
B) Youngest child failing spelling and arithmetic
C) Middle child received an A on a writing assignment
D) Youngest child received a black eye from a child in school
E) Oldest child riding the bicycle in the street without a helmet