What Can Be Indicated by a Newborn's Cry That Is

What can be indicated by a newborn's cry that is unusually shrill, nonrhythmic, and aversive?

A) It may signal that the newborn is brain damaged or malnourished and should be carefully assessed.
B) It reflects individual differences in the vocal quality of cries.
C) It is a sign that the parents are spoiling the newborn by being too responsive to its crying.
D) It is a sign that the newborn is either hungry or in pain.