The Nurse Is Assessing a Four-Year-Old Child with a Possible

The nurse is assessing a four-year-old child with a possible alteration in mental health. Which findings indicate a need for further investigation? Standard Text: Select all that apply.

A) Fails to make eye contact
B) Flinches when touched on the arm
C) History of limited prenatal care and precipitant delivery
D) Head circumference has not changed in over one year
E) Flat facial expressions