A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply)

Choice A reason: Lack of eye contact is a hallmark social communication deficit in children with autism spectrum disorder. It reflects difficulty with nonverbal social cues and is commonly observed during interactions. Choice B reason: While some children with autism may exhibit hyperactivity, the inability to play quietly is not a core diagnostic feature. It may be present in other conditions such as ADHD but is not specific to autism. Choice C reason: Repetitive behaviors such as spinning toys are characteristic of autism. These behaviors are often soothing to the child and reflect restricted interests or sensory-seeking patterns. Choice D reason: Withdrawal from physical contact is common in children with autism due to sensory sensitivities or discomfort with social touch. This behavior is part of the social interaction challenges in ASD. Choice E reason: Repeated vocalizations or echolalia (repeating words or phrases) are typical in autism. These may serve as a form of communication or self-regulation and are part of the diagnostic criteria for ASD.