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.)

A. Lack of eye contact: Children with autism spectrum disorder (ASD) often have difficulty with social interactions, including reduced eye contact. This behavior reflects challenges in social communication and engagement with others, which is a core feature of ASD. B. Inability to play quietly: While children with ASD may have unique play patterns, the inability to play quietly is not a characteristic feature. Some children may engage in repetitive or solitary play rather than being excessively noisy or unable to play quietly. C. Constant spinning of a toy: Repetitive behaviors, such as spinning, lining up, or flicking objects, are hallmark traits of ASD. These behaviors provide sensory stimulation and may serve as a self-soothing mechanism. D. Withdrawal from physical contact: Many children with ASD exhibit aversion to physical touch or may withdraw during social interactions. This reflects sensory sensitivities and difficulty in forming typical social bonds. E. Repeated voiding in clothes: This behavior is not characteristic of ASD. Repeated incontinence may be related to developmental delays, medical conditions, or behavioral issues rather than autism spectrum disorder itself.