Which finding would indicate altered mental status in a small child?

Altered mental status in a small child can often be indicated by unusual behavior or responses that deviate from what is considered normal for that age group. In this scenario, a lack of attention to the EMT's presence suggests that the child may not be fully aware of or responsive to their surroundings, which can be a sign of altered mental status. This could indicate underlying issues such as illness, neurological impairment, or disruption in normal cognitive function.

In contrast, recognition of the parents indicates normal cognitive function and social awareness, while fright at the EMT's presence may reflect a typical response to a new and potentially intimidating situation. Consistent eye contact with the EMT is also a sign of normal social engagement and cognitive awareness. Therefore, the correct answer highlights a significant indicator of altered mental status by demonstrating a reduction in awareness and interaction with the environment.