Mrs. Obi comes to the clinic today with her 2 year old son Max. She is concerned because although Max says a few recognizable sounds such as “ba” for bottle he mostly gestures and points to what he wants when he tries to communicate his needs. In addition, she is requesting information about starting toilet training.

• What type of screening tool(s) should the APRN use to assess Max’s language and social delay and why?

• What potential risk factors (e.g., prenatal, pregnancy, neonatal) could place Max at risk for language/social delay?

• What type of anticipatory guidance should the APRN provide to support Max’s communication and language development?

• How should toilet training readiness be assessed? • What anticipatory guidance should be provided regarding toilet training?

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