The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking mother. The boy does not say mama or dada yet. Which of the following is the priority intervention?
A) Performing a developmental evaluation of the child
B) Encouraging the parents to speak English to the child
C) Asking the mother if the child uses Spanish words
D) Referring the child to a developmental specialist
C
Feedback:
Infants in bilingual families may use some words from each language. Therefore, the priority intervention in this situation would be to ask the mother if the child uses Spanish words. There is not enough evidence to warrant performing a developmental evaluation or referring the child to a developmental specialist. Encouraging the parents to speak English to the child is unnecessary if the child is progressing with Spanish first.
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