When examining a toddler-age child during a well-child physical, which assessment is the priority?
1. Visual acuity
2. Helmet use
3. Risk of lead exposure
4. Whether household drinking water contains fluorine
Correct Answer: 3
Rationale: Elevated lead levels are neurotoxic to young children and, if untreated, can cause irreparable neurological damage. Visual acuity may be difficult to accurately assess at this age secondary to the child's compliance and ability to understand the directions for the screening test. While teaching helmet use at an early age is important, it is unlikely that this child is riding a bicycle yet, and although early exposure to fluorine is important for good dental health, lack of fluorinated drinking water will not be as harmful to the child as toxic lead levels.
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