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Discuss child as fussy and prone to explosive tantrums


Problem: Her biological parents bring in an 18-month-old for a well-child visit. The child appears well-nourished, well-hydrated, and has maintained her height and weight in the 75th percentile. The parents describe her as fussy and prone to explosive tantrums when they enter a noisy environment or a brightly lit room. The parents report that she avoids physical contact and prefers to play alone. She is a picky eater, and getting dressed is extremely difficult. She has not started talking but will point, grunt, or use signs to communicate. What should be done next? A. Refer to a child psychiatrist for medication evaluation focused on reducing fussiness and tantrums. B. Refer for child psychologist and physical, occupational, and speech therapist evaluations. C. Do nothing because she is only 18 months old and is close enough to the terrible 2s that the parents should not be concerned about the behavior. D. Make a referral to the state's child protective services, as it is clear that the parents are not giving her enough attention. Need Assignment Help?

 

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