Identify additional questions for the mother

Reference no: EM133661083

Question: The mother of a healthy 18 month old, who is in for his well child visit, is concerned when the Nurse Practitioner (NP) reviews the results of her child's autism screening.

The child's M-CHAT-R screening results were as follows. Parent answers no to the following questions:

3. Pretend to play - no
7. Use one finger to point - no
11. Does your child smile in response to your face or your smile? - no
All other answers to the M-CHAT-R were consistent with expected development. The NP assesses the 18-month-old: To get the toddler's attention, the NP says his name&points across the room at an interesting picture on the wall&says "Oh look, there's a picture of a dog with a balloon". The NP watches the child's face to see if he is interested in what the NP is pointing at.Result: toddler continues to play&stare at his pacifier, appearing disinterested.The NP then asks the mother the following questions:

Does your son bring you toys or favorite objects to share with, such as a book Answer: No;
When you say to your son "where is the light or plane" does he point to it? Answer: No;
The child's mother tells you that her sister has a child who is autistic&she is now worried her son may be autistic.She is also worried that she may have caused his autism by occasionally smoking marijuana (less than once a week) during the first trimester of pregnancy.

identify three additional questions for the mother and/or health supervision assessments the NP can perform by utilizing the M-Chat-R screening tool and the developmental milestones identified for this age range in Bright Futures.

Reference no: EM133661083

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