Reference no: EM133644385

Question 

The ITDS serves as the Primary Service Provider in the home for 18 month-old LaShandra. While there, the ITDS notices, and Mother mentions in passing, that LaShandra continually rubs her eyes and rarely reaches for toys outside of her immediate area, even with her right hand. LaShandra is enrolled in Early Steps for a left arm malformation and is progressing well with motor skills. What would the ITDS suspect and whom should she advise the mother to see for an examination? The ITDS would suspect LaShandra is not getting enough sleep and explain the importance of adequate naps for a child her age tell Mother to cut down on LaShandra's television watching mention that Mother should check with her physician at the next visit if the habit continues. suspect that Mother is too attentive and is not encouraging LaShandra to reach for toys explain that overall she is doing well and to check with her physician if her eyes become red or crusted over. suspect LaShandra is having trouble focusing advise Mother to have LaShandra's vision checked first with the primary care physician who may then advise a more in-depth exam by an Ophthalmologist. suspect LaShandra is having trouble focusing.