A 16-month-old child is attending a well-child visit at a pediatric clinic.
Which assessment would indicate the biggest cause for concern?

Choice A rationale:

Push-pull toys are suitable for a 3-year-old because they promote physical activity and coordination. These toys help children develop their motor skills and provide a fun way for them to engage with their environment. Push-pull toys are age-appropriate and safe for toddlers.

Choice B rationale:

A large construction set may have small parts that could be a choking hazard for a 3-year-old. It's essential to select toys that do not pose such risks and are developmentally appropriate. Therefore, this choice is not the most appropriate toy for a 3-year-old.

Choice C rationale:

A small pet, such as a goldfish, is not an appropriate toy for a 3-year-old. Pets are living creatures that require care and attention. Introducing a pet to a young child should be a well-considered decision made by the family and not seen as a toy choice.

Choice D rationale:

A board game is typically too complex for a 3-year-old to fully enjoy and understand. Board games often require following rules, taking turns, and using fine motor skills that may not be well-developed in a child of this age. Therefore, it is not the most appropriate choice.

The correct answer is Choice B.

Choice A rationale: Suggesting that trees have leaves to provide shade over a sandbox reflects a utilitarian view rather than animism. It attributes a functional benefit to the trees for human use without assigning the trees any lifelike characteristics or intent.

Choice B rationale: Saying trees hide behind leaves when they are scared exemplifies animism. It attributes human-like emotions and behaviors to trees, implying they have feelings and act upon them, which is characteristic of animistic thinking in children.

Choice C rationale: Attributing the presence of leaves to divine creation suggests a religious or spiritual explanation rather than animism. It does not imply the trees themselves have lifelike qualities or motivations; instead, it attributes their existence to an external divine force.

Choice D rationale: Indicating that leaves exist for squirrels to play in provides a functional and ecological explanation. It does not imbue trees with lifelike qualities or behaviors, focusing instead on the interaction between trees and squirrels in nature.