A child with type 1 diabetes is being discharged.
Which statement by the parent indicates a need for further teaching?

Choice A rationale

At 18 months, a toddler is typically able to build a tower of only two to three cubes with coordination and intentional stacking. Building a tower of six cubes requires more developed fine motor skills and spatial reasoning.

Choice B rationale

By 36 months (3 years), most children can build a tower of more than six cubes, often reaching eight or more. This age reflects significant advancements in their fine motor control and hand-eye coordination.

Choice C rationale

At 24 months (2 years), a toddler typically develops the fine motor skills and hand-eye coordination necessary to build a tower of approximately six to seven cubes with relative stability. This milestone is a common indicator of developmental progress in this age range.

Choice D rationale

At 12 months (1 year), most infants are still developing their fine motor skills and are typically only able to stack one or two cubes, often more through trial and error than intentional building of a tall tower. .

Choice A rationale

Gastroenteritis typically presents with vomiting, diarrhea, and abdominal pain. While a sore throat can occur with some viral gastroenteritis, excessive drooling and refusal to eat are less common primary symptoms.

Choice B rationale

A viral infection causing a sore throat can lead to refusal to eat and some difficulty swallowing, potentially causing mild drooling. However, excessive drooling and the described level of distress are less typical of a simple viral sore throat.

Choice C rationale

Excessive drooling, coughing, distress, and refusal to eat in a young child are highly suggestive of foreign body ingestion causing airway obstruction or irritation of the esophagus or trachea. The body's attempt to expel the object and the difficulty swallowing saliva lead to drooling and coughing.

Choice D rationale

An allergic reaction can cause throat swelling and difficulty breathing, but excessive drooling is not a primary symptom. Hives, itching, or other systemic symptoms would also likely be present.