Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating "No one can understand him but us.”. What clinical classification of speech disorder does the nurse suspect?

Choice A rationale:

Educationally oriented play might be suitable for some children, but for a child with moderate intellectual deficiency, focusing on education may not be the most appropriate choice. These children often have developmental delays, so it's important to consider their mental age rather than chronological age when planning activities. Tailoring play to their cognitive abilities can be more effective in promoting their development.

Choice B rationale:

Exercise for leg and arm muscles is a beneficial form of physical activity, but it may not be the most appropriate choice when caring for a child with moderate intellectual deficiency. While physical activity is essential for overall health, it should be combined with play that stimulates cognitive and social development, which is better achieved through age-appropriate play adjusted to their mental age.

Choice D rationale:

Involving a child with moderate intellectual deficiency in contact sports and aggressive physical activities with other children can be unsafe and may not suit their cognitive and physical abilities. These activities may lead to injuries or frustration for the child. It's crucial to focus on play that matches their cognitive level and promotes social and emotional development.

Choice A rationale:

Speaking in 2-word sentences is not a developmental milestone expected in a 9-month-old infant. Language development typically involves babbling, imitating sounds, and understanding simple commands at this age.

Choice B rationale:

Beginning to use a spoon rather sloppily is also not a typical milestone for a 9-month-old. Infants at this age are just starting to explore solid foods and are more likely to use their hands for self-feeding.

Choice C rationale:

Creeping along the floor is an appropriate developmental milestone for a 9-month-old. This crawling or creeping motion is a precursor to crawling and walking. It's a sign of motor development and exploration.

Choice D rationale:

Grasping objects with a palmar grasp is a skill that infants typically develop at a much younger age, usually within the first few months of life. By 9 months, they should have progressed to a more refined pincer grasp.