The nurse is assessing a 1-year-old infant in the pediatric office.
What finding should the nurse report to the physician immediately?

Choice A rationale:

Hot dog sections are not considered an appropriate snack for a 2-year-old child. Hot dogs pose a choking hazard due to their size and texture, especially for young children. Therefore, this choice is not suitable for a snack.

Choice B rationale:

Applesauce is a suitable snack for a 2-year-old child. It is easy to digest and typically well-received by children. Applesauce is soft and can be a source of vitamins and nutrients. However, it's important to ensure that the applesauce is age-appropriate and free of added sugars or preservatives.

Choice C rationale:

Grapes are not recommended as a snack for 2-year-old children because they pose a choking hazard. Grapes are small and round, making them a potential risk for choking, especially if not cut into smaller, manageable pieces.

Choice D rationale:

Popcorn is not a suitable snack for a 2-year-old child. Popcorn kernels can also pose a choking hazard, as young children may not have the molars necessary to chew them properly. Additionally, popcorn can be hard and may irritate the child's digestive system. Therefore, it's best to avoid popcorn as a snack for toddlers.

Choice A rationale:

Articulation disorder refers to difficulty in pronouncing sounds and is more related to the physical aspects of speech production. The scenario described by the parents focuses on the comprehensibility of the child's speech, not the specific pronunciation of sounds.

Choice B rationale:

Global language delay typically involves a delay in both expressive and receptive language skills. However, the parents' concern about their child's speech not being understood by others suggests that the issue is more specific to expressive language, which involves the ability to convey thoughts and ideas.

Choice C rationale:

Expressive language delay refers to difficulties in using language to express thoughts and ideas. In this case, the parents mention that "No one can understand him but us," indicating that the child has trouble communicating effectively with others, which aligns with an expressive language delay.

Choice D rationale:

Language loss is not a likely consideration in this scenario as the parents are concerned about their child's current speech development, not a regression in language skills.