The nurse is talking with a parent about tooth eruption.
What teeth will the nurse explain are the first deciduous teeth to erupt?

Choice A rationale:

It is essential to understand that children exploring their bodies, including touching their genitalia, is often a normal part of their development. However, suggesting that it is due to discomfort from a penile rash or irritation (Choice A) may pathologize typical behavior and cause unnecessary concern. It's important for healthcare providers and parents to differentiate between normal curiosity and potential signs of discomfort or distress.

Choice B rationale:

Masturbation in young children is not a sign of an excessive fear of castration (Choice B). Such interpretations are based on outdated psychoanalytic theories and are not considered valid explanations for this behavior. It's crucial to avoid making unwarranted psychological assumptions about children's actions.

Choice C rationale:

Choice C is the correct answer because, in most cases, frequent genital touching in young children is a manifestation of normal curiosity about their bodies and sexuality. It is an opportunity for parents and caregivers to educate children about privacy, appropriate behavior, and boundaries in a developmentally appropriate manner. This response reflects a current and evidence-based understanding of child development.

Choice D rationale:

Labeling this behavior as abnormal and suggesting the child should be referred for counseling (Choice D) is not appropriate unless there are specific signs of distress, compulsivity, or other concerning factors. Jumping to counseling without a valid reason can create unnecessary anxiety for the child and parents.

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.