Parents often wonder if their child is developing “normally” and like other children of the same age. Xiao’s mother and father are not alone in this respect. They have often questioned Xiao’s habit of ignoring their requests or asking to have things repeated. A family friend mentioned that a developmental screening clinic was being held at the public library later this month and suggested that Xiao’s mother should call and make an appointment. Xiao is almost 3 years old and bilingual. He speaks relatively few words that are understandable although his family can anticipate what he is attempting to communicate. He stays with his grandmother during the day while his parents work at the nearby hospital. Xiao’s grandmother speaks only Mandarin and has few books and toys for him to play with. She takes him on long walks or to the neighborhood park most mornings. Xiao’s mother is trying to teach him English when they are at home so he “will be able to talk with the other children” when he begins to attend preschool next year. On the day of the developmental screening, Xiao’s weight and height were measured and both were noted to be in the 40 th vision, hearing, speech, cognitive skills, and motor abilities were also assessed. Although Xiao is small for his age, his motor skills were found to be within the normal range, but his speech and cognitive skills are delayed. The i am leader read through the child history form that Xiao’s parents had completed and noted that he had several food allergies, as well as frequent upper respiratory and ear infections. Xiao’s hearing test revealed a moderate loss in both ears. (10 Prepare a two-paragraph essay in which you identify the risk factors that may be contributing to Xiao’s delayed speech and cognitive development based on the information in this chapter. Identify two developmentally appropriate goals that you would set for Xiao and describe at least three strategies that his parents and grandmother can implement at home to promote his cognitive and language development. ?
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