The nurse suggests offering which food(s) to support the toddler's desire to self-feed? (Select all that apply.).

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:

If a 16-month-old child is unable to climb steps, it may not be a significant cause for concern at this age. Climbing steps is a complex motor skill that children typically develop later in toddlerhood.

Choice B rationale:

Preferring finger feeding at 16 months is not necessarily a cause for concern. Many children continue to use finger feeding even when they have started using utensils. This can be part of their developmental process.

Choice C rationale:

A 16-month-old child not walking independently is a significant concern. By this age, most children should be taking their first independent steps or showing signs of readiness to walk. Delayed independent walking can be a sign of developmental issues, and it is essential to address this with a healthcare provider.

Choice D rationale:

Limited to single words is also a developmental milestone concern, but it may not be as immediate a concern as not walking independently. Many children develop language skills at different rates, and limited vocabulary at 16 months may not be as alarming as a delay in motor skills like walking.