QuestionSBA
QuestionChoice
This wait-and-see approach without immediate intervention would not be the best choice as there are concerns about potential cerebral palsy due to the child showing hand preference prematurely.
10028162
b
Reassure the parents and continue monitoring the child's development
QuestionChoice
This child is showing a preference for one hand, which may be suggestive of spastic hemiplegia, which is a type of cerebral palsy. Referral to OT, PT, and speech therapy is a comprehensive approach involving specialised assessments and interventions to support the child's motor and language development.
10028161
a
Referral to occupational therapy (OT), physiotherapy (PT) and speech therapy
QuestionChoice
Evaluating the child's language skills to determine if there are any language-related delays or concerns is a valid consideration, but recognising and addressing the hand preference is more important in this case.
10028165
e
Evaluate the child's language development
QuestionChoice
This option would not address the fine motor developmental concerns in this child.
10028163
c
Perform a hearing assessment
QuestionChoice
In some cases, observing the child's development over an extended period can be valuable. However, early intervention is advised if there are concerns about cerebral palsy or developmental delays.
10028164
d
Observe the child's development for the next 6 months
Concept
Chapter
2693
4125
Developmental milestones - fine motor and vision
Topic
153
Paediatrics
18030
A 12-month-old child attends the GP with his parents. They are concerned that although he is walking, he is unsteady. He can say "mama" and "dada", waves "bye-bye" with his left hand and primarily picks up toys in his left hand.

What is the most appropriate next step?
a