A 9-Month-Old Child Is Brought to the Office for a Routine

A 9-month-old child is brought to the office for a routine visit.  The patient has had several episodes of otitis media since birth, but no major illnesses or hospitalizations.  She was previously happy and sociable around other people but now cries when her mother is not in the room and screams when going to day care.  Developmentally, the child pulls herself up to stand and can stand on her own briefly.  She can hold a spoon with 3 fingers and throw objects.  The patient does not yet respond to her name, babble, or use words.  When the physician hides a toy with his hand, the child lifts the hand to look for it.  She waves goodbye when the physician waves first.  Which of the following is the best next step in management of this patient?

A) Audiology evaluation
B) Physical therapy evaluation
C) Psychological evaluation
D) Reassurance that the child's development is normal
E) Social services referral

Correct Answer:

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