A concerned father schedules a well-child examination for his 4-year-old son to discuss the boy's developmental progress. The father reports that the child is unable to tie his own shoelaces, cannot accurately draw a picture of a triangle, and has not yet learned how to skip. The father notes that his older daughter had easily mastered these skills by the time she was four, which has caused him significant anxiety. The boy was born full-term without complications and has received all standard immunizations. During the clinic visit, the physician observes the boy easily hopping on one foot and using safety scissors to cut a piece of paper. When asked to draw a picture, the boy draws a stick figure consisting of a head, a body, and legs. He speaks in completely intelligible sentences and excitedly tells a story about his recent trip to a local park. The father also mentions that the child occasionally wets the bed at night but is fully toilet trained during the day. Based on these findings, which of the following is the most appropriate next step in management?
- ARecommend a formal pediatric occupational therapy assessment
- BRefer for a comprehensive neurodevelopmental evaluation
- CPrescribe oral desmopressin therapy
- Perform routine physical examination and provide anticipatory guidanceCevap
- EAdvise a pediatric physical therapy consultation