A 9-month-old infant has a borderline developmental screening result, but the nurse observes significant motor delays. Which action should the nurse take immediately?

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Multiple choice — select the best answer

AProvide home stimulation education
BConsult pediatric physical therapy
CSchedule a follow-up appointment
DRefer to Early Intervention
ERescreen the infant in one month

✓ Correct answer: D. Refer to Early Intervention Clinical concern overrides screening scores. Immediate Early Intervention referral is required for suspected delays to ensure timely evaluation and access to services.

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A 9-month-old infant has a borderline developmental screening result, but the nurse observes significant motor delays. Which action should the nurse take immediately?

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