1. Problem List-a. List each social concern identified.i. Speech delays ii. Non-intact family/Risk of alteration of self-perception. List each environmental concern identified.i. Exposure to environmental tobacco smoke ii. Exposure to lead iii. Burns linked to unknown water heater temperature iv. Lack of access to medical suppliesc. List each medical problem identified.i. Acute otitis media ii. Unknown rash iii. Decrease in hematocrit iv. Selective restaurant. Absence of eye or dental screenings vi. Sleep disorders vii. Fever viii. Underweight ix. Lack of appropriate vaccinations for agex. Genu varum xi. Limit toxicity of lead2. For each problem identified, discuss plans, including referrals, testing, pharmacological and non-pharmacological management.a. Sociali. Speech – At this age, the patient should be able to form sentences of three to four words, and the words should be 90% intelligible to a stranger (Murphy & Berry, 2013). Before referring the patient for therapy, the provider should use a diagnostic testing tool to help further determine the degree of the delay. The Denver Joint Screening Exam could be used to screen for articulation problems in the patient, as well as the Language Fundamentals - Preschool Clinical Assessment which detects receptive and expressive language problems. Additionally, caregivers should be encouraged to stimulate the child. This can be done by reading to the child daily, displaying appropriate language, using clear and simple sentences and language, and providing the child with opportunities to interact with other children. Likewise, television viewing should be limited and caregivers should continually encourage it. Learn that with age, most speech errors disappear. Middle of paper ......ishan, K., Sparks, RA and Berryhill, WE (2007). December 1st. American family physician, 76, 1650-1658. Retrieved from www.aafp.org/afp/2007/1201/p1650.pdf National Association for Free and Charitable Clinics. (nd). Partners. Retrieved from http://nafcclinics.org/partnersTobacco Free Allegheny. (nd). Second-hand smoke and children. Retrieved from http://www.tobaccofreeallegheny.org/secondhandsmokeandchildren.asp Woo, TM (2012a). Upper respirations, infections, otitis media and otitis externa. In TM Woo and AL Wynne (Eds.), Pharmacotherapeutics for nurse practitioner prescribers (3rd ed. (pp. 1341-1354). Philadelphia, PA: FA Davis. Woo, TM (2012b). Drugs affecting the integumentary system. In TM Woo and AL Wynne (Eds.), Pharmacotherapeutics for nurse practitioner prescribers (3rd ed. (pp. 679-739). Philadelphia, PA: FA Davis.