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The opportunity to use both literal and inferential language in teacher-child interactions is important to children’s early literacy development. Repeated book reading activities provide an optimal context to target these skills. In this study, we examined the influence of a repeated book reading approach on Head Start teachers’ language use during whole-classroom book reading throughout one school year. Findings from this research inform early childhood policies and practices by providing a model through which preschool teachers can use repeated book reading to promote essential language skills that are seldom studied in preschool children, such as inferential language skills.