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Teacher quality in primary schools in South Africa is a serious concern, and how best to prepare teachers in initial teacher education—with regard to mathematics—remains an open and vexing question. There is a confluence of challenges facing the mathematics education community in South Africa: poor conceptual understanding of mathematics amongst teachers; poor attainment in Primary Teacher Education mathematics tests at both first and fourth year levels; and few initial teacher education programmes having evidence of improving knowledge for teaching mathematics. In addition, few lecturers in initial teacher education make explicit the theoretical tenets informing their course design for mathematics. In response to the latter challenge, this paper makes explicit the design choices made in the Emergent Number Sense first year mathematics module in Bachelor of Education degrees, used across six universities in South Africa. It then theorises the choice to commence the B.Ed mathematics programmes with two pathways into number knowledge: (1) a counting pathway, making use of discrete objects or events which can be quantified by counting in ones; and (2) a measurement pathway, making use of continuous extents which can be quantified by introducing a unit of measurement. Each has a distinct metaphor, strategy for the reification of the 10 and supporting representation. This offers the lecturers using the course in their own design trials, and initial teacher educators beyond the Maths4Primary Teachers collective, a conceptual framework for this design choice, which can now be critiqued and further improved. [ABSTRACT FROM AUTHOR]