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Difficulty: EasyDevelopmental Stages and Transitions

A practical nurse observes a 12-month-old client interacting with a parent in the clinic waiting area. What expected developmental behaviors should the nurse anticipate for a child of this age? Select all that apply.

  1. Uses a neat pincer grasp to pick up small objectsAnswer
  2. Says 'mama' and 'dada' with specific meaningAnswer
  3. Pulls up to a standing position and cruises along furnitureAnswer
  4. D
    Builds a tower using six or seven blocks
  5. E
    Walks up and down stairs by placing both feet on each step

Answer

The expected behaviors for a 12-month-old include using a neat pincer grasp, saying 'mama' and 'dada' with specific meaning, and pulling to a stand while cruising along furniture.
By 12 months of age, an infant's central nervous system and musculoskeletal systems have developed enough to support a neat pincer grasp (fine motor), purposeful specific language like 'mama' and 'dada' (cognitive/language), and pulling to a stand to cruise along furniture (gross motor). These are fundamental markers of healthy progression from infancy to the toddler stage.

Step-by-Step Solution

1
Analyze the client's age and developmental stage.
The client is 12 months old, marking the transition from infancy to toddlerhood.
Accurate age identification is required to recall the correct physiological and motor expectations.
2
Evaluate the fine motor, gross motor, and language options against 12-month milestones.
A neat pincer grasp, purposeful words ('mama'/'dada'), and cruising are appropriately matched to the 12-month mark.
These represent the standard milestones taught for the end of the first year.
3
Identify and exclude milestones that belong to older toddlers.
Building a tall block tower and navigating stairs are excluded because they develop closer to 24 months of age.
Eliminating advanced milestones prevents milestone confusion errors.

Key Concept

12-Month-Old Developmental Milestones
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Topics

Developmental Stages and Transitions

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