Question

Difficulty: MediumDevelopmental Stages and Transitions

While assisting in a pediatric clinic, a practical nurse observes a two-year-old client in the reception area. Which of the following observed behaviors indicate that the child is meeting expected developmental milestones? Select all that apply.

  1. Kicking a small ball forward without fallingAnswer
  2. B
    Hopping on one foot across the room
  3. Playing alongside another child without sharing toysAnswer
  4. D
    Drawing a recognizable stick figure of a person
  5. Using two-word or three-word phrases to express needsAnswer

Answer

The expected developmental behaviors for a two-year-old are kicking a ball forward, engaging in parallel play (playing alongside others without sharing), and using two-word to three-word phrases.
At two years of age (24 months), standard developmental milestones include specific gross motor skills like kicking a ball, language skills such as combining two to three words into short phrases, and psychosocial behaviors like parallel play, where the toddler plays adjacent to others without direct interaction or sharing.

Step-by-Step Solution

1
Identify the chronological age of the pediatric client.
The client is two years old (24 months).
Developmental milestones are heavily dependent on the specific age and stage of the child.
2
Evaluate the gross and fine motor skills presented in the options.
Kicking a ball is appropriate. Hopping on one foot and drawing stick figures represent older preschool milestones.
Differentiating between toddler and preschool motor abilities is required to identify normal development.
3
Assess the psychosocial and language behaviors presented.
Parallel play and short phrases (2-3 words) are expected for this age group.
Validates the normal progression of cognitive and social skills for a toddler.

Key Concept

Expected physical, cognitive, and psychosocial developmental milestones for a toddler.
Rate this question