Question

Difficulty: MediumNormal Growth and Development

A pediatric clinic is reviewing developmental milestones for medical students. Match each clinical presentation of a child's highest level of developmental achievements across four domains (gross motor, fine motor, language, and social) with the corresponding typical chronological age.

  • Can run, build a tower of 6 cubes, use two-word phrases, and engage in parallel play.24 months (2 years)
  • Can ride a tricycle, copy a circle, use three-word sentences, and state their age.36 months (3 years)
  • Can hop on one foot, copy a cross, draw a person with 3 body parts, and engage in cooperative play.48 months (4 years)
  • Can skip, copy a triangle, tie shoelaces, and independently dress themselves.60 months (5 years)

Answer

The milestones should be matched as follows: the running/2-word phrase child is 24 months, the tricycle/circle child is 36 months, the hopping/cross child is 48 months, and the skipping/triangle child is 60 months.
Each clinical presentation is carefully grouped to represent the hallmark developmental milestones of a specific age across all four domains. 24-month-old children combine two words and use parallel play; 36-month-old children ride a tricycle and copy a circle; 48-month-old children hop on one foot and copy a cross; and 60-month-old children skip and copy a triangle.

Step-by-Step Solution

1
Analyze the milestones for the first presentation.
Running, building a 6-cube tower, and using 2-word phrases align with a 2-year-old child.
By 24 months, children typically have a 50-word vocabulary, combine 2 words, build 6-cube towers, and engage in parallel play.
2
Analyze the milestones for the second presentation.
Riding a tricycle and copying a circle align with a 3-year-old child.
At 36 months, gross motor skills progress to pedaling a tricycle, and fine motor skills prominently include copying a circle.
3
Analyze the milestones for the third presentation.
Hopping on one foot and copying a cross align with a 4-year-old child.
At 48 months, children can balance and hop on one foot, copy a cross, draw a basic person, and play cooperatively with peers.
4
Analyze the milestones for the fourth presentation.
Skipping and tying shoelaces align with a 5-year-old child.
At 60 months, children can skip, copy a triangle, and demonstrate independence in tasks like dressing and bathing.

Key Concept

Normal pediatric developmental milestones across motor, language, and social domains from age 2 to 5 years.
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