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Zorluk: ZorDevelopmental Stages and Transitions

A practical nurse (PN) is observing an 18-month-old toddler playing in the examination room while collecting data from the caregiver. Which of the following observations by the PN indicate that the toddler is demonstrating age-appropriate developmental milestones? (Select all that apply.)

  1. The toddler independently builds a tower using three to four small blocks.Cevap
  2. The toddler walks up the examination room steps while holding the caregiver's hand.Cevap
  3. C
    The toddler turns the pages of a picture book one page at a time.
  4. D
    The toddler jumps off the bottom step of the examination table with both feet.
  5. E
    The toddler speaks in clear, three- to four-word sentences to communicate.
  6. The toddler successfully removes their own socks and shoes before the physical assessment.Cevap

Cevap

The correct findings are: building a tower of three to four blocks, walking up steps while holding a hand, and removing socks and shoes.
At 18 months of age, expected developmental milestones include gross motor skills such as walking up stairs while holding a hand, fine motor skills like building a tower of three to four blocks, and self-care skills such as removing socks and shoes.

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1
Analyze the client's developmental age.
The client is an 18-month-old toddler.
Milestones are specific to chronological age, and identifying the correct age bracket is essential for accurate assessment.
2
Evaluate the gross motor observations.
Walking up steps with one hand held is appropriate. Jumping off a step with both feet is too advanced.
Gross motor skills progress from walking independently to more complex balance tasks over the toddler years.
3
Evaluate the fine motor and self-care observations.
Building a 3-4 block tower and removing socks or shoes are appropriate. Turning pages one at a time is too advanced.
Fine motor dexterity refines from gross grasping to precise individual finger manipulation.
4
Evaluate the language and cognitive observations.
Using three- to four-word sentences is too advanced for 18 months.
Language progresses from single words to simple phrases and eventually sentences by age 3.

Anahtar Kavram

Toddler Developmental Milestones (18 Months)
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