An advanced practice registered nurse is performing a routine health screening for a 2-year-old client. The parents express frustration, stating the child frequently screams 'no!' when given directions, snatches toys from other children without sharing, and communicates primarily using two-word combinations. During the physical examination, the nurse observes the child successfully kick a stationary ball, stack six wooden blocks, and turn the pages of a magazine one by one. Which nursing determination is most accurate based on these findings?
- The assessed behaviors and physical abilities represent expected developmental milestones for the child's current age.Cevap
- BThe reliance on two-word phrases indicates a potential expressive language delay, warranting a speech pathology consult.
- CThe inability to engage in cooperative play suggests a psychosocial deficit requiring behavioral intervention therapy.
- DThe child demonstrates advanced fine motor progression, as manipulating single book pages is typically achieved after 3 years of age.
Cevap
The assessed behaviors and physical abilities represent expected developmental milestones for the child's current age.
All of the assessment findings—including negativism, parallel play, two-word phrases, kicking a ball, stacking six blocks, and turning pages individually—perfectly align with the expected physiological and psychosocial milestones of a 24-month-old toddler. No referrals or interventions are needed because the child's overall development is entirely on track.
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Toddler Developmental Milestones (24 Months)