During a scheduled health maintenance visit, the mother of a young girl reports that her daughter has started saying "no" frequently and exhibits temper tantrums when it is time to leave the playground. Observation in the clinic reveals the child walking up the examination room stairs by placing both feet on each step while holding her mother's hand. She can stack three wooden blocks to build a small tower and spontaneously uses about 15 unique words during the visit. When handed a crayon, she enthusiastically scribbles on the exam table paper. Based on her current developmental level, which of the following milestones is this child most likely to achieve within the next six months?
- APedaling a tricycle for short distances
- BUsing a mature pincer grasp to pick up small objects
- Combining two words into simple phrasesCevap
- DCopying a drawing of a cross accurately
- EStating her own first name, age, and gender
Cevap
Combining two words into simple phrases
The child in the vignette is currently exhibiting classic milestones of an 18-month-old: walking up stairs with one hand held, stacking 3 blocks, speaking 10-25 words (15 unique words), and scribbling with a crayon. The question asks what she will most likely achieve in the next six months, placing the target age at 24 months (2 years). At 24 months, children typically undergo an explosion in language development, expanding their vocabulary to 50-200 words and beginning to combine two words into simple phrases. They also develop the ability to walk up and down stairs independently (both feet on each step), jump with both feet, and build a tower of 6 blocks.
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Anahtar Kavram
Normal Pediatric Developmental Milestones (18 to 24 months)