A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?

A. Prevent movement of the child's extremities is incorrect. Attempting to prevent movement during a tonic-clonic seizure is unsafe. The nurse should avoid restraining the child, as this can cause injury. The focus should be on ensuring safety during the seizure.

B. Administer magnesium sulfate to the child is incorrect. Magnesium sulfate is used for certain conditions, such as preeclampsia in pregnant women or seizures due to eclampsia, but it is not typically used to manage tonic-clonic seizures in children. Anticonvulsant medications or emergency interventions are more appropriate.

C. Put a tongue blade between the child's teeth is incorrect. Inserting a tongue blade or any object into the mouth during a seizure is dangerous, as it can lead to injury to the mouth, teeth, or airway. The nurse should not attempt to put anything in the child's mouth.

D. Place a folded blanket under the child's head is correct. The priority during a tonic-clonic seizure is to protect the child from injury. Placing a folded blanket or soft padding under the head helps prevent head trauma if the child falls to the ground during the seizure. The nurse should also ensure the environment is clear of sharp objects.

A. "My child speaks 3 to 4 word sentences." This statement suggests a delay in language development for a 5-year-old. By this age, children should be able to form longer sentences, typically around 5 to 6 words. Speaking in only 3 to 4-word sentences could indicate a need for further evaluation of the child's language development.

B. "My child can count to 10." This is appropriate for a 5-year-old. Many children at this age are able to count to 10, which is a common milestone for their cognitive development.

C. "My child can identify simple rhythms." This is also a normal skill for a 5-year-old. The ability to identify simple rhythms reflects an appropriate level of cognitive and auditory processing.

D. "My child knows the names of 5 colors." This is a typical skill for a 5-year-old child. By this age, many children can identify and name a variety of colors, so this is not a concern.