The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
"This is a condition known as echolalia and can be corrected if you work with your daughter on language skills."
"This is a normal common speech pattern in the 3-year-old and is called telegraphic speech."
"This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."
"This is considered a developmental delay in the 3-year-old, and we should consult a speech therapist."
The Correct Answer is B
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
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Related Questions
Correct Answer is B
Explanation
A. At 3 months, infants might not consistently bring objects to their mouths, and this skill might still be developing, so it might not be a cause for immediate concern.
B. By 3 months, most infants should be able to raise their head when placed in a prone position; failure to do so might indicate a developmental delay.
C. Picking up objects with fingers is a skill that typically develops closer to 6 to 9 months; thus, it's not expected at 3 months.
D. Sitting without support usually begins around 6 to 7 months, so it's not an expected skill at 3 months and wouldn't necessarily be concerning yet.
Correct Answer is A
Explanation
A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.
B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.
C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.
D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.
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