The nurse is observing a 24-month-old boy in a daycare center. Which finding suggests delayed motor development?
The child is unable to push a toy lawnmower.
The child has trouble undressing himself.
The child is unable to unscrew a jar lid.
The child falls when he bends over.
The Correct Answer is A
A. By 24 months, children are typically able to walk, run, and push or pull toys, such as a toy lawnmower, demonstrating gross motor skills and coordination. The inability to push a toy indicates possible delay in gross motor development.
B. Difficulty undressing self involves fine motor and self-care skills, which may vary among children and develop gradually; mild challenges are not necessarily delayed at 24 months.
C. Unscrewing a jar lid requires more advanced fine motor coordination than is expected of most 2-year-olds, so inability to perform this task is within normal developmental limits.
D. Occasional imbalance when bending is common in toddlers, as gross motor control and balance are still developing, and does not indicate a significant delay.
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Related Questions
Correct Answer is C
Explanation
A. Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B. At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C. Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D. Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.
Correct Answer is A
Explanation
A. Acknowledging that food consumption might not significantly decrease helps manage the mother's expectations regarding her "picky eater" child and reduces potential stress around mealtime.
B. Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.
C. Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.
D. Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.
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