Ati paediatrics nursing assessment ( 49 Questions)
A nurse is caring for a toddler in the pediatrician's office.
Nurses Notes
Today
The toddler returns to the office for a routine 2-year-old check-up. The parents report no issues at home, but state that the teachers at the child's daycare center are concerned that the child is behind.
Fine motor: rotates utensils to bring them to their mouth
Gross motor: walks independently, scoots on bottom up and down stairs
Language: uses one-word sentences, can say 5 words
Play: participates in parallel play with their siblings, does not notice when others are upset
Height 86.4 cm (34)
Weight 11.3 kg (24.9 lb)
The Correct Answers: Findings that indicate a developmental delay: Language: uses one word sentences, can say 5 words- At age 2, toddlers are expected to use at least two-word phrases and have a vocabulary of about 50 words. This finding suggests a delay in expressive language development. Play: does not notice when others are upset- At this age, toddlers begin to show empathy or awareness of others' emotions. Not noticing when others are upset could indicate a delay in social-emotional development. Rationale for incorrect findings: Fine motor: rotates utensils to bring them to their mouth- This is an age-appropriate fine motor skill. Gross motor: scoots on bottom up and down stairs- Although some toddlers may walk up stairs by 2 years, scooting is still within developmental range.
Correct Answer:
Findings that indicate a developmental delay:
Language: uses one word sentences, can say 5 words- At age 2, toddlers are expected to use at least two-word phrases and have a vocabulary of about 50 words. This finding suggests a delay in expressive language development.
Play: does not notice when others are upset- At this age, toddlers begin to show empathy or awareness of others' emotions. Not noticing when others are upset could indicate a delay in social-emotional development.
Rationale for incorrect findings:
Fine motor: rotates utensils to bring them to their mouth- This is an age-appropriate fine motor skill.
Gross motor: scoots on bottom up and down stairs- Although some toddlers may walk up stairs by 2 years, scooting is still within developmental range.
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