A nurse is assessing a 16-month-old toddler. Which of the following findings should the nurse report to the provider?
The toddler cannot speak in 3-4 word sentences
The toddler cannot jump with both feet
The toddler cannot stand upright without support.
The toddler cannot build a tower of six to seven cubes.
The Correct Answer is C
A. At 16 months, toddlers are not expected to speak in full sentences. They typically use one- to two-word phrases.
B. Jumping with both feet is a skill usually seen closer to age 2-3 years, so it is not a concern for a 16-month-old.
C. Inability to stand upright without support at 16 months is a developmental delay and should be reported to the provider for further evaluation.
D. Building a tower of six to seven cubes is a skill expected closer to 2 years of age, so it is not a concern at 16 months.
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Correct Answer is D
Explanation
A. Following one-step directions is more characteristic of toddlers, while preschoolers can follow multi-step directions.
B. Recognizing oneself in a mirror typically occurs in infants or toddlers.
C. Collecting items is usually a hobby or behavior observed in older children, not preschoolers.
D. Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.
Correct Answer is D
Explanation
A. Concerns about loss of control and body image are more common in older children, particularly school-aged children.
B. Fear of the unknown and being left alone is more characteristic of preschoolers or older children.
C. While infants may experience pain, their primary fear is separation from caregivers.
D. At 10 months, infants are in a stage where separation anxiety is prominent. Fear of strangers and distress due to separation from caregivers is a significant developmental challenge for hospitalized infants.
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