A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?
The child avoids taking turns when playing with other children.
The child shares one event that happened during their day with others.
The child speaks with 2 words in a sentence.
The child engages in imaginative play.
The Correct Answer is C
A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.
B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.
C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.
D. Engaging in imaginative play is expected and demonstrates cognitive and social development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
"Can throw a ball overhand"
Expected gross motor skill for a 4-year-old.
"Draw a picture of a person with three body parts"
Reflects typical fine motor and cognitive development for this age.
"Balance on one foot"
Demonstrates appropriate gross motor development for a 4-year-old, who is expected to balance on one foot for a few seconds.
"Engages in pretend play independently and in parallel play with peers"
Normal social and imaginative play for this age, indicating appropriate social-emotional development.
"Gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago"
Reflects typical physical growth for a 4-year-old child.
Correct Answer is B
Explanation
A. Playing with other children typically develops in later toddlerhood or preschool years (parallel play).
B. At 12 months, toddlers exhibit separation anxiety and look for their parents when they leave.
C. Noticing when others are upset typically develops closer to 18 months to 2 years.
D. Mimicking other children usually begins around 18 to 24 months.
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