The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this child?
The child does not point to named body parts.
The child cannot say name, age, and gender.
The child cannot follow a series of two independent commands.
The child has a vocabulary of 40 to 50 words.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Walking independently is a major motor skill milestone usually achieved by most toddlers by 15 to 18 months.
B. Drinking from a cup, often without spilling, is a fine motor skill that most toddlers can accomplish around 12 to 15 months.
C. Feeding themselves with a spoon, although messy at times, is a skill that many toddlers are starting to master around 18 to 24 months.
D. By 2 years old, most toddlers have a vocabulary of around 50 words and can start to combine words into simple sentences. Speaking up to 20 words is within the expected range.
E. Associative play, where children begin to interact and play with others but may not yet play together in an organized way, typically emerges later, around ages 3 to 4.
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.
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