The registered nurse has completed a well-baby assessment of an 18-month-old. Which assessment findings prompted the nurse to make a referral for a formal developmental screening test?

Question

The registered nurse has completed a well-baby assessment of an 18-month-old.  Which assessment findings prompted the nurse to make a referral for a formal developmental screening test?

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11ecbb05_cabb_d2da_b433_5de3576055a9_MD0009_00 An 18-month-old should have a vocabulary of 10 or more words and be able to hold and drink from a cup. Both of these types of delays (communication and language development, and fine motor skills) may be more apparent at age 18 months than at earlier ages. Either finding should prompt the nurse that further evaluation is needed. (Option A) An 18-month-old can climb stairs with assistance, use a pull-toy, and turn the pages of a book. (Option B) An 18-month-old may continue to be bottle fed at times, can hold and clumsily use a spoon, and can creep down stairs. (Option C) An 18-month-old might be able to scribble but would not be able to draw a picture; an 18-month-old can throw a ball and point to body parts. Educational objective: An 18-month-old should have a vocabulary of at least 10 words and be able to use a spoon.

The Registered Nurse Has Completed a Well-Baby Assessment of an 18-Month-Old