A 3-year-old girl is brought to the physician for a well-child examination. She was born at term and has been healthy since. She can climb up and down the stairs and can pedal a tricycle. She has difficulty using a spoon to feed herself but can copy a line. She speaks in two- to three-word sentences that can be understood by most people. She does not play cooperatively with children of her age and often throws tantrums. The patient cannot use a spoon or fork but enjoys eating with her hands. She scribbles spontaneously but cannot copy a circle. She weighs 14.5 kg (32 lb) and is 96.5 cm (3 ft 2 in) tall. Head circumference is 50.8 cm (20 in). Which of the following developmental milestones is likely delayed in this patient?

Question

A 3-year-old girl is brought to the physician for a well-child examination. She was born at term and has been healthy since. She can climb up and down the stairs and can pedal a tricycle. She has difficulty using a spoon to feed herself but can copy a line. She speaks in two- to three-word sentences that can be understood by most people. She does not play cooperatively with children of her age and often throws tantrums. The patient cannot use a spoon or fork but enjoys eating with her hands.  She scribbles spontaneously but cannot copy a circle.  She weighs 14.5 kg (32 lb) and is 96.5 cm (3 ft 2 in) tall.  Head circumference is 50.8 cm (20 in).  Which of the following developmental milestones is likely delayed in this patient?

Quizplus · Accepted Answer

Eductional Objective: By age 3, a child is expected to play imaginatively in parallel with others, speak in simple sentences, copy a circle, use utensils, and ride a tricycle.

A 3-Year-Old Girl Is Brought to the Physician for a Well-Child