While Examining an 18-Month-Old Child,the Nurse Notes That He Does

While examining an 18-month-old child,the nurse notes that he does not demonstrate skills typical for his age.He walks while holding on to furniture but prefers to crawl,rarely speaks,has a flat affect,and is small for his age.Which of the following is an appropriate nursing diagnosis for this child?

A) Impaired parenting
B) Imbalanced nutrition
C) Situational low self esteem
D) Delayed growth and development