A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
A.
The toddler cannot jump with both feet.
B.
The toddler cannot build a tower of six to seven cubes
C.
The toddler cannot stand upright without support
D.
The toddler cannot turn a doorknob
The correct answer and Explanation is :
The correct answer is C. The toddler cannot stand upright without support.
At 15 months, toddlers are expected to achieve certain gross motor milestones, including the ability to stand and walk independently. Inability to stand upright without support at this age is concerning and should be reported to the healthcare provider for further evaluation. This might indicate developmental delays, neuromuscular disorders, or other underlying medical conditions requiring intervention.
Explanation:
Children reach developmental milestones at various rates, but there are established norms for different ages. By 15 months, gross motor skills, fine motor skills, and cognitive development are closely monitored to ensure that the child is growing appropriately.
- Standing Upright Without Support: Typically, by 12 to 15 months, most toddlers can stand upright without assistance and begin walking independently. The inability to do so may signal a delay in gross motor development, which could stem from neuromuscular issues, lack of muscle strength, or coordination problems. Conditions like cerebral palsy or muscle dystrophy may affect the ability to stand.
- Other Options:
- A. Cannot Jump with Both Feet: Jumping is a more advanced gross motor skill that typically develops around 24 months. Therefore, the inability to jump at 15 months is normal and not a concern.
- B. Cannot Build a Tower of Six to Seven Cubes: This fine motor skill typically develops around 24 to 30 months. A 15-month-old should be able to stack two to three cubes, so the inability to build a larger tower is not concerning.
- D. Cannot Turn a Doorknob: This skill involves fine motor and coordination abilities and is usually expected by 24 to 36 months.
In conclusion, the inability to stand upright without support at 15 months is a significant concern and requires further assessment, while the other listed developmental tasks are age-appropriate to not yet be mastered.