Practice Question
A nurse is assessing an 18-month-old child during a well-child visit. The child's parents report that the child is not yet walking independently. The nurse should prioritize which of the following actions?
Answer Choices:
Correct Answer:
Conduct a thorough assessment of gross motor skills and developmental history.
Rationale:
🟠Not walking by ~18 months is a developmental red flag that warrants a comprehensive gross-motor and neuromuscular assessment.
🟠The nurse should gather a detailed prenatal, perinatal, and medical history (e.g., prematurity, hypoxia, neuromuscular conditions) to identify risk factors.
🟠Use a standardized developmental screener (e.g., ASQ, Denver) and observe tone, posture, symmetry, and gait attempts to pinpoint delay characteristics.
🟠Assess environmental and psychosocial factors (opportunities for practice, safe space, caregiver expectations) that can affect motor progression.
🟠Findings guide timely referrals (e.g., Early Intervention, PT/OT, neurology) and individualized teaching, ensuring early support during a critical window.
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This question is from NUR 227 FALL 2025 BXA QUIZ 1 which contains 37 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pediatrics
- Answer Choices: 4