A nurse is doing developmental assessments on several children in the day-care setting. Which child indicates a delay in meeting developmental milestones? (Select all that apply.)
1. An 18-month-old toddler who isunable to phrase sentences
2. A 5-year-old who is unable to buttonhis shirt
3. A 6-year-old who is unable to sit stillfor a short story
4. A 2-year-old who is unable to cutwith scissors
5. A 2-year-old who cannot recite herphone number
Answer:2,3
Rationale: A developmental milestone that can indicate learning disability is a kindergartener's being unable to button his shirt.Inability to phrase sentences is considered a delay if not done by 21/2 years;inability to sit still for a short story is considered a delay if the child is 3 to 5 years old;and being unable to cut with scissors indicates a delay if not done by kindergarten age.Reciting the phone number is not appropriate for a 2-year-old.
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