A nurse is conducting developmental assessments on several children in the day-care setting. Which child(ren) does the nurse identify as having development delays?
1. An 18-month-old toddler who is unable to phrase sentences
2. A 5-year-old who is unable to button his shirt
3. A 6-year-old who is unable to sit still for a short story
4. A 2-year-old who is unable to cut with scissors
5. A 2-year-old who cannot recite her phone number
Correct 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 2-1/2 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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