The parent of a preschool-aged client expresses concern that the client cannot ride a tricycle. Which action by the nurse is the most appropriate?
1. Reassure the father that this is normal.
2. Refer the child to the health care provider.
3. Perform further growth and development assessments.
4. Ask the father about any siblings and at what age they rode a tricycle.
Correct Answer: 3
The nurse should perform further growth and development assessments, as gross and fine motor development undergo rapid development during the toddler years (ages 1-3). A preschool-aged child (ages 3-5) should be able to pedal a tricycle, a major accomplishment typically mastered at the end of the toddler years. While the child may not be developmentally delayed, simply reassuring the father that this is normal without further assessment is not an appropriate action by the nurse. By first performing further growth and developmental assessments the nurse is better informed as to the need and urgency of a referral to the health care provider. Before gathering information about other children in the family and their developmental milestones, this child should be thoroughly assessed.
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