The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case?
A) Schedule a full evaluation since this may indicate a neurologic disorder.
B) Note the regression in the child's chart and recheck in another month.
C) Document the findings as a developmental delay since this is a normal occurrence.
D) Ask the parents if they have changed the child's schedule to a less active one.
Ans: A
Any child who "loses" a developmental milestone—for example, the child able to sit without support who now cannot—needs an immediate full evaluation, since this indicates a significant neurologic problem.
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