The nurse is assessing a 3-year-old boy's development. Which response by the child indicates the need for further assessment?
A) He says a swear word when he hurts himself playing.
B) He says "pew" when his sister has soiled her diaper.
C) He laughs when his brother cries getting vaccinated.
D) He constantly asks "why?" whenever he is told something.
C
Response:
Laughing when his brother cries getting vaccinated indicates that he hasn't developed a sense of empathy yet, or there may be psychosocial issues, such as sibling rivalry, that should be assessed. The child may repeat a word even if it is out of context; this is called echolalia. Older toddlers have a well-developed sense of smell and will comment if they don't like a smell. The incessant "why?" is very common to toddlers' speech.
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