A nurse is performing a comprehensive assessment of a 2-year-old child during a routine wellness visit. Which finding should prompt the nurse to investigate further:
The child has an anterior curvature of the spine when standing.
The child shows a preference for eating with hands rather than using utensils.
The child speaks in two-word phrases and can gesture to indicate needs.
The child prefers crawling instead of walking independently.
The correct answer identifies an abnormal developmental milestone for a 2-year-old. Most children are expected to walk independently by 12-18 months; a child who continues to crawl instead of walking suggests possible neuromuscular or developmental issues that warrant further evaluation. The other options are within the range of normal development: using two-word phrases and gestures is typical for a 2-year-old, a toddler’s posture can include an anterior spinal curve as their musculature develops, and preferring to eat with hands instead of utensils is still common at this age as fine motor skills continue to refine.
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