Editing Pediatric Nursing – LPN Practice Questions (section)

==Question 6==
The LPN is collecting data on children in a pediatric clinic. Which findings should be reported to the registered nurse? '''Select all that apply.'''
# An 18-month-old who is not yet walking independently
# A 3-year-old whose speech the parent says only family members can understand
# A 9-month-old whose anterior fontanel is soft and flat
# A 4-year-old who cannot hop on one foot or copy a cross
# A 2-year-old who plays alongside other children without playing with them
# A 6-month-old who does not roll in either direction and cannot hold the head steady

'''Answer:''' 1, 2, 4, and 6.

''Rationale:'' Independent walking is expected by about 15 months, so a non-walking 18-month-old needs evaluation. Speech should be roughly 75 percent intelligible to strangers by 3 years. Hopping on one foot and copying a cross are 4-year skills. Rolling and steady head control are established by 4 to 6 months, so their absence at 6 months is a significant delay. Option 3 is a normal fontanel finding; the anterior fontanel normally remains open until 12 to 18 months. Option 5 describes '''parallel play''', which is normal and expected for a toddler.