A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?

Developmental assessment in a 24-month-old toddler focuses on evaluating language, social, motor, and behavioral milestones. At this age, toddlers typically experience rapid language development and increased vocabulary acquisition, along with behavioral expressions such as temper tantrums and variable appetite. Nurses compare observed findings with expected developmental milestones to identify potential delays that may require further evaluation or intervention. Rationale: A. Eating a large amount of food one day and very little the next is a normal toddler behavior related to variable appetite and slowed growth rate after infancy. Toddlers often have erratic eating patterns as growth velocity stabilizes, making this finding developmentally appropriate. It does not indicate a concern requiring provider notification. B. A vocabulary of 30 words at 24 months is below the expected developmental milestone and should be reported. At this age, toddlers are typically expected to have a vocabulary of about 50 or more words and begin combining two-word phrases. Limited language development may indicate a speech delay or underlying developmental disorder requiring further evaluation. C. Holding their breath during a temper tantrum is a common behavioral response in toddlers as they begin to assert autonomy and express frustration. Breath-holding spells can occur during emotional outbursts and are generally self-limiting and benign. While alarming to caregivers, this is considered developmentally normal at this age. D. Sleeping 11 to 12 hours per day is within the normal range for a 24-month-old toddler. Toddlers typically require approximately 11 to 14 hours of total sleep per day, including naps. This sleep pattern supports normal growth and development and does not require further intervention.