A nurse is caring for a toddler in the pediatrician's office. Exhibits Click to highlight the findings that indicate this client may be experiencing a developmental delay. To deselect a finding, click on the finding again. Nurses Notes Today The toddler returns to the office for a routine 2-year-old check-up. The parents report no issues at home, but state that the teachers at the child's daycare center are concerned that the child is behind. Fine motor: rotates utensils to bring them to their mouth Gross motor: walks independently, scoots on bottom up and down stairs Language: uses one-word sentences, can say 5 words Play: participates in parallel play with their siblings, does not notice when others are upset Height 86.4 cm (34) Weight 11.3 kg (24.9 lb)

Findings that indicate a developmental delay: Language: uses one word sentences, can say 5 words- At age 2, toddlers are expected to use at least two-word phrases and have a vocabulary of about 50 words. This finding suggests a delay in expressive language development. Play: does not notice when others are upset- At this age, toddlers begin to show empathy or awareness of others' emotions. Not noticing when others are upset could indicate a delay in social-emotional development. Rationale for incorrect findings: Fine motor: rotates utensils to bring them to their mouth- This is an age-appropriate fine motor skill. Gross motor: scoots on bottom up and down stairs- Although some toddlers may walk up stairs by 2 years, scooting is still within developmental range.