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    ATI PN Paediatrics Nursing Proctored Exam 2023

    A nurse is collecting data from a 15-month-old toddler.Which of the following findings should the nurse expect?

    Explanation & Rationale

    Choice A rationaleTurning two pages at a time reflects fine motor control development seen in younger toddlers. At 15 months, most toddlers refine coordination, progressing to turning single pages. Double-page turning is less precise, often due to immature grasp and pinch abilities. Fine motor milestones evolve with age, allowing toddlers to handle books more adeptly. This finding contrasts expected skills of a 15-month-old toddler, who typically exhibits improved single-page manipulation.Choice B rationaleThrowing a ball overhead without falling signifies advanced gross motor skills uncommon at 15 months. Toddlers this age generally develop basic motor coordination like walking and controlled ball rolling rather than overhead throwing. Overhead throwing requires integrated balance and muscle strength, milestones reached closer to 18-24 months. A 15-month-old’s motor development includes walking without assistance and simple gross motor activities like kicking.Choice C rationaleDrinking independently from a cup indicates motor and cognitive skills typical of a 15-month-old toddler. At this age, toddlers develop hand-eye coordination and the ability to grasp and tilt cups correctly. Fine motor milestones include learning to feed themselves and achieve independence in activities like drinking. Drinking independently reflects self-sufficiency and developmental progress expected in toddlers at 15 months.Choice D rationaleReferring to themselves by their first name reflects cognitive and language skills progressing beyond 15 months. Toddlers this age typically use single words or gestures to communicate needs. Self-identification with their name becomes evident later, around 18-24 months, as language skills improve. A 15-month-old toddler may recognize their name but is unlikely to articulate it spontaneously.

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