The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?

Choice A reason: Walking backwards heel-to-toe requires advanced balance typically mastered closer to age 5 or 6. A 4-year-old can hop on one foot, a gross motor skill achievable by this age, making this too complex and incorrect for the preschooler’s developmental stage during the assessment. Choice B reason: Hopping on one foot is a gross motor skill typically mastered by age 4, reflecting balance and coordination development. This aligns with pediatric developmental milestones, making it the correct activity a 4-year-old preschooler can successfully accomplish during a well-child gross motor assessment. Choice C reason: Riding a bicycle, especially without training wheels, is typically achieved around age 5-6, requiring advanced coordination. A 4-year-old can hop on one foot, making this too advanced and incorrect for the gross motor skills expected at this age in a well-child visit. Choice D reason: Jumping rope demands complex coordination and strength, typically mastered after age 6. A 4-year-old can hop on one foot, a simpler skill, making this incorrect, as jump rope is beyond the gross motor capabilities of a preschooler at this developmental stage.