child development question ?

[kemoo]

A 13-month-old girl is brought for a well-child examination. There is no history of prenatal or perinatal problems. Her diet consists of breast milk, juice, legumes, cooked vegetables, and fruit. She has had three ear infections treated successfully with amoxicillin and two episodes of diarrhea since birth. She will pull to a stand and stand alone for 1 minute but has not begun to walk. She is able to pick up raisins with her thumb and forefinger but is unable to feed herself with a spoon. Which of the following is the most appropriate
assessment of fine and gross motor development?

Fine Motor Gross Motor
Development Development
O A) Normal normal
O B) Normal delayed
O C) Delayed normal
O D) Delayed delayed

[mazrodin]

both delayed

[drmuh]

A) normal normal

[kemoo]

for sure that gross is delayed but about fine motor i am not sure

[aksyonez]

It is delayed , delayed.
A child pulls to stand around 9 months . and walks around 13 months.
The spoon should be held at around 9 months also.

[kemoo]

She is able to pick up raisins with her thumb and forefinger


i think this look like hold by 2 finger which mature for 13 months

i think all 13 months cannot feed them self by spoon is this true?

[drmuh]

Sorry, Fine morot is normal: Mature pincer grasp using 2 fingers start at 12 months , feeding self with spoon start 2 years.

Gross motor Delayed: Pulls to stand is a 9 month old developmental level, she has to be able to walk at 13 months

[docnas]

i say NORMAL and NORMAL

pulling to stand up by 1 year is stil ok, as for walking it is upto 15 months

http://www.healthychildren.org/Engli...No+local+token

[aksyonez]

I answered NOrmal normal when i did this nbme form and did horribly in that section, so i am sure it is not the answer

[memolibya]

fine---normal Gross ---delay

[Novobiocin]

B) Normal delayed