The nurse reviews an 18-month-old child’s developmental hist… | MyMerci
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The nurse reviews an 18-month-old child’s developmental history. Which findings require follow-up? Highlight the findings that warrant developmental screening or early evaluation.

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Developmental areaCaregiver report
Movement Child cannot walk independently without holding support
Language Child uses only “mama” and “dada” without other words
Self-help Child picks up small foods and feeds themself with fingers during meals
Social communication Child points toward an airplane to share interest with the nearby caregiver
Regression Child previously waved goodbye but no longer does so
Understanding Child follows a familiar one-step direction without any caregiver gesture
Fine motor Child makes several spontaneous scribbles after receiving a crayon at the visit
Play Child pushes a toy car back and forth during simple independent play
Explanation
Not walking independently, using only parent names, and losing a previously acquired gesture require follow-up. Missed milestones or skill loss should prompt timely screening and referral.
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