NCLEX-RN Question 4

This NCLEX-RN question is brought to you by Rachel Allen Reviewers:

Q: Which of the following behaviors by a 36-month-old child supports a nursing diagnosis of growth and development, altered?

A. Does not link syllables together
B. Uses pointing to communicate
C. Stutters when speaking
D. Often repeats and hesitates

Correct Answer: A
According to the Denver Developmental Screening Test II-revised (DDST-R) 50% of children combine syllables by the age of nine months and 90% do so by the age of 10 months. Almost all children combine words by the age of 24 months. A 36-month-old child who does not link syllables together is exhibiting an alteration in normal growth and development.

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