A nurse is performing a developmental assessment on a 4 and a half-year-old. Which of the following findings is of most concern?

Explanation

According to the Denver II Developmental Screen:

•Speech should be completely understandable by age 4 and a half years. The child may be developmentally delayed, but futher assessment is needed.

•Teeth brushing without help should be accomplished by age 5.

•Preparing cereal should be accomplished by age 5.

•A child should be able to balance on each foot for 4 seconds by age 5.

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