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

The child's speech is not completely understandable.


According to the Denver II Developmental Screen:

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

The following answers are incorrect because they are not expected of a 4-year-old:

• 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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