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Chapter 34: Problem 381

When assessing a 6-month-old child, which finding should the nurse interpret as a sign of possible developmental delay? The child A. is not attempting to pull up to a standing position. B. does not turn toward a person who is speaking. C. does not imitate speech. D. does not respond to infant games like peek-a-boo.

Short Answer

Expert verified
B. does not turn toward a person who is speaking.

Step by step solution

01

- Identify Normal Developmental Milestones for a 6-Month-Old

Understand that typically, a 6-month-old child should show certain developmental behaviors. These include turning toward sounds, starting to imitate sounds, and responding to social interactions, like playing peek-a-boo.
02

- Evaluate Each Option Against Developmental Milestones

Check each option to see if it aligns with normal developmental milestones. Option A (not pulling up) is not expected at 6 months. Option B (not turning toward sounds) is a concern. Option C (not imitating speech) could be typical as imitation starts more noticeably at this age. Option D (not responding to games) is also a concern as social interaction is expected.
03

- Determine the Most Concerning Sign

Given the milestones: not turning toward a person who is speaking (Option B) and not responding to games (Option D) suggest possible developmental delays because they indicate issues with hearing or social interaction. Among these, absence of response to speech (Option B) is most critical.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

infant developmental milestones
At six months, infants typically begin to showcase a variety of developmental milestones, signaling their progress in growth and learning. These include physical, cognitive, social, and linguistic achievements. By this age, a baby should be able to:
  • Turn towards sounds or voices.
  • Show interest in their surroundings, including people and objects.
  • Start to sit with minimal support.
  • Begin to show emotions through smiling, laughing, and expressing curiosity.
  • Start to babble and make different sounds.
These milestones help caregivers and healthcare providers gauge the child's development and ensure they are on the right track. Missing any of these milestones could indicate potential developmental delays that may need further evaluation.
hearing and speech development
Hearing and speech development are critical parts of an infant's growth. By six months, babies typically respond to sounds and begin to imitate noises they hear. This includes:
  • Turning their head or eyes towards the direction of sounds.
  • Babbling with different sounds like 'ba', 'da', or 'ma'.
  • Responding to voices, especially parents or primary caregivers, by cooing or making other vocal responses.
  • Recognizing and reacting to their name.
A lack of response to speech or not turning towards sounds can be an early indicator of hearing issues or other developmental delays. Regular hearing checks and vigilant observation are crucial to catching these delays early so that interventions can be made.
social interaction in infants
Social interaction is a vital part of an infant's development. By six months, a baby should show engagement with their environment and interact socially in several ways:
  • Smiling and laughing in response to familiar faces and play.
  • Enjoying games like peek-a-boo and showing excitement or surprise.
  • Expressing a range of emotions through facial expressions and vocalizations.
  • Showing preference for primary caregivers over strangers.
These interactions help build the foundation for communication skills and emotional connections. If a child isn't responding to social games or not showing interest in people around them, it might be a sign of a developmental delay. Engaging regularly with the infant and monitoring their reactions can provide essential insights into their social development.

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Most popular questions from this chapter

A nurse is working in the labor and delivery unit. The nurse assesses all the laboring clients and notes that one has a small baby in breech position, one has a large baby who is engaged, one has an average sized infant in a transverse lie, and the last has an average sized infant with a floating head. Which client will the nurse definitely have to prepare for a cesarean delivery? The client with the A. small baby in breech position B. large baby who is engaged C. average sized infant in transverse lie D. average sized infant with a floating head

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