A 4-year-old child can hop on one foot but cannot maintain balance while hopping repeatedly. Which interpretation is most appropriate?
Correct answer: B. This may be within normal variation for the age
- A. This always indicates severe motor delay
- B. This may be within normal variation for the age
- C. This confirms a neuromuscular disorder
- D. This indicates loss of an acquired skill
Explanation
Motor skills develop over a range, and repeated hopping with good balance becomes more consistent during the preschool years. A single mild variation without regression or other concerns should prompt observation and follow-up, not an immediate diagnosis.
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Growth refers to measurable physical change, while development describes progressive skills in the motor, language, cognitive, emotional and social domains. Questions cover normal growth patterns, developmental milestones, developmental screening, factors affecting progress, and recognition of growth faltering or developmental delay, including the difference between maturation and learning.
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