A 3-Year-Old Girl Is Brought to the Physician for a Well-Child

A 3-year-old girl is brought to the physician for a well-child examination. She was born at term and has been healthy since. She can climb up and down the stairs and can pedal a tricycle. She has difficulty using a spoon to feed herself but can copy a line. She speaks in two- to three-word sentences that can be understood by most people. She does not play cooperatively with children of her age and often throws tantrums. The patient cannot use a spoon or fork but enjoys eating with her hands.  She scribbles spontaneously but cannot copy a circle.  She weighs 14.5 kg (32 lb) and is 96.5 cm (3 ft 2 in) tall.  Head circumference is 50.8 cm (20 in) .  Which of the following developmental milestones is likely delayed in this patient?

A) Cognitive
B) Fine motor
C) Gross motor
D) Language
E) Social

Correct Answer:

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