Pediatric ATI Practice Exam

During a well-child visit, which finding in a 30-month-old toddler requires further assessment?

1. Primary dentition is complete.

2. Unable to hop on one foot.

3. Birth weight is tripled.

4. Able to state first and last name.

The correct answer is: Birth weight is tripled.

The finding that a 30-month-old toddler has tripled their birth weight requires further assessment because it indicates a significant milestone in growth and weight gain that can reveal potential concerns. Typically, by 30 months of age, a child's weight is expected to be about four times their birth weight, suggesting that a child who has only tripled their birth weight may not be growing adequately. This lack of expected weight gain could prompt further investigation into the child's nutrition, overall health, or presence of any underlying medical issues that might affect growth. While the other findings may also warrant consideration in a developmental context, they are generally within the expected range for a toddler this age. For example, primary dentition being complete is normal for this age, and most children by 30 months cannot consistently hop on one foot as this skill typically develops later. Additionally, being able to state their first and last name is a positive developmental milestone achieved by many toddlers around this age. Thus, the concern raised by the incomplete tripled birth weight stands out as a signal for potential health issues that need further exploration.