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The school nurse assesses children enrolled in a kindergarten class. The nurse is most concerned if which finding is observed?

a. A child throws and catches a ball
b. A child is able to neatly tie shoelaces
c. A child eats with the fingers
d. A child walks down stairs by placing both feet on one step

1 Answer

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Final answer:

d. A child walks down stairs by placing both feet on one step. The school nurse is most concerned if a child walks down stairs by placing both feet on one step. This indicates a delay in gross motor skills development and could be a cause for concern.

Step-by-step explanation:

The school nurse is most concerned if a child walks down stairs by placing both feet on one step. By age five, children should be able to walk up and down stairs using alternating feet, one step at a time while holding on to a rail or someone's hand. Placing both feet on one step indicates a delay in gross motor skills development, which could be a cause for concern. The ability to walk up and down stairs correctly is an important milestone in a child's physical development and should be achieved by kindergarten age.

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