Which finding is appropriate when identifying cognitive impairment in children?:
Delayed achievement of developmental milestones is a major clue to the presence of cognitive impairment in children. Children with Down syndrome or fragile X syndrome have dysmorphic features that make cognitive impairment easier to recognize. Abnormal eye contact, gross motor delay, decreased alertness to voice or movement, language difficulties, and feeding difficulties are all early behavioral signs of cognitive impairment.