Rosh Pediatrics Practice Exam

A parent completes a developmental checklist for their 18-month-old son and scores a 2. What should be the next step?

1. No further evaluation is needed

2. Referral for diagnostic evaluation and early intervention

3. Repeat administration at 24 months of age

4. Repeat administration at 36 months of age

The correct answer is: Repeat administration at 24 months of age

The appropriate next step after a parent scores a 2 on a developmental checklist for an 18-month-old is to consider the implications of that score in the context of typical developmental milestones. A score of 2 suggests that the child may not be meeting expected developmental achievements for their age, indicating potential concerns that should be addressed rather than delaying intervention. Repeating the administration of the checklist at a later age, such as 24 months, does not adequately address the immediate need for further evaluation or intervention. Timely identification and support for developmental delays are crucial in pediatrics, as early intervention can significantly impact a child's developmental trajectory. Thus, proper action would entail evaluating the child's development further, ideally leading to a referral for diagnostic assessment and early intervention. This ensures that the child receives the necessary support to help them meet developmental milestones effectively.