Approach to delay or regression in developmental milestones Quiz: Ace Your Exams

A 3-year-old boy is brought for a well-child evaluation after recent immigration into the country. The child began walking unsupported at 23 months of age but is still unable to climb up the stairs without help from his parents. He can draw a circle but cannot catch a ball. The patient has a vocabulary of more than 200 words and can combine them in three-word phrases. He can eat independently and knows his age and gender. The mother’s pregnancy was uncomplicated. The patient was born by spontaneous vaginal delivery at 32 weeks. There is no family history of developmental delays or motor disorders. Temperature is 37.0 ºC (98.6 ºF), pulse is 96/min, respirations are 24/min, blood pressure is 92/63 mm Hg and oxygen saturation is 97% on room air. On physical examination no dysmorphic features are noted. Neurologic, cardiopulmonary, and abdominal exams are normal. Which of the following best describes this child’s developmental status?