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3MR 3MR
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6 years ago
The mother of a 12-year-old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices he can't play his guitar very well.
 
  How should the nurse respond to the mother?
 
  A) Boys tend to take a bit longer than girls to mature.
  B) Have you spoken with your pediatrician about your observations?
  C) Boys tend to refine their fine motor skills by this age.
  D) I will make a note of your observations and talk to his teachers.
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wrote...
6 years ago
Ans: B
Myelinization of the central nervous system is reflected by refinement of fine motor skills. The child between 10 and 12 years of age begins to exhibit manipulative skills comparable to adults. In order to determine if the child is delayed in fine motor skill development, the pediatrician should be made aware because further examination or testing may be warranted. Just stating the fact that his motor skills should be developed by this age, although true, does not address the mother's concerns. The teachers can be notified of the mother's observations, but the child should still be assessed by the pediatrician.
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