NORCET 9 Mains - 2025
Child Health Nursing (Pediatrics)
Medium
A 3-year-old child’s fine motor development is to be assessed. Which of the following activities is most appropriate?
Appeared in: NORCET 9 Mains - 2025
Explanation
- Giving a child clay or playdough to shape directly assesses fine motor skills.
- This activity requires the use of small muscles in the hands and fingers for precise movements like pinching, rolling, and squeezing.
- It evaluates hand-eye coordination, finger dexterity, and hand strength, which are key components of fine motor development in a 3-year-old, similar to building a tower of 9 blocks or copying a circle.
Why Other Options Were Wrong
- Option A: Riding a bicycle is a complex gross motor skill involving large muscle groups for balance and pedaling. It is not a measure of fine motor skills.
- Option C: Running uses large muscle groups in the legs and torso, making it a classic gross motor skill, not a fine motor skill.
- Option D: Kicking a ball is a gross motor skill that involves coordination of the large muscles of the leg and foot.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Assessment of developmental milestones: Fine vs. Gross motor skills in a 3-year-old as background academic context rather than a clinical decision trigger.
- Regular assessment of developmental milestones is crucial for the early identification of potential delays, which could indicate underlying neurological or developmental disorders.
- Nurses play a key role in developmental screening during well-child visits, using standardized tools and direct observation to track a child's progress against age-appropriate norms.
- What if? If a 3-year-old was unable to manipulate the clay and also had difficulty with other fine motor tasks like holding a crayon or building with blocks, it would be a red flag warranting a referral for an occupational therapy evaluation to investigate the delay.
How to Approach the Question
- First, identify the core concept of the question, which is 'fine motor development'.
- Define 'fine motor skills' in your mind: the use of small muscles in the hands, fingers, and wrists for precise actions.
- Define 'gross motor skills': the use of large muscle groups for whole-body movements like walking, running, and jumping.
- Analyze each option to determine which muscle groups are primarily used.
- Options A (bicycle), C (running), and D (kicking) all involve large muscle groups (legs, arms, torso), classifying them as 'gross motor skills'.
- Option B (shaping clay) specifically requires finger and hand manipulation, fitting the definition of a fine motor skill.
Concept Tested & Keywords
- Concept Tested: Assessment of developmental milestones: Fine vs. Gross motor skills in a 3-year-old.
- Stem keywords: 3-year-old child, fine motor development, assess
- Lead-in keywords: most appropriate
- Clinical cues: Age: 3-year-old (indicates a specific developmental stage)
- Clinical cues: Skill: Fine motor (focuses on small muscle coordination)
Question ID
Q67DmXEDgwZxnpxNKkmKkm
Reference Book
E6 Ghai Essential Pediatrics(pp 26-904 of 913) pp. 30-32, 26-28
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 11920-11922
Practise the full NORCET 9 Mains - 2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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