IGNOU Post B. SC. Nursing entrance-2019
Child Health Nursing (Pediatrics)
Medium

All of the following fine motor skills develop during early childhood, except?

Appeared in: IGNOU Post B. SC. Nursing entrance-2019

Explanation

  • Sharing toys is a key milestone in social-emotional development, not motor development.
  • This skill involves complex social concepts like cooperation, empathy, turn-taking, and managing desires.
  • While a child physically hands over a toy, the primary skill being demonstrated is social interaction, not the physical act of gripping or moving the object.

Why Other Options Were Wrong

  • Option A: Sketching is a classic fine motor skill that requires a child to hold a writing tool (crayon, pencil) and use controlled hand and finger movements to create marks.
  • Option B: Cutting and pasting are complex fine motor tasks. They require bilateral coordination (using both hands for different tasks), hand strength to operate scissors, and precision to cut along lines and place objects.
  • Option D: Doing jigsaw puzzles involves picking up, rotating, and fitting pieces together. This requires a pincer grasp, hand-eye coordination, and visual-spatial reasoning, all of which are components of fine motor development.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating fine motor skills from social-emotional skills in early childhood development as background academic context rather than a clinical decision trigger.
  • Nurses assess developmental milestones during well-child visits to identify potential delays. It's crucial to evaluate each domain separately (motor, social, cognitive) to pinpoint specific areas of concern.
  • Observing a child at play is an effective screening method. A nurse might offer crayons to assess fine motor skills, watch how the child interacts with a sibling to assess social skills, and ask them to follow a simple command to assess language/cognitive skills.
  • What if? A 4-year-old child can expertly complete a 20-piece puzzle but cries and hits when another child tries to play nearby. This indicates age-appropriate or advanced fine motor skills but a potential delay or challenge in social-emotional development, which would require further assessment and parental guidance.
How to Approach the Question
  • First, identify the core concept in the question stem, which is 'fine motor skills'.
  • Note the keyword 'except'. This means you are looking for the option that is NOT a fine motor skill.
  • Define 'fine motor skill' in your mind: tasks involving small muscles of the hands and fingers.
  • Evaluate each option against this definition:
  • Does sketching involve small hand muscles? Yes.
  • Does cutting-pasting involve small hand muscles? Yes.
Concept Tested & Keywords
  • Concept Tested: Differentiating fine motor skills from social-emotional skills in early childhood development.
  • Stem keywords: fine motor skills, early childhood
  • Lead-in keywords: except
  • Negative lead-in flag: The question uses 'except', asking to identify the option that does NOT fit the category of fine motor skills.

Question ID

QVuPiHUYgf4CXy3-y8JrZt

Reference Book

E6 Physiology Ganong 27e Vol 2 Part 2 p. 23-25

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 30-32

E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 178-180

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