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In what scenario might you suspect a child needs further developmental evaluation?

  1. If they are not walking by 15 months

  2. If they are not babbling by 7 months

  3. If they are not using utensils by 16 months

  4. If they are not making eye contact at 6 months

The correct answer is: If they are not using utensils by 16 months

A child might require further developmental evaluation if they are not using utensils by 16 months, as this is a critical motor skill that reflects both fine motor development and cognitive understanding of how to use tools. At this age, children typically start to show improved hand-eye coordination and the ability to manipulate objects, such as holding and using a spoon or fork. Failure to demonstrate this skill may indicate potential delays in motor development or underlying issues that may warrant further assessment. In assessing child development, various milestones are considered appropriate for different ages, and while each option does present valid points for consideration, the inability to use utensils at this age is particularly concerning. Using utensils signifies not only physical readiness but also the child's engagement with their environment and their ability to imitate and practice skills they see in adults. If a child is not displaying this behavior, it prompts further investigation to ensure that their developmental trajectory is on track.