Difficulty: Medium
Average Score: 89%
Full-length
When assessing speech development, which of the following children should the nurse refer for further examination?
Correct answer
D
Rationale
An 18-month-old should have a vocabulary of about 15-20 words and start forming simple phrases. Only saying 'no' indicates a potential delay, warranting further evaluation. The other options reflect age-appropriate speech milestones.