When assessing a preschooler, which finding warrants further assessment by the nurse?

• A. Able to ride a tricycle.
• B. Talks about an imaginary friend.
• C. Dresses independently.
• D. Gains 2 pounds (0.9kg) in 12 months.

Answer: (D)

In this age, tracking growth velocity is essential. A preschooler should gain weight steadily each year as part of normal development. Gaining only about 2 pounds over a full year is slower than expected and raises concern for possible nutritional issues, underlying illness, or other factors affecting growth. That slower weight gain is the red flag that needs closer assessment, including reviewing growth charts, dietary intake, and health history.

The other findings describe typical preschool skills: riding a tricycle reflects advancing gross motor coordination; talking about an imaginary friend is a common form of imaginative play; dressing independently shows growing self-help abilities.