,
, SENTINEL U APS PEDIATRIC WELLNESS SIMULATION – ALONZO HARWOOD
CASE | 100% SCORE ACTIVITY REPORT & CLINICAL COMPETENCY
ANALYSIS | 2026 UPDATE -NORTHERN KENTUCKY UNIVERSITY.
SECTION 1: FOUNDATIONAL PEDIATRIC KNOWLEDGE & DEVELOPMENTAL
MILESTONES (Q1-Q25)
Question 1: A 4-year-old child like Alonzo should be able to accomplish which fine motor skill?
A. Tying shoelaces
B. Drawing a circle
C. Using scissors
D. Writing a first name
CorreCt Answer: B. Drawing a circle
rAtionAle: Drawing a circle is an age-appropriate fine motor milestone for a 4-year-old.
Tying shoelaces typically emerges at age 6, using scissors at age 5, and writing a first name at
age 5-6.
Question 2: Which gross motor milestone is expected for a 4-year-old?
A. Hopping on one foot
B. Riding a tricycle
C. Walking up stairs with alternating feet
D. Skipping
CorreCt Answer: A. Hopping on one foot
rAtionAle: By age 4, a child typically has the balance and coordination to hop on one foot.
Riding a tricycle is a toddler skill (age 2-3), and skipping is usually mastered by age 5-6.
Question 3: What language milestone is typical for a 4-year-old?
A. Speaking in 2-3 word phrases
B. Speaking in 5-6 word sentences and telling simple stories
C. Using complex sentences with perfect grammar
D. Understanding abstract concepts like time and space
CorreCt Answer: B. Speaking in 5-6 word sentences and telling simple stories
rAtionAle: By age 4, children should be speaking in sentences of 5-6 words, telling simple
stories, and being understood by strangers most of the time.
Question 4: According to Erikson, which psychosocial stage is a 4-year-old in?
, SENTINEL U APS PEDIATRIC WELLNESS SIMULATION – ALONZO HARWOOD
CASE | 100% SCORE ACTIVITY REPORT & CLINICAL COMPETENCY
ANALYSIS | 2026 UPDATE -NORTHERN KENTUCKY UNIVERSITY.
SECTION 1: FOUNDATIONAL PEDIATRIC KNOWLEDGE & DEVELOPMENTAL
MILESTONES (Q1-Q25)
Question 1: A 4-year-old child like Alonzo should be able to accomplish which fine motor skill?
A. Tying shoelaces
B. Drawing a circle
C. Using scissors
D. Writing a first name
CorreCt Answer: B. Drawing a circle
rAtionAle: Drawing a circle is an age-appropriate fine motor milestone for a 4-year-old.
Tying shoelaces typically emerges at age 6, using scissors at age 5, and writing a first name at
age 5-6.
Question 2: Which gross motor milestone is expected for a 4-year-old?
A. Hopping on one foot
B. Riding a tricycle
C. Walking up stairs with alternating feet
D. Skipping
CorreCt Answer: A. Hopping on one foot
rAtionAle: By age 4, a child typically has the balance and coordination to hop on one foot.
Riding a tricycle is a toddler skill (age 2-3), and skipping is usually mastered by age 5-6.
Question 3: What language milestone is typical for a 4-year-old?
A. Speaking in 2-3 word phrases
B. Speaking in 5-6 word sentences and telling simple stories
C. Using complex sentences with perfect grammar
D. Understanding abstract concepts like time and space
CorreCt Answer: B. Speaking in 5-6 word sentences and telling simple stories
rAtionAle: By age 4, children should be speaking in sentences of 5-6 words, telling simple
stories, and being understood by strangers most of the time.
Question 4: According to Erikson, which psychosocial stage is a 4-year-old in?
