Review Question - QID 214682

A 6-month old boy is brought to the office by his parents for a routine checkup. The patient is able to sit with his hands propped on the exam table. When he tries to sit unsupported, he falls forward after a few seconds. He transfers a toy car from his left hand to his right hand; however, when handed his bottle, he is unable to hold it for more than 2 seconds before dropping it. He cries when the physician picks him up. When his mother calls his name, he turns to her and reaches for her. He is consoled once his mother holds him and smiles. He babbles but does not produce any coherent words. He is unable to stand or crawl. Family history is notable for a motor delay in his 3-year old brother who could not walk until 18 months of age. The patient is at the 40th percentile for length, 60th percentile for weight, and 50th percentile for head circumference. Babinski reflex is present. Which of the following best describes this child’s gross motor, fine motor, and social development?