Is it correct that the only things a very young child understands are reward and pain?

Is it correct that the only things a very young child understands are reward and pain?
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Aren’t pain avoidance and pleasure seeking the only things that motivate all of us?
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Nurse Fely did her admission. She understands that the pain is characterized as A. Tenderness that is generalized in the upper epigastric area B. Pain in the left upper quadrant radiating to the left shoulder C. Tenderness and rigidity at the left epigastric area radiating to the back D. Tenderness and rigidity at the upper right abdomen radiating to the midsternal area

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