The nurse is assessing a 5-year-old child who is being seen in the clinic for the first time. The child's height and weight are in the 20th percentile on the commonly used growth chart from the National Center for Health Statistics. When interpreting the data, the nurse recognizes
The child's growth is below normal limits
The growth chart is not accurate for the child's ethnicity
The child's growth is within normal limits
The growth chart is not useful until several measurements are plotted over time
The Correct Answer is C
A. The 20th percentile does not indicate that the child’s growth is below normal limits. It simply means that the child is smaller than 80% of peers but still within a healthy range.
B. Growth charts are standardized and account for various ethnicities. Therefore, this option is incorrect.
C. A child whose height and weight fall within the 20th percentile is still within normal limits, as healthy growth can range from the 5th to 95th percentile.
D. Growth charts can be used even on single measurements to assess whether a child is tracking along a normal growth curve, though more frequent measurements give a better picture over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Quality of food, including nutrient-rich options, is more important than the quantity, as toddlers often have variable appetites but still need proper nutrition.
B. The caloric requirement for toddlers is around 1,000 to 1,400 calories per day, not 3,000.
C. Toddlers often have a decreased appetite compared to their infant stage due to slower growth rates.
D. Adult vitamins are not appropriate for toddlers, and their needs should be met primarily through food, with pediatric supplements used only if recommended by a healthcare provider.
Correct Answer is ["A","B","D"]
Explanation
A. Staying dry for extended periods and waking up dry are clear indicators that the child may be ready for potty training.
B. Encouraging the child to sit on the potty, even without using it, helps familiarize them with the process, which is beneficial for readiness.
C. Discipline for accidents can create anxiety and resistance toward potty training; it is important to approach the process positively.
D. Waiting for signs of interest and the ability to follow simple instructions respects the child's developmental readiness, making the transition smoother.
E. Starting potty training too early can lead to frustration for both the child and parents; readiness should be based on the child’s cues rather than age alone.
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