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","B","C","D"]
Explanation
A. Allowing multiple snacks can help provide additional nutrients and calories without overwhelming the toddler during mealtimes.
B. Offering small, frequent meals throughout the day is a good strategy for toddlers experiencing physiological anorexia, as it can be more manageable for them.
C. Providing a variety of healthy foods and allowing the toddler to choose promotes autonomy and encourages healthier eating habits.
D. Avoiding the force-feeding of the toddler respects their hunger cues and helps build a positive relationship with food.
E. Limiting fluid intake is not advisable, as hydration is important, and reducing fluids may lead to dehydration.
F. Encouraging larger portions may overwhelm a toddler and lead to further resistance to eating; focusing on smaller, manageable portions is more effective.
Correct Answer is A
Explanation
A. A facial grimace is a common indicator of pain in infants and suggests discomfort, prompting further assessment.
B. Dry palms and feet are not specific indicators of pain and can be influenced by other factors such as dehydration or environmental conditions.
C. Wide-open eyes in an infant can occur for various reasons, including curiosity or surprise, and are not specifically indicative of pain.
D. Decreased muscle tone can indicate various conditions, but it is not a direct sign of pain and may require further evaluation.
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