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 ["B","D"]
Explanation
A. Occasional letter reversal is common at this age and not a concern for developmental delay.
B. At 4 years old, a child should be able to follow simple two-step instructions. Difficulty doing so may indicate a developmental delay.
C. Occasional stuttering when excited or nervous is common and does not indicate a developmental delay.
D. A vocabulary of fewer than 50 words is concerning, as children at this age typically have a much larger vocabulary.
E. Difficulty sharing toys is developmentally normal for a 4-year-old and does not necessarily indicate a delay.
Correct Answer is D
Explanation
A. Following one-step directions is more characteristic of toddlers, while preschoolers can follow multi-step directions.
B. Recognizing oneself in a mirror typically occurs in infants or toddlers.
C. Collecting items is usually a hobby or behavior observed in older children, not preschoolers.
D. Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.
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