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
Explanation
A. Descriptive words might be confusing for a 4-year-old and may not accurately capture their experience of pain.
B. The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.
C. While observing the child’s behavior can provide insights, it does not give a direct assessment of pain.
D. Rating pain on a scale of one to ten may be difficult for a child this age, as they may not fully understand numerical values.
Correct Answer is C
Explanation
A. At 16 months, toddlers are not expected to speak in full sentences. They typically use one- to two-word phrases.
B. Jumping with both feet is a skill usually seen closer to age 2-3 years, so it is not a concern for a 16-month-old.
C. Inability to stand upright without support at 16 months is a developmental delay and should be reported to the provider for further evaluation.
D. Building a tower of six to seven cubes is a skill expected closer to 2 years of age, so it is not a concern at 16 months.
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