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 ["C","E"]
Explanation
A. Mild diarrhea is not generally a contraindication for receiving a live virus vaccine.
B. Recent exposure to an infectious disease, unless it’s the disease in question, is not a contraindication.
C. Children with severe immunodeficiency are contraindicated from receiving live virus vaccines, as their weakened immune system cannot handle the live attenuated virus.
D. Mild cold symptoms are typically not a contraindication for live virus vaccines.
E. A previous anaphylactic reaction to a vaccine is a strict contraindication to receiving that vaccine again due to the risk of a life-threatening allergic reaction.
Correct Answer is ["A","D","F","G"]
Explanation
A. Development typically progresses from the head (top) to the feet (bottom), reflecting a cephalocaudal pattern.
B. This statement is inaccurate; development is not characterized by functional to nonfunctional but rather by increasing complexity.
C. This pattern is incorrect; development does not proceed from outside to inside but instead follows a different trajectory.
D. The development pattern from the center (proximal) to the periphery (distal) is known as the proximodistal pattern of development.
E. This statement is not correct; development does not follow a bottom-to-top pattern.
F. Development does move from simple skills to more complex skills as infants grow.
G. Growth and development indeed follow a pathway from general skills to more specific tasks as children refine their abilities.
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