The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

"The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height."

"I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height."

"Are most of the adults in your family short? It may be hereditary that your child will be shorter than average."

"Some children are short for their age during the preschool years but usually catch up during early childhood."

Answer and Explanation

The Correct Answer is D

A.   This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B.   While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C.   While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D.   This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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Correct Answer is ["C","D","E"]

Explanation

A. Providing praise when deserved is important for reinforcing positive behavior and fostering self-esteem.
B. Speaking to the child as an authority figure may create distance and hinder effective communication.
C. Talking face to face and being aware of body language can enhance communication and understanding between parents and adolescents.
D. Acknowledging uncertainty and not pretending to have all the answers can foster honesty and openness in communication.
E. Asking questions to understand the adolescent's perspective and feelings encourages dialogue and mutual understanding.
F. Admitting mistakes and modeling accountability is important for building trust and demonstrating humility in parent-adolescent relationships.

A. Minimize kangaroo care. B. Assess the axillary temperature every hour. C. Encourage skin-to-skin contact. D. Assess environment for sources of heat loss. E. Review maternal history. F. Bathe the neonate with warmer water.

Correct Answer is ["A","B","C","D","E"]

Explanation

A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

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The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is conducting a seminar for parents of adolescents on how to communicate with teenagers. Which guidelines might the nurse recommend? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

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