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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.
Correct Answer is ["B","C","D"]
Explanation
A. Increased physical growth is not directly related to the prevalence of adolescent injuries.
B. Peer pressure can influence adolescents to engage in risky behaviors, leading to an increased risk of injuries.
C. Insufficient psychomotor coordination, particularly during periods of rapid growth, can contribute to the risk of injuries in adolescents.
D. Inexperience, particularly in activities such as driving or sports, can increase the risk of injuries among adolescents.
E. Lack of impulsivity is not typically associated with an increased risk of adolescent injuries.
F. Tiredness and lack of energy may affect overall well-being but are not specifically related to the prevalence of adolescent injuries.
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