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

Explanation

A. This statement doesn't demonstrate understanding of appropriate feeding practices for a 5-month-old.
B. While pureeing food is a method of introducing solid foods, it doesn't specifically address the appropriate consistency or type of food.
C. Introducing cereal with a thin consistency is appropriate as a first solid food for a 5-month-old.
D. Starting with baby oatmeal cereal mixed with low-fat milk may not be appropriate as cow's milk is not recommended before the age of 1.

A. Have the parent stand near and/or rub the child's feet during the procedure. B. Use restraint or "holding down" of the child during the procedure to prevent injury. C. Insert a saline lock if the child will require multiple doses of parenteral medications. D. Avoid using numbing techniques for multiple blood draws or IV insertion.

Correct Answer is C

Explanation

A. Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B. Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C. A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D. Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.

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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 nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?

Correct Answer is C

Explanation

The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

Correct Answer is C

Explanation

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