The parents of a 5-year-old boy are concerned about how a recent motorcycle accident to his father will affect the child. Although the father has fully recovered, the child is very concerned if the father is away longer than expected; the child is not as talkative but appears withdrawn and quiet. The nurse should point out the child’s behavior is likely related to which factor?

Choice A reason: Cooking low-fat foods demonstrates a proactive approach to healthy eating, reducing calorie-dense intake and preventing obesity. This aligns with pediatric nutrition guidelines for obesity prevention, making it the best statement indicating caregivers’ preparedness to promote healthy weight in their child during discussions.

Choice B reason: Keeping many snacks encourages frequent eating, potentially high-calorie intake, increasing obesity risk. Low-fat cooking directly addresses dietary quality, making this counterproductive and incorrect compared to a strategy focused on reducing fat content to prevent obesity in school-aged children.

Choice C reason: Limiting fast food to weekends reduces unhealthy intake but does not proactively promote healthy eating like low-fat cooking. Fast food, even occasionally, is high in calories, making this less effective and incorrect for demonstrating optimal preparedness to prevent childhood obesity among caregivers.

Choice D reason: Parental weight history is irrelevant to current actions preventing child obesity. Cooking low-fat foods actively addresses dietary habits, while personal weight concerns do not ensure healthy practices, making this incorrect for illustrating caregivers’ readiness to prevent obesity in their child.

Choice A reason: The “shortcut” scale is not a standard method for the West nomogram, which calculates body surface area (BSA) for precise dosing. Using BSA ensures accuracy for a 76-lb, 50-inch child, making this simplified approach incorrect for calculating a safe pediatric medication dosage in clinical practice.

Choice B reason: Aligning height and weight to a percentage of adult dosage is not how the West nomogram works; it calculates BSA. The correct method uses BSA relative to adult BSA, making this incorrect, as it skips the critical step of surface area calculation for accurate pediatric dosing.

Choice C reason: Multiplying height and weight and dividing the adult dosage is not a nomogram method. The West nomogram uses BSA to adjust doses, comparing child and adult surface areas, making this mathematically incorrect and inappropriate for calculating a safe pediatric medication dose for the child.

Choice D reason: The West nomogram calculates a child’s BSA using height (50 inches) and weight (76 lb), then divides by the average adult BSA (1.7 m²) to find the proportion of the adult dose (300 mg). This method ensures accurate pediatric dosing, making it the correct choice for safe administration.