Author Question: A nine-year-old child who has been followed in the same pediatric health care home since birth has ... (Read 193 times)

pane00 · **on:** Jun 28, 2018

A nine-year-old child who has been followed in the same pediatric health care home since birth has come in for a well-child visit.

A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data? 1. The child is obese and needs dietary counseling.
2. The child is beginning a growth spurt.
3. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
4. The parents are most likely below the 50th percentile for height and weight.

Question 2

Which of the following parental demonstrations indicates that they understand the nurse's teaching with regard to prevention of iron-deficiency anemia?

1. The parents feed their infant with a formula that is not iron-fortified.
2. The parents start iron-fortified infant cereal at 46 months of age.
3. Cow's milk is introduced into the child's diet at 6 months of age.

4. The child's vitamin C consumption is limited after 1 year of age.

srodz · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: These data show that the child is disproportionate in height and weight. This child's weight is very high in comparison with height. The child would appear obese. Dietary history and counseling are the first steps. This child also might need an endocrine evaluation.
Rationale 2: This is not a growth spurt, since height is what is referred to by the term growth spurt.
Rationale 3: The statement about the adolescent growth spurt is incorrect for this age child.
Rationale 4: No assumptions about the parents can be made from the data presented.
Global Rationale:

Answer to Question 2

2
Rationale:
1. The infant's maternal iron stores are depleted by 6 months. Infants who are not breastfed should get iron-fortified formula.
2. Starting iron-fortified infant cereal at 46 months of age is recommended for prevention of iron deficiency in children.
3. Cow's milk should not be introduced until 12 months of age.
4. Vitamin C should be started at 69 months of age and continued, because foods rich in vitamin C improve iron absorption.