A parent with his 7-year-old son at the pediatric clinic ...

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A parent with his 7-year-old son at the pediatric clinic expresses concern that the child is too short. The nurse measures the child and finds him to be 100 cm (39.3 inches) tall. Which statement by the nurse is most appropriate?
 
  A.
  Children are often 'too short' until they reach puberty.
  B.
  He's shorter than average, but it's not significant.
  C.
  Let's discuss some options for promoting growth.
  D.
  Your child is of average height for a 7-year-old.

Question 2

A child is in the clinic for follow-up after starting recombinant growth hormone for growth hormone deficiency. After obtaining the child's height, which assessment is the priority?
 
  A.
  Blood pressure
  B.
  Bowel function
  C.
  Respiratory effort
  D.
  Urinary osmolality

[momo1250]

Answer to Question 1

ANS: C
This child's height is well below the 5th percentile for age, so he could have hypopituitarism leading to growth hormone deficiency. The nurse should acknowledge the fact and begin discussions about the condition gently and objectively. The other answers are not appropriate.

Answer to Question 2

ANS: A
One of the side effects of human growth hormone administration is hypertension. The nurse should assess the child's blood pressure. Bowel function, respiratory effort, and urine osmolality are not affected.

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Thank you

[momo1250]

Happy to help you