The parent of an adolescent female tells the nurse, I am ...

[audie]

The parent of an adolescent female tells the nurse, I am concerned about my daughter's weight gain, but she doesn't look obese. Which response by the nurse is the most appropriate?
 
  1. If your daughter is 10 more than the ideal weight, she is morbidly obese.
  2. Teenage girls are often obese and should be monitored for excessive caloric intake.
  3. The ideal body weight fluctuates, depending upon gender, height, and general build.
  4. Your daughter's body mass index (BMI) should be calculated each month to determine obesity.

Question 2

The nurse tells a client that, due to leptin secretion by adipocytes, the hypothalamus has what affect on appetite?
 
  1. Intensification of appetite
  2. Maintenance of appetite
  3. Decrease of appetite
  4. Inappropriate appetite

[chem1s3]

Answer to Question 1

Correct Answer: 3
Rationale 1: Weight that is 20 more than ideal weight is considered obese.
Rationale 2: Adolescent females do not have a greater propensity for excessive caloric intake.
Rationale 3: Gender, height, and general body build are factors involved in determining ideal body weight.
Rationale 4: BMI is only one assessment used to determine ideal weight. Monthly BMI calculation is not necessary.
Global Rationale: Gender, height, and general body build are factors involved in determining ideal body weight.
Adolescent females do not have a greater propensity for excessive caloric intake. Weight that is 20 more than ideal weight is considered obese. BMI is only one assessment used to determine ideal weight. Monthly BMI calculation is not necessary.

Answer to Question 2

Correct Answer: 3
Rationale 1: Intensifying of the appetite is not due to the binding of leptin.
Rationale 2: The binding of leptin does not maintain appetite.
Rationale 3: The binding of leptin signals the hypothalamus to decrease appetite.
Rationale 4: The binding of leptin does not cause inappropriate appetite as is seen with PICA.
Global Rationale: A hormone that regulates hunger and weight balance is leptin, a protein secreted by adipocytes (fat cells). When a certain amount of fat has been stored, adipocytes increase their secretion of leptin. Receptors for leptin are located in the satiety center in the hypothalamus. Binding of leptin to its receptors signals the hypothalamus that the body has ingested enough food and tells the brain how much adipose tissue is present.

[audie]

Excellent

[bdobbins]

TYSM