The nurse is conducting a physical assessment for a preschool-age ...

[fnuegbu]

The nurse is conducting a physical assessment for a preschool-age child. When plotting the child's body mass index (BMI) the nurse notes that the child's is at the 90th percentile. Which action by the nurse is appropriate?
 
  1. Referring the child to a nutritionist
  2. Conducting a developmental assessment
  3. Assessing the child's level of activity
  4. Checking a blood glucose level

Question 2

Which action should the nurse include when providing education regarding methods to enhance health promotion during a scheduled health maintenance visit for a 4-year-old child?
 
  1. Recognizing that food jags are common
  2. Involving the child in snack selection and preparation
  3. Encouraging the use of a highchair with a safety strap
  4. Recommending the child consumes high-fat foods

[brittrenee]

Answer to Question 1

3
Explanation:
1. While the nurse will need to assess a detailed dietary intake for the child it is not appropriate to refer the child to a nutritionist at this time.
2. There is no reason for the nurse to conduct a developmental assessment based on the current assessment data.
3. A child with a BMI that is 85 or greater should have a detailed dietary intake assessment conducted along with assessing the child's level of activity.
4. The current assessment data do not support the need to check the child's blood glucose level.

Answer to Question 2

2
Explanation:
1. Food jags are not common for a 4-year-old child. This is more common for the 2-year-old child.
2. A 4-year-old child should be involved in snack selection and preparation.
3. The use of a highchair with a safety strap is not information that should be included for a 4-year-old child during a health maintenance visit. This is more appropriate for a toddler-age child.
4. Low-fat, not high-fat, foods should be encouraged during the health maintenance visit.

[fnuegbu]

Excellent

[ghepp]

TYSM