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.