Author Question: An infant is growing slowly, and the weight on the growth chart has remained at the 22 standard ... (Read 26 times)

ashley · **on:** Jun 27, 2018

An infant is growing slowly, and the weight on the growth chart has remained at the 22 standard deviation (22 SD). Which of these interventions takes priority?

1. Ask for a recall of the infant's intake in the previous day.
2. the mother about development milestones.
3. Report the case to Child Protective Services.
4. Firmly instruct the family about appropriate dietary intake for the infant.

Question 2

A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile. The nurse notes that the measurements 2 months ago were at the 25th percentile. How should the nurse interpret these data?

1. The infant is not gaining enough weight.
2. The infant has gained a significant amount of weight.
3. The previous measurements were most likely inaccurate.
4. These measurements most likely are inaccurate.

adf223 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale:
1. The nurse needs to obtain a nutritional history on this infant. Obtaining a 24-hour dietary recall on the infant is most appropriate.
2. Questioning developmental milestones would not lead to any conclusions about the problem presented.
3. There is no indication for reporting this parent to Child Protective Services.
4. Providing instruction on dietary intake without a nutritional history would not be appropriate.

Answer to Question 2

2
Rationale:
1. A comparison of these two sets of measurements shows that the infant has crossed two percentiles, going from the 25th to the 75th percentile, and has gained a significant amount of weight.
2. A comparison of these two sets of measurements shows that the infant has crossed two percentiles, going from the 25th to the 75th percentile, and has gained a significant amount of weight.
3. A comparison of these two sets of measurements shows that the infant has crossed two percentiles, going from the 25th to the 75th percentile, and has gained a significant amount of weight.
4. A comparison of these two sets of measurements shows that the infant has crossed two percentiles, going from the 25th to the 75th percentile, and has gained a significant amount of weight.