Author Question: A 9-year-old child who has been followed in the same pediatric home since birth is at the healthcare ... (Read 80 times)

fagboi · **on:** Jun 27, 2018

A 9-year-old child who has been followed in the same pediatric home since birth is at the healthcare center for a well child visit.

A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight.How should the nurse interpret these data?
1. The child is beginning a growthspurt.
2. The child is obese and needs dietarycounseling.
3. The parents are most likely belowthe 50th percentile for height and weight.
4. As soon as the child begins theadolescent growth spurt,the height and weight measurements will normalize.

Question 2

A 17-year-old female presents at a nurse practitioner's office and requests a signature for working papers.

The nurse reviews her chart and notes that the last physical examination was two years ago. In addition to providing the signature for the working papers,the nurse should use this visit as
1. an opportunity to discuss birthcontrol measures.
2. a time to discuss exercise and sportsparticipation .
3. a health-supervision opportunity.
4. a chance to discuss the importanceof pursuing postsecondary edu

sabina576 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:2
Rationale: These data show that the child is disproportionate in height and weight. This child's weight is very high in comparison to height. The child would appear obese.Dietary history and counseling are the first steps. This child may also need an endocrine evaluation. This is not a growth spurt since height is what is referred to as a growth spurt.No assumptions about the parents can be made from the data presented. The statement about the adolescent growth spurt is incorrect for this age child.

Answer to Question 2

Answer:3
Rationale: All visits should be used as health-promotion and health-supervision visits. While discussing birth control,exercise,and future plans is important, these can be included in the overall health-supervision protocols.