Author Question: At a routine health care visit, a nurse measures a school-age child and plots the height and weight ... (Read 47 times)

TFauchery · **on:** Jun 28, 2018

At a routine health care visit, a nurse measures a school-age child and plots the height and weight on the growth charts.

The nurse documents that the school-age child is above the 95th percentile for weight and is at the fifth percentile for height, where it has been for a few years. How should the nurse interpret these data? 1. The school-age child is proportionate for the age.
2. The school-age child needs to eat more at each feeding.
3. The height and weight are disproportionate, and the child needs further evaluation.
4. The family is most likely short in stature

Question 2

A 12-year-old child is being admitted to the unit for a surgical procedure. The child is accompanied by two parents and a younger sibling. The level of involvement in treatment decision making for this child is:

1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None.

yifu223 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3

Rationale:
1. The child's height and weight are disproportionate for this child, and she needs to be evaluated.
2. Because the weight is at the 95th percentile, eating more food will not solve the problem. The problem lies in the height for this child.
3. Usually height and weight are at approximately the same percentile. Usually when the weight of a child is found to be at the 95th percentile, the child's height is also greater than the 50th percentile. The height and weight for the child described in this question are a concern, and the child might need further endocrine testing.
4. There is not enough information to determine the stature of the family.

Answer to Question 2

3
Rationale:
1. An emancipated minor is a self-supporting adolescent who is not subject to the control of a parent or guardian.
2. A mature minor is a 14- or 15-year-old whom the state law designates as being able to understand medical risks and who is thus permitted to give informed consent for treatment.
3. Assent requires the ability to generally understand what procedure and treatments are planned, to understand what participation is required, and to make a statement of agreement or disagreement with the plan. Usually, in Piaget's stage of formal operations, 1113-year-olds should be able to problem-solve using abstract concepts, and are able to give valid assent when parents sign the informed consent.
4. The child has some involvement at age 12, so this answer is not correct.