A nurse is counseling parents of a child beginning to show signs ...

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A nurse is counseling parents of a child beginning to show signs of being overweight. The nurse accurately relates which body mass index (BMI)-for-age percentile indicates a risk for being overweight?
 
  a. 10th percentile
  b. 9th percentile
  c. 85th percentile
  d. 95th percentile

Question 2

A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?
 
  a. Always proceed in a head-to-toe direction.
  b. Perform traumatic procedures first.
  c. Use minimal physical contact initially.
  d. Demonstrate use of equipment.

[diana chang]

Answer to Question 1

ANS: C
Children who have BMI-for-age greater than or equal to the 85th percentile and less than the 95th percentile are at risk for being overweight. Children in the 9th and 10th percentiles are within normal limits. Children who are greater than or equal to the 95th percentile are considered overweight.

Answer to Question 2

ANS: C
Parents can remove clothing, and the child can remain on the parent's lap. The nurse should use minimal physical contact initially to gain the child's cooperation. The head-to-toe assessment can be done in older children but usually must be adapted in younger children. Traumatic procedures should always be performed last. These will most likely upset the child and inhibit cooperation. The nurse should introduce the equipment slowly. The child can inspect the equipment, but demonstrations are usually too complex for toddlers.