Practice Question
The nurse assesses a 10-year-old child whose mother expresses concern about the child's weight. The child is overweight, and the mother is unsure about how to help the child. What is the first step the nurse should take to assess the child's weight status?
Answer Choices:
Correct Answer:
Measurement of height and weight.
Rationale:
💠The first step in evaluating pediatric weight status is obtaining accurate height and weight, which are the inputs for BMI percentile.
💠Without precise anthropometrics, any downstream assessments (e.g., BMI for age/sex) may be invalid or misleading.
💠Establishing a reliable baseline supports monitoring of trends and evaluation of interventions over time.
💠Accurate measurements allow comparison with CDC/WHO growth charts, identifying overweight/obesity by percentile categories.
💠This foundational data also informs nutrition, activity, and metabolic risk counseling tailored to the child.
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This question is from Pediatrics Exam 1 - Modules 1 and 2 which contains 80 questions.
More Questions from This Exam
The nurse is preparing to screen a child for developmental delays. What is the most appropriate action by the nurse prior to assessing motor skills?
Answer Choices:
A. Observe the child playing and offer age-appropriate toys.
B. Assess intracranial pressure and level of consciousness.
C. Ask the child to show them how they play with a specific toy.
D. Hand the child a toy and ask them to demonstrate how they play with the toy.
The nurse is preparing to provide post-mortem care for a 7-year-old child who has died after a prolonged illness. Which action should the nurse take first to support the family during this time?
Answer Choices:
A. Remove all medical equipment from the child's room to prepare the body
B. Contact the hospital chaplain or spiritual support services without asking the family
C. Offer the family time and privacy to be with the child before beginning post-mortem care
D. Begin gentle cleansing of the child's body and remove any tubes or lines
The nurse is assessing an adolescent client's development. Which statement by the adolescent indicates appropriate psychosocial development for their age group?
Answer Choices:
A. "l no longer feel nervous about fitting in, and I only seek advice from my family."
B. "l prefer spending time with my friends and sometimes feel misunderstood by my parents."
C. "l always try to follow the rules, even when my friends don't agree with them."
D. "I feel confident in making major life decisions without discussing them with anyone."
A 6-year-old child with a chronic illness practices Buddhism. The parents inform the nurse that their child observes specific meditation and prayer times daily for spiritual healing. How should the nurse best incorporate this practice into the child's care plan?
Answer Choices:
A. Ask the family for the child's prayer schedule and plan medical treatments around these times to support the child's spiritual needs.
B. Provide a designated area in the hospital for the family to pray during visiting hours, but ensure treatments are prioritized over prayer.
C. Advise the family to adjust their prayer times according to the hospital's visiting hours and medical schedules.
D. Schedule a meeting with hospital chaplaincy services to arrange for meditation sessions during the child’s hospitalization
The nurse is evaluating the home care plan for a I-year-old diagnosed with phenylketonuria. Which action by the parents indicates a need for further teaching?
Answer Choices:
A. The parents avoid giving the child food with artificial sweeteners containing aspartame.
B. The parents continue using a special low-protein formula as recommended.
C. The parents monitor the child's weight and growth regularly at home.
D. The parents include high-protein foods such as cheese and eggs in the child's diet.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 👶🏼Pediatrics
- Answer Choices: 4