A nurse is assessing an 11-monthold infant and notes that the infant's height and weight are at the fifth percentile on the growth chart
Family history reveals that the two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
1. Alteration in Growth Pattern relatedto parental anxiety
2. Alteration in Growth Patternsecondary to familial short stature
3. Nutritional Intake:Excessivesecondary to maternal feeding patterns
4. At Risk for Constitutional GrowthDelay related to decreased appetite
Answer:1
Rationale: The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is Alteration in Growth Patterns related to parental anxiety. There is no data that indicates familial short stature.Since height and weight are at the fifth percentile,there is no indication of increased nutritional intake. This infant is not at risk for constitutional growth delay.
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