A nurse is measuring the head and chest circumference of a child. Which of the following is a recommended guideline for these procedures?
A) Use a cloth measuring tape to measure the chest.
B) Measure the occipital-frontal circumference of the head for children up to 3 years of age.
C) Do not measure the head of a child with a suspected abnormality.
D) Measure the chest an inch below the nipple line.
B
Feedback:
The nurse should measure the occipital-frontal circumference (OFC) of the head for children up to 3 years of age and for any child with a head size that is in question. The nurse should then plot measurements on a growth chart and compare them against normal sizes for the child's age group to determine any abnormalities. The nurse should measure the chest at the child's nipple line, not an inch below the nipple line, using a paper tape measure.
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