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
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.
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