The nurse working in a pediatrician's office admits an 8-year-old for an annual physical examination. The child is 51 inches tall (3-inch increase from last year) and 58 pounds (7-pound gain from last year)
The nurse's nutritional teaching is aimed at: 1. Helping the child gain weight.
2. Helping the child lose weight.
3. Guiding the child to make healthy food choices.
4. Encouraging three meals a day and limiting snacks to prevent obesity.
3
Rationale: Dietary habits and food preferences are strongly established during the school-age years, so it is important for the nurse to teach the child how to make healthy choices. The child's weight and height are currently in the 50th percentile, so the child has no need to gain or lose weight. Number of meals per day is far less important than the choice of foods, because a child eating three meals of high-fat, high-calorie foods will gain weight, while the child eating several snacks a day will not gain weight if the snacks contain fresh fruits and vegetables in appropriate amounts.
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