At a well-child visit, the nurse notes a 4-year-old child to be in the 95th percentile for weight. Which screening measure is most important for the nurse include in this visit?
A.
Body mass index (BMI)
B.
Cholesterol panel
C.
Congenital heart disease
D.
None; child is too young
ANS: B
After the age of 2 years, children who meet certain criteria should be screened for hypercholesterolemia-hyperlipidemia. Criteria include a child who is at the 85% percentile or greater for weight. A BMI can be calculated from the height and weight, but does not screen for other diseases. Congenital heart disease is not related to a heavy weight.
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