At a routine health care visit, a nurse measures a toddler and plots the height and weight on the growth charts. The nurse documents that the toddler is above the 95th percentile for weight and is at the 5th percentile for height
How should the nurse interpret these data? 1. The toddler is proportionate for age.
2. The toddler needs to eat more at each feeding.
3. The height and weight are disproportionate, and the toddler needs further evaluation.
4. The family most likely is short.
3
Rationale:
1. The height and weight for the child described in this question are a concern, and the child might need further endocrine testing.
2. Eating more will increase the child's weight but might do nothing to increase height. Further evaluation is needed.
3. Usually, height and weight are at approximately the same percentile. When the weight of a child is found to be at the 95th percentile, the child's height usually also is greater than the 50th percentile.
4. The family might be short, but a difference this great between height and weight needs to be referred for further evaluation and testing.
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