A 9-year-old child who has been followed in the same pediatric home since birth is at the healthcare center for a well-child visit
A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data?
1. The child is beginning a growth spurt.
2. The child is obese and needs dietary counseling.
3. The parents are most likely below the 50th percentile for height and weight.
4. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
Correct Answer: 2
Rationale: These data show that the child is disproportionate in height and weight. This child's weight is very high in comparison to height. The child would appear obese. Dietary history and counseling are the first steps. This child may also need an endocrine evaluation. This is not a growth spurt since height is what is referred to as a growth spurt. No assumptions about the parents can be made from the data presented. The statement about the adolescent growth spurt is incorrect for a child of this age.
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_________________ is the way a person adapts to a stressor psychologically, physically, and behaviorally
ANS: