A nine-year-old child who has been followed in the same pediatric health care home since birth has come in 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 obese and needs dietary counseling.
2. The child is beginning a growth spurt.
3. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
4. The parents are most likely below the 50th percentile for height and weight.
1
Rationale 1: These data show that the child is disproportionate in height and weight. This child's weight is very high in comparison with height. The child would appear obese. Dietary history and counseling are the first steps. This child also might need an endocrine evaluation.
Rationale 2: This is not a growth spurt, since height is what is referred to by the term growth spurt.
Rationale 3: The statement about the adolescent growth spurt is incorrect for this age child.
Rationale 4: No assumptions about the parents can be made from the data presented.
Global Rationale:
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It is important for the nurse to develop a realistic birth plan with the pregnant woman. The nurse can explain that a major advantage of nonpharmacologic pain management is that
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Following an acute myocardial infarction (AMI), a patient ambulates in the hospital hallway. When the nurse is evaluating the patient's response to the activity, which assessment data would indicate that the exercise level should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg. b. Oxygen saturation drops from 99% to 95%. c. Heart rate increases from 66 to 92 beats/minute. d. Respiratory rate goes from 14 to 20 breaths/minute.
The nurse is caring for a patient at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the patient needs additional teaching? "If I:
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