The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?
"The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height."
"I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height."
"Are most of the adults in your family short? It may be hereditary that your child will be shorter than average."
"Some children are short for their age during the preschool years but usually catch up during early childhood."
The Correct Answer is D
A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.
Correct Answer is A
Explanation
A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.
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