A 10-month-old child has poor weight gain and has crossed downward across two percentile lines. The caregiver reports frequent loose stools. Which assessment should the nurse prioritise?
Correct answer: A. Assess hydration, feeding, and stool history
- A. Assess hydration, feeding, and stool history
- B. Teach the caregiver to stop all complementary foods
- C. Reassure the caregiver that downward crossing is always normal
- D. Measure the child’s head circumference only
Explanation
Poor weight gain with repeated loose stools may reflect dehydration, inadequate nutrient absorption, infection, or feeding problems. Airway and breathing are not described as compromised, so focused circulation and nutrition assessment is the priority before planning referral and treatment.
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Growth refers to measurable physical change, while development describes progressive skills in the motor, language, cognitive, emotional and social domains. Questions cover normal growth patterns, developmental milestones, developmental screening, factors affecting progress, and recognition of growth faltering or developmental delay, including the difference between maturation and learning.
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