A 14-month-old child has normal length and head growth but a progressive decline in weight percentile. Which assessment should the nurse perform first?
Correct answer: A. Observe the child during a usual feeding
- A. Observe the child during a usual feeding
- B. Measure the child’s chest circumference
- C. Test the child’s deep tendon reflexes
- D. Assess the child’s ability to copy a circle
Explanation
Direct observation of feeding can identify poor attachment, unsafe feeding technique, prolonged meals, or inadequate intake. The other assessments do not directly explain the child’s declining weight and are not the first priority.
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About Growth and Development
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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