A nurse reviews a child's growth chart and finds that the weight curve has crossed downward through two major percentile lines. What is the best first action?
Correct answer: A. Assess feeding history and check the child's health
- A. Assess feeding history and check the child's health
- B. Start a high-calorie supplement without assessment
- C. Reassure the caregiver because one weight is normal
- D. Restrict fluids to increase appetite at mealtimes
Explanation
A downward crossing of growth lines may indicate growth faltering and requires assessment of intake, illness, feeding technique and social factors. Supplementation should follow assessment, while fluid restriction is unsafe and reassurance alone may delay care.
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About Childhood Nutrition and Malnutrition
Childhood nutrition covers essential nutrients, breastfeeding, complementary feeding, dietary assessment, growth monitoring and age-appropriate feeding practices. Questions distinguish protein-energy malnutrition, including marasmus and kwashiorkor, from micronutrient deficiencies such as iron, vitamin A, vitamin D and iodine deficiency, using clinical signs and anthropometric findings.
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