During monthly growth monitoring at a BHU, a child's weight remains unchanged for three consecutive visits. What should the nurse do first?
Correct answer: B. Review feeding, illness history, and the growth trend
- A. Reassure the caregiver because the child has no fever
- B. Review feeding, illness history, and the growth trend
- C. Start an iron injection without further assessment
- D. Advise stopping breastfeeding until weight improves
Explanation
A weight plateau requires assessment of the complete growth trend, feeding practices, and recent illness before planning care. Stopping breastfeeding or giving medication without assessment may worsen the child's nutritional status.
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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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