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What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be?
- A. 28.9
- B. 32.4
- C. 34.8
- D. 37.6
Correct Answer: B
Rationale: The formula for BMI calculation is weight in kg divided by height in meters (squared): 45.4 (weight in kg) divided by 1.44 (1.2 squared) = 31.53, which rounds to 32.4.
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At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response?
- A. If the teeth are brushed regularly, the child should see a dentist by 3 years of age.'
- B. The first dental visit should be arranged after the first tooth erupts.'
- C. The child should have a dental examination when all deciduous teeth have erupted.'
- D. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.'
Correct Answer: D
Rationale: The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.
What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
- A. Specific to general
- B. Proximodistal
- C. Cephalocaudal
- D. General to specific
Correct Answer: C
Rationale: Cephalocaudal development proceeds from head to toe.
An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. How would this child's nutritional status be described?
- A. Overnourished
- B. Undernourished
- C. Well nourished
- D. Borderline
Correct Answer: C
Rationale: Well-nourished children show steady gains in height and weight and have shiny hair, firm gums and mucous membranes, and regular elimination.
Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply.)
- A. Bubble gum
- B. Chocolate-covered peanuts
- C. Raw vegetables
- D. Cheese
- E. Dried fruits
Correct Answer: C,D
Rationale: Cheese and raw vegetables are acceptable healthy snacks. Bubble gum, chocolate-covered peanuts, and dried fruits all contain high amounts of sugar.
The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age?
- A. 4 years old
- B. 6 years old
- C. 8 years old
- D. 10 years old
Correct Answer: B
Rationale: Permanent teeth do not erupt through the gums until the sixth year.