NU201 Family Focused Nursing Practice (2021)

Growth Measurements

Student name: date:

Learning Objectives

 Examines the various roles nurses employ in the care of children (CII)
 Uses knowledge of consumers’ rights and responsibilities to plan care for patient and
their families (AII)
 Collaborates with other healthcare professionals to coordinate care to meet the health
goals of the family and child (AII)
 Uses critical thinking as a basis for nursing care of the family with a child from birth to
10 Years (CII)

Theory Clinical Location of Content Materials

Preparation Preparation to Bring
Content Content
 NU 201  NU 201 Student
Physical clinical skill 1. The Centers for Disease Control and Prevention’s clinical
assessment, Growth (CDC)’s website ( www.cdc.gov.growthcharts ) and equipment
Growth, Measuremen download the Birth to 36 Months: Length for Age and .
and t. Weight for Age profiles. Plot the appropriate weight
measureme and height to determine the percentile each parameter
nt handouts. falls within.
 Newborn. 2. Reading Growth Charts
 Growth and 3. https://www.youtube.com/watch?
developmen v=e0UjW0qWDmM
t
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1. An 11-year-old male is being evaluated in the ER for an inguinal hernia. Which statement
accurately describes how the nurse should approach him for his physical assessment?

1. The nurse should ask the child’s parents to remain in the room during the physical exam.

2. The nurse should auscultate the child’s heart, lungs, and abdomen first.

3. The nurse should explain to the child that the physical exam will not hurt.

4. The nurse should explain to the child what the nurse will be doing in basic understandable
terms.

2. A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the
infant and reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells
the nurse that her baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse’s
best response to the mother is:

1. “I will let the doctor know, and he will talk with you about possible causes of your

weight loss.”

2. “An initial weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers.”

3. “I can tell you are a first-time mother. Don’t worry; we will find out why she is losing weight.”

4. “Maybe she isn’t getting enough milk. How often are you breastfeeding her?”

A 5-year-old boy has always been one of the shortest children in class since preschool. His
mother tells the school nurse that her husband is 6’ and she is 5’7”. She is concerned about
her son’s height. Based on her knowledge of a child’s physical growth during the school-age
years, what should the nurse tell the child’s mother?

1. She should expect him to grow about 3 inches every year from ages 6 to 9 years.

2. She should expect him to grow about 2 inches every year from ages 6 to 9 years.

3. She should have him seen by an endocrinologist for growth hormone injections.

4. Be sure to have her son’s growth reevaluated when he is 7 years old.

3. A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones,

what should the nurse caring for the child calculate his current weight as?

1. Approximately 16 lb 4 oz.
 NU201 Family Focused Nursing Practice (2021)
2. Approximately 20 lb 5 oz.

3. Approximately 24 lb 6 oz.

4. Approximately 32 lb 8 oz.

4. A 4-year-old has been hospitalized with FTT. The child has orders for daily weights, strict
input and output, and calorie counts as a means of measuring her nutritional status. Which
action by the nurse would be a concern?

1. The nurse weighs the child every morning before the child eats breakfast.

2. The nurse weighs the child with no clothing except for undergarments.

3. The nurse sits with the child when the child eats her meals.

4. The nurse weighs the child using the same scale every morning.

5. A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks
if his weight is normal for his age. The nurse’s best response is:

1. “At 6 months his weight should be approximately three times his birth weight.”

2. “Each child gains weight at his or her own pace.”

3. “At 6 months his weight should be approximately twice his birth weight.”

4. “At 6 months a child should weigh about 10 lb more than his or her birth weight.”

6. The best method to explain a Measurement procedure to a hospitalized preschool-age child

is to:

1. Show the child a pamphlet with pictures showing the procedure.

2. Have the 5-year-old next door tell the 4-year-old about the experience.

3. Demonstrate the procedure on a doll.

4. Show the child a video of the procedure

 NU201 Family Focused Nursing Practice (2021)

Case Study

Maddie is a 6-month-old infant whose birth weight was 7 pounds 5 ounces, head
circumference was 16 inches, and her length was 21 inches. She presents to the clinic with her
parents for a well child visit.

Exercise 1-1: Calculation

You weigh Maddie at her visit and document her weight as 15 pounds, head circumference as 16
inches, and length as 25 inches. You plot her measurements on the chart and determine her
percentiles for height and weight. What percentile is she in terms of weight and length?

Exercise 1-2: Fill-in

How would you interpret these findings in relation to her percentile and other female infants of
the same age?
Exercise 1-3: Multiple-choice question
Which findings would indicate that Maddie has met gross motor age-appropriate milestones?
A. Maddie is able to pull herself to a stand.
B. Maddie can sit alone without support.
C. Maddie can roll from her back to her abdomen.
D. Maddie can grasp a rattle with her fingers.
Maddie’s father asks you for suggestions about appropriate play for her.

Exercise 1-4: Select all that apply

Based on an understanding of growth and development, and safety, select all toys that would meet
Maddie’s needs.
❑ Brightly colored latex balloons
❑ Push–pull toys
❑ Teething toys
❑ Books with bright pictures
❑ Brightly colored soft toys
❑ Stacking block
 NU201 Family Focused Nursing Practice (2021)
Notes

Clinical skill preparation:

Please read all content regarding this procedure at ELSIEVER (quick sheet, extended text,
supplies, demos, and checklist) and came prepared to the clinical session lab with critical
questions for your clinical instructor.

1. Question No 1:

2. Question No 2:

3. Question No 3: