The nurse is interviewing the mother of Adam, 9 years old. As the nurse begins to assess Adam's
school performance, what is the most appropriate question to ask?
1. "Did Adam go to preschool?"
2. "How is Adam doing in school?"
3. "Does Adam have problems at school?"
4. "How well does Adam seem to be doing in school?" correct answers 2. "How is Adam doing
in school?"
Asking how Adam is doing in school is an open-ended question without any descriptive terms
that may limit the mother's responses. Asking if Adam went to preschool is a close-ended
question, which will elicit a yes or no answer. Asking if Adam has problems at school is a close-
ended question that implies that Adam is not doing well. Asking how well Adam seems to be
doing in school is a close-ended question that will have a short answer and assumes that Adam is
doing well.
Which statement explains why it can be difficult to assess a child's dietary intake?
1. Biochemical analysis for assessing nutrition is expensive.
2. Families usually do not understand much about nutrition.
3. Recall of children's food consumption is frequently unreliable.
4. No systematic assessment tool has been developed for this purpose. correct answers 3. Recall
of children's food consumption is frequently unreliable.
It is difficult for parents to recall exactly what their child has eaten. Concurrent food diaries are
somewhat more reliable. Systematic tools have been developed and are available. Nutrients for
different foods are known; it is the quantity and type of food consumed that are difficult to
ascertain. The family does not need nutrition knowledge to describe what the child has eaten.
What is the most accurate method of determining the length of a child less than 12 months of
age?
1. Standing height
2. Recumbent length measured in the prone position
3. Recumbent length measured in the supine position
, 4. Estimation of length to the nearest centimeter or ½ inch correct answers 3. Recumbent length
measured in the supine position
The infant should be measured in the supine (not the prone) position. The crown-heel length
measurement is the most accurate measurement in infants. Infants are generally unable to stand
to obtain a height measurement. Measurement should not be estimated because an accurate
measurement is required to determine growth.
The nurse is interviewing a mother and child. While the nurse talks to the mother, the child
pushes unwanted objects away, pulls the nurse to show off play items, and covers the mouth of
the mother. What age group does this child likely belong to?
1. Infancy
2. School-age
3. Adolescence
4. Early childhood correct answers 4. Early childhood
Children younger than 5 years of age are egocentric and see things only through their point of
view. Children can effectively use their hands to communicate ideas better than words. The
child's pushing unwanted objects away; pulling the nurse to show off play items, and covering
the mouth of the mother indicate that the child is in the early childhood stage. Infancy is the age
when the child expresses feelings through vocalizations and nonverbal communication. School-
age children rely less on information and more on the functional aspects of procedures, objects,
and activities. Adolescents usually fluctuate between adult and child thinking. They express both
verbal and nonverbal communication based on the situation.
The nurse wishes to assess a child's current nutritional status. What will the nurse assess?
1. Height
2. Blood pressure
3. Skinfold thickness
4. Head circumference correct answers 3. Skinfold thickness
During the nutritional assessment, the nurse assesses the child's skinfold thickness as a means of
measuring the child's current nutritional status because this indicates the status of protein and fat
reserves. Height reflects past, not present, nutrition. Blood pressure is not an indicator that the
nurse assesses for the nutritional status of a child. Like height, head circumference assesses past
nutrition.