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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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pempekpedas pempekpedas
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6 years ago
A nurse is assessing an 11-month-old, and notes that the infant's height and weight are at the 5th percentile on the growth chart.
 
  Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority? 1. Nutritional Intake: excessive secondary to maternal feeding patterns
 
  2. Growth Pattern, Altered secondary to familial short stature
 
  3. Growth Pattern, Altered related to parental anxiety
 
  4. Constitutional Growth Delay, risk for related to decreased appetite
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#1
6 years ago
3
Rationale:

1. Since height and weight are at the 5th percentile, there is no indication of increased nutritional intake.
2. There are no data that indicate familial short stature.
3. The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is Growth Patterns, Altered related to parental anxiety.
4. This infant is not at risk for constitutional growth delay.
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