NURS 6501: Final Exam Question 95 / NURS-6501N Advanced Pathophysiology
    NURS 6501: Final Exam: Please contact Assignment Samurai for help with NURS 6501: Final Exam or any other assignment. Email: assignmentsamurai@gmail.com   A 2-year-old toddler presents for a routine check-up. The parent expresses concern because the child has only gained 2.2 kg since their first birthday. Which of the following is the most appropriate response regarding the toddler's weight gain? Group of answer choices
  • Advise the parent that the toddler is likely experiencing failure to thrive and recommend nutritional intervention.
  • Inform the parent that while the weight is below the expected percentile, it is not concerning if the toddler is following their growth curve.
  • Suggest that the toddler's weight gain is excessive and provide counseling on diet modification.
  • Reassure the parent that this is an expected weight gain for a toddler between 1 and 2 years of age.
  The correct answer is: Inform the parent that while the weight is below the expected percentile, it is not concerning if the toddler is following their growth curve.   Explanation: During the toddler years (ages 1 to 2), weight gain typically slows down after the rapid growth of infancy. It is common for children in this age range to gain about 2 to 3 kg (approximately 4.5 to 6.5 pounds) between their first and second birthdays.   If the toddler is following their own growth curve and there are no other concerning signs (such as failure to thrive, developmental delays, or signs of illness), then this weight gain is generally considered normal, even if it's at the lower end of the growth percentile.   Other options: Failure to thrive is typically defined as a weight below the 3rd percentile or a significant drop in the growth curve, but if the child is following their curve, this diagnosis would not be appropriate.   Excessive weight gain is not likely in this situation, as the child is gaining within expected limits for their age range, not above what would be typical.   Reassurance is appropriate, but the gain of 2.2 kg is not excessive, and it is more helpful to frame the situation in terms of typical weight gain rather than saying it is expected.   Thus, the best response is to explain that the weight gain is within the normal range, as long as the child continues to follow their growth curve.