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Question

A nurse at an under five clinic observes a child with below-average growth and missed immunizations. What should be the nurse’s most appropriate intervention?

The correct answer is

Educate parents on nutrition and immunizations

Under-five clinics focus on growth monitoring, immunisation and health education of mothers.

A child with below-average growth and missed vaccines mainly needs preventive and health-promotion inputs — teaching parents on balanced feeding and completing the immunisation schedule.

Admission to hospital or referral to tertiary care is not justified for mild growth lag plus missed shots, and simple referral to a primary provider without teaching misses the key counselling role of the clinic nurse.

Hence, Educate parents on nutrition and immunizations.

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Important Questions from Child Health Nursing

  1. A newborn with respiratory distress syndrome and requiring mechanical ventilation is admitted to a facility. Which level of NICU care should this facility provide to best meet the infant's needs?

  2. A school-aged child with type 1 diabetes feels dizzy and sweaty during recess. What is the best initial nursing action?

  3. Which age group is mainly considered in pediatric nursing?

  4. When instructing parents on cup feeding for a preterm infant, which advice ensures effective feeding and reduces the risk of choking?

  5. Which is an important sign of a healthy newborn?

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