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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?

This question was previously asked in
RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
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. During orogastric feeding in a neonate, the nurse observes coughing and cyanosis. What should be the nurse’s immediate response?

  2. A healthy newborn is found with mild jaundice 24 hours after birth. What is the best initial nursing action?

  3. Which of the following best describes preventive pediatric care in child health nursing?

  4. A community health nurse is assessing a 6-month-old infant during a home visit. Which assessment finding most strongly suggests the infant is meeting expected developmental milestones?

  5. A 5-year-old child is prescribed nebulization for acute bronchospasm. Which nursing action best ensures the medication is effectively delivered during the procedure?

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