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Soru

Zorluk: ZorHealth Screening

During a 2-year well-child visit, the registered nurse is reviewing the required clinical protocols for a healthy toddler. Which secondary prevention and developmental evaluations are indicated for this client? Select all that apply.

  1. Plotting the calculated body mass index (BMI) percentile to evaluate growth trends.Cevap
  2. Completing a caregiver-reported questionnaire to identify early signs of autism spectrum disorder.Cevap
  3. C
    Testing distance vision using a wall-mounted alphabet recognition chart.
  4. D
    Instructing the parents on securing cabinet locks to prevent accidental poisonings.
  5. E
    Obtaining a routine sphygmomanometer reading to screen for pediatric hypertension.
  6. Screening for potential heavy metal toxicity via capillary blood sampling if indicated by risk factors.Cevap

Cevap

The correct evaluations include plotting the BMI percentile, completing an autism screening questionnaire, and screening for heavy metal toxicity (lead exposure).
At 24 months of age (2 years), evidence-based pediatric health screening guidelines mandate specific secondary prevention assessments. Autism spectrum disorder (ASD) screening is formally recommended at 18 and 24 months. Calculation and plotting of body mass index (BMI) begins at 24 months to screen for early signs of childhood obesity. Additionally, lead exposure risk assessment, and a follow-up blood lead level test if indicated, is a standard requirement at 12 and 24 months due to the high risk of exposure from mobility and hand-to-mouth behaviors at this developmental stage.

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1
Analyze the client's demographic data and the clinical purpose of the visit.
The client is a 2-year-old (24 months) presenting for a routine well-child evaluation.
Chronological age directly dictates the specific evidence-based screening guidelines required by national pediatric standards.
2
Identify which options represent secondary prevention (health screening) appropriate for a 2-year-old.
BMI calculation, autism screening, and heavy metal (lead) screening are all age-appropriate secondary prevention measures.
According to standard clinical guidelines, BMI plotting starts at 24 months, autism screening is mandated at 18 and 24 months, and lead screening is performed at 12 and 24 months.
3
Evaluate the remaining options for contraindications, developmental appropriateness, or incorrect conceptual categorization.
Vision testing with alphabet charts and routine blood pressure checks are developmentally inappropriate for a 2-year-old. Cabinet lock education is a primary prevention measure.
Alphabet charts require advanced cognition, routine BP screening begins at age 3, and safety teaching aims to prevent issues (primary) rather than detecting existing ones (secondary).

Anahtar Kavram

Pediatric Health Screening Milestones
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Konular

Health Screening

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