A 12­year­old Child Whose BMI Is Greater Than the 95th

question 20

Multiple Choice

A 12­year­old child whose BMI is greater than the 95th percentile has a blood
pressure at the 98th percentile for age, sex, and height. After lifestyle changes that include diet and exercise, the child's BMI drops to the 90th percentile, but the blood pressure remains the same. What is the primary care pediatric nurse practitioner's next step in treating this child?

• A) Continued close monitoring of blood pressure
• B) Ordering an echocardiogram or MRI
• C) Prescribing an ACE inhibitor medication
• D) Referral to a nephrologist or cardiologist

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Definitions:

Gerald Ford

The 38th President of the United States (1974-1977) who ascended to the presidency following the resignation of Richard Nixon, becoming the only president never elected to the presidency or vice-presidency.

Pardon

The act of forgiving someone for their mistakes or crimes, often granted by a figure of authority.

Voting Rights Act

A landmark piece of federal legislation in the United States that was signed into law in 1965 to eliminate legal barriers at the state and local levels that prevented African Americans from exercising their right to vote.