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:

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