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Assignment:
Maria, age 8, is the fourth child of a single-mother household. Maria is in the third grade, is 50 inches, and weighs 75 pounds. Maria does well in school and has many friends her age. Her three older siblings are of average height and weight. Maria's body mass index (BMI) is 21.1, and she is in the 95th percentile for BMI. Maria is classified as obese. Maria's healthy weight should be between 51 and 66 pounds. Her BP this morning was 120/80 mm Hg. Childhood obesity has been linked with adverse health outcomes, including cardiovascular disease, diabetes, and some cancers (Simmonds et al, 2016).
1. What does it mean that Maria's BMI is in the 95th percentile?
2. What type of anticipatory guidance can the nurse provide to Maria's mother to address her weight issues?
3. What is the DASH eating plan?
4. What other risk factors can be modified in the hypertensive child?
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