Patient Data Exhibits The nurse is performing an assessment on the toddler. For each assessment finding, click to indicate whether the findings from the assessment should be a concern or not a concern to the nurse. Each row must have only one response option selected.

Rationale: Weight 35 lbs (15.87 kg): Weight is appropriate for a 24-month-old, indicating adequate growth and nutrition. Growth trends should continue to be monitored but currently show no concern. Toddler speaks in 3 to 4 word sentences: Speech is appropriate for developmental age, indicating normal language and cognitive development. Age-appropriate communication supports healthy social and cognitive growth. Bottle habit: Bottle provided at nap and bedtime: Prolonged bottle use increases the risk of dental caries and otitis media. Nighttime bottles contribute to poor oral hygiene and may worsen ear infections. Intervention includes education on limiting bottles and transitioning to cups. Blood pressure 90/40 mm Hg: Blood pressure falls within expected range for a toddler. No signs of hypotension or cardiovascular compromise are present. Routine monitoring is sufficient. Temperature 102.6° F (39.7° C) axillary: Fever indicates an active infection requiring monitoring and possible treatment. High temperatures can increase metabolic demand and dehydration risk. Nurse should assess for signs of worsening illness and educate parents on fever management. Diaper count in 24 hour period 6 to 8 with urine: This indicates adequate hydration and normal renal function. Urine output is within expected limits for age and fluid intake. No interventions are required related to hydration status.