A 7-year-old child with a history of celiac disease is broug…
A 7-year-old child with a history of celiac disease is brought to the pediatric clinic for a routine check-up. The parent reports that the child has been more tired lately and seems smaller than other children in their class. The nurse reviews the growth chart and notes that the child’s height and weight are both below the 5th percentile, with little improvement over the past year. Laboratory results: Hemoglobin: 10.2 g/dL (low) Albumin: 3.0 g/dL (low) Vitamin D: 18 ng/mL (low) The parent states: “We try to follow the gluten-free diet, but sometimes it’s hard because they love pizza and birthday cake at school.” Which nursing assessments or findings support that this child’s chronic gastrointestinal disorder is impacting growth and development? Select all that apply