Certified Pediatric Nurse (CPN)

In assessing a child with suspected GER, which history detail would be most relevant?

1. Born 3 days after due date

2. History of asthma

3. 50th percentile for height and weight

4. Recent intussusception treated with barium enema

The correct answer is: History of asthma

When assessing a child for suspected gastroesophageal reflux (GER), a history of asthma is particularly relevant. There is a recognized association between GER and respiratory conditions, including asthma. Children with GER may experience esophageal irritation due to acid reflux, which can exacerbate asthma symptoms or lead to conditions such as reactive airway disease or chronic cough. The aspiration of refluxed material can potentially trigger bronchospasm or worsen existing asthma. The other history details, while they may provide some context about the child's overall health, are less directly connected to GER. Being born slightly late, at three days past the due date, does not have a strong correlation with GER. Similarly, being at the 50th percentile for height and weight indicates average growth and nutritional status but does not reveal much about the presence or severity of GER. Lastly, while a history of intussusception is significant, it is a separate gastrointestinal issue that does not directly indicate GER. Thus, the history of asthma stands out as the most relevant detail in assessing a child for suspected gastroesophageal reflux.