A child born at term has normal weight gain but remains shorter than expected. The parents are also short, and the child's height follows the same percentile over time. Which interpretation is most appropriate?

Correct answer: A. Likely familial growth pattern

  • A. Likely familial growth pattern
  • B. Definite growth hormone deficiency
  • C. Acute protein-energy malnutrition
  • D. Severe developmental regression

Explanation

Short parents and a steady height curve with normal weight gain support familial short stature. Endocrine disease more often causes reduced height velocity, while malnutrition usually affects weight before length and regression concerns acquired skills.

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Growth refers to measurable physical change, while development describes progressive skills in the motor, language, cognitive, emotional and social domains. Questions cover normal growth patterns, developmental milestones, developmental screening, factors affecting progress, and recognition of growth faltering or developmental delay, including the difference between maturation and learning.

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