A child has a swollen abdomen, thin limbs, poor growth, and a history of repeated infections. Which assessment finding would most strongly support protein deficiency?

Correct answer: A. Reduced serum albumin with bilateral oedema

  • A. Reduced serum albumin with bilateral oedema
  • B. High haemoglobin with flushed skin
  • C. Increased muscle strength with active play
  • D. Normal growth with increased appetite

Explanation

Severe protein deficiency can reduce serum albumin, lowering plasma oncotic pressure and causing bilateral oedema. The other findings do not support protein-energy malnutrition and may contradict the child's clinical condition.

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About Childhood Nutrition and Malnutrition

Childhood nutrition covers essential nutrients, breastfeeding, complementary feeding, dietary assessment, growth monitoring and age-appropriate feeding practices. Questions distinguish protein-energy malnutrition, including marasmus and kwashiorkor, from micronutrient deficiencies such as iron, vitamin A, vitamin D and iodine deficiency, using clinical signs and anthropometric findings.

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