A child was born small for gestational age and remains below the third percentile, but height and weight continue along a parallel curve and development is normal. Which interpretation is most appropriate?
Correct answer: A. The pattern may represent a normal small familial or birth-related size
- A. The pattern may represent a normal small familial or birth-related size
- B. The child definitely has acute severe malnutrition
- C. The child must have an endocrine disorder
- D. The growth chart should not be used for this child
Explanation
Some children who are small at birth remain small while following a consistent growth channel and developing normally. Growth velocity, body proportion, family size and clinical findings are more informative than one percentile alone.
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About Growth and Development
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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