Maternal and Child Health Bureau HomeModule IntroTable of ContentsGlossary
Training Module: Children with special health care needs

Application of principles
Choose a sectionSection 1Section 2Section 3Section 4Section 5Section 6Section 7Section 8
 


7. Application of principles

7.3 Self-test: Child with spina bifida

MW is a 7 year, 10 month old male with spina bifida (myelomeningocele) in the high lumbar area. Physical activity is limited, but MW is able to use his arms and shoulders. He is unable to stand, so a stature measurement cannot be taken.

Which alternative to stature is most appropriate?
a. crown-rump length
 b. arm span
 c. upper arm length
 d. lower leg length

 

AB growth chart: weight-for-age, stature-for-age

MW's stature was approximated using arm span. His measures were:

Arm span: 127 cm (50 in); 50-75th percentile
Weight 30 kg (64.25 lb); 75-90th percentile

Because arm span was used to approximate stature and there are no data to support the use of arm span with BMI, BMI was not calculated. Triceps skinfold measurements, along with mid-arm circumference measurements were used to monitor MW's growth and assess his body composition.


Back Next