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pretest

introduction

measurement technique

assessment guidelines

influence of special health care needs

making clinical decisions

posttest

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Scenario 1

Sarah is an 8-month old who is referred to you because of slow weight gain. Her mother is a meticulous record-keeper and brings Sarah's growth information to the visit.

Sarah: weight- and length-for-age charts You plot this information on the WHO chart for girls age 0 to 24 months, and see that Sarah's rate of weight gain has slowed since age 6 months. Her length-for-age has remained relatively stable.

 

Sarah: weight-for-length chart You see that Sarah's weight-for-length has gradually decreased as well.

You explore reasons for Sarah's slow weight gain. Sarah's mother says that both she and her husband are slim. You explain that this may predispose Sarah to be slim, but that no weight gain for 3 months is concerning for an infant.

You learn that Sarah does not have a medical condition that is associated with problems with weight gain. The portion sizes offered to Sarah, however, are smaller than appropriate for an 8-month old. You provide information about appropriate portion sizes and eating patterns to Sarah's mother and suggest that they return in one month for a follow-up visit. This information is communicated to Sarah’s primary care physician.

 
   
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