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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.
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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