They return one month later,
and Sarah has gained some weight. Her mother says that they are offering
larger portion sizes and expanding Sarah's food repertoire. Because
you are still concerned about growth, you suggest that the family
return for brief monthly follow-up visits for a few months.
Sarah and her family return regularly
and you are able to track her rate of growth.
Sarah's growth is consistently between the 50th and 75th percentiles
for weight-for-age and remains between the 75th and 90th for length-for-age.
Sarah's most recent weight-for-length
is close to the 50th percentile. You recommend that Sarah's growth
be monitored at well child check-ups and that a referral be made if
further concerns arise.