| 
        Scenario 2 - continued You weigh and measure Julie and plot growth. You compare 
        this information to her weight and height at her last clinic visit. 
         
          |  |  | Julie's weight-for-age and BMI-for-age 
              have increased. BMI-for-age was at the 50th percentile eleven months 
              ago; it is now at the 95th percentile.  Julie's height-for-age remains below the 5th percentile 
              on the CDC charts and at the 50th percentile on the charts for children 
              with Prader-Willi syndrome (chart not shown).  |  Based on Julie's growth pattern, you suspect that Julie's: 
          
        
        
 |