07-27-2016, 03:53 AM
A healthy 9-month-old girl ¡s brought to the physician by her parents for a well-child examination. Her parents are concerned that she ¡s not gaining enough weight. She is breast-feeding six times daily and taking small amounts of baby food from a spoon. She is at the 5th percentile for weight and 25th percentile for length and head circumference. Review of the growth chart shows that this growth pattern has been consistent since birth. Physical examination shows no abnormalities. Which of the following is the most appropriate next step ¡n management?
A) Reassurance that this growth pattern is within normal limits
B) Increasing caloric intake by adding more baby food
C) Replacing breast-feeding with soy-based formula
D) Supplementing breast-feeding with whole cow milk
A) Reassurance that this growth pattern is within normal limits
B) Increasing caloric intake by adding more baby food
C) Replacing breast-feeding with soy-based formula
D) Supplementing breast-feeding with whole cow milk