SOLVED1231
Your new patient is a 5-year-old Vietnamese child who was adopted 9 months old African American parents in the United States. In reviewing his comparison records from Vietnam growth and development, you note that last year he was at the 45th percentile for his weight however today 9 months after his last physical, he is at the 22nd percentile. His adoptive parents report that he is a very picky eater and eats small portions. He does not like milk. For meals, the family provides traditional foods for their culture. Group of answer choices Refer the family to pediatric endocrinology growth clinic for further assessment Recommend incorporation of the Vietnamese foods in the diet; allow him to “free feed” and snack ad lib; screen with CBC, TSH, A1c, ESR, CRP, CMP and lead levels.; consider behavioral health evaluation Educate the family on the need to increase portion sizes in his diet; try small portions of different types of foods; restrict rewards if he is not eating what he is given Suggest high-calorie breakfast drinks or Pedia sure for supplements
SCIENCE
HEALTH SCIENCE
NURSING
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