Nutrition #17 & 18

1. Read through the following case study and answer the questions.

You have recently become a Registered Dietitian employed at a family practice clinic. One of your responsibilities is to weigh and measure patients and assess their growth.

Today, a 24-month old girl named Amanda comes to the clinic; she is 34’’ tall and weighs 33 lbs. Using the appropriate WH0 Growth Grids for Girls (link below), determine what percentile Amanda falls into for both height and weight. (NOTE: This may be an estimation; for example, it may fall between one or two of the standard growth curves. Remember that percentiles can go no higher than 100.)

You also have access to her previous measurements. They are:

Age: 18 months -  Weight:28 lbs. Height: 32”         12 months -  Weight 23 lbs. Height  29.5”         9 months - Weight 20 lbs. Height 27.5“

Find the height and weight percentiles at 18mo, 12mo, and 9 mo.  Plot these measurements using age on the X axis and the weight percentile on the Y axis.  On the same graph, plot the age (X-axis) and height percentile (Y-axis).  Your graph will have 2 lines.

Submit your graph and, in 250-300 words, analyze Amanda’s growth and weight. For example, do the height and weight plots follow a similar patterns?  Do they stay between the same percentiles, or are they different? What does this indicate?  Finally, what is your advice to Amanda's parents?

Growth Charts