Which of the following situations poses the most concern?
a. The child whose weight and height ratios have remained at the 50th percentile
b. The child whose weight and height ratios have stayed between the 90th and 95th percentiles
c. The child whose weight and height ratios have never been above the 50th percentile
d. The child whose weight and height ratios have dropped 15 percentiles since the last visit
D
Over time, interval measurements should demonstrate that the child has established a growth pattern, indicated by consistently following a percentile curve on the growth chart. Greatest con-cern is for the child who is trending down in a more dramatic fashion. Children who suddenly fall below or rise above their established percentile growth curve should be examined more closely to determine the cause.
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