Question

answer question 1 and 5

A 2.5-year-old girl, Mia, was seen at your clinic with her 22-year-old mother, the child's aunt, and a young cousin She was developing normally but had not grown as expected over four months, which was concerning. The pediatrician did not find a medical basis for the growth plateau. Mia was offered appropriate foods in appropriate serving sizes, but she mostly was throwing it on the floor or refusing it with crying tantrums. She liked to drink juices from her sippy cup throughout the day. She carried the cup with her most of the time. The family was sure it was not enough for her, but did not limit her intake because she ate little else. Eventually the aunt mentioned that Mia used to eat well when living with her grandparents. With sensitive review of the child's social history, it became clear that the child had been living with her grandparents while the mother was incarcerated. Her mother had cared for Mia until eight months of age. Mia then went to live with her grandparents for 18 months until her mother's release, at which time she and her mother moved into their own apartment. Mia had not seen her grandparents for the last several months. Assessment and recommendation: After confirming that no nutritional or medical basis was involved, family disruption was considered the basis for the growth plateau, as a result of interfering with Mia's hunger and appetite. The change in Mia's eating coincided with the time of a sudden change in her life. From the child's viewpoint, her grandparents and their home were suddenly replaced by a new person and a new setting. Date Weight Weight for ege Length (Length Height for She he moths 15 de 02 moch Imbis 10 mo 1. Assessment: Complete the above table. Is Mia's growth on track? Describe her growth since birth. Attach growth charts to your assignment.

Answer 1

Date	Weight	Weight for age %	Length / Height	Length/ Height for age %	Weight for Length / Height %
Birth	7.5lb	99.9	20"	35.6	40.5
6 months	15.3lb	26.8	26.5"	67.7	10.6
12 months	18.5lb	9	30.25"	80	2.1
18 months	21.5lb	10.4	33"	82.6	2.0
24 months	22.75lb	5.5	34.75"	72.2	0.4
30 months	24lb	4.1	36"	53.2	0.3

From birth to 6 months mia had a healthy weight then the weight for height percentage was decreasing to sever underweight

5) monitor weight height percentage to ensure the healthy growth of mia.

spent more time with mia by playing or interacting this may help to reduce the stress.

If possible allow grandparents to stay with mia. This can help mia to get bsck on track