CS #1 Randy: His mother is worried that he seems to be smaller and thinner than his peers at nursery. He was born at t

[answerhappygod]

CS #1 Randy: His mother is worried
that he seems to be smaller and thinner than his peers at nursery.
He was born at term, with no perinatal problems and has achieved
all his neurodevelopmental milestones at the appropriate time. His
immunizations are all up-to-date. He was growing along the 9th
centile for weight and 25th centile for height six months ago when
last seen by the health visitor for a routine check.
You measure his weight and height today and find that his weight
has dropped to the 2nd centile. Height remains on the 25th centile,
head circumference is within normal limits. There is no evidence of
lung disease or congenital heart problems. Abdomen is normal and
there are no glands nor pallor. He is happily playing with the toys
in your room and appears healthy and active.
What other information do you need?
How would you manage this situation?
What would you recommend to his mother?
Write a SOAP notes for this child with nutrition
diagnosis, intervention, and monitoring