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Faltering growth — DCH MCQ

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HardGrowth and nutritionFaltering growthDCH

A 9-month-old boy has dropped from the 50th to below the 2nd centile for weight over three months. Length is tracking the 50th centile, he has recurrent vomiting, and feeding volumes are poorly recorded. What is the most appropriate management?

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Correct answer: E — Assess feeding, plot growth and arrange paediatric review

Crossing down multiple weight centiles suggests faltering growth and needs structured feeding assessment, accurate plotting and review for organic or social causes. Normal length does not make significant weight faltering benign. The pearl is to use serial measurements rather than a single weight.

Reference: NICE NG75