Exam: Anthropometrics, Length vs Height, Accurate Measurement, Growth
Charts, Specialist Referral, Strabismus, Anisometropia, Astigmatism, Hyperopia,
Myopia, Media Opacity, Visual Acuity, Cover Test, Depth Perception, Refractive
Amblyopia, Amblyopia Treatment, Fetal Alcohol Syndrome, FASD, ARND, ARBD,
Neurodevelopmental Disorders, Early Intervention, Behavioral Therapy, ADHD
& Learning Challenges, 5-2-1-0 Obesity Prevention, Nutrition, Physical Activity,
Screen Time, Sugar-Sweetened Beverages, Alcohol Risk, Prenatal Exposure,
Cognitive Development, Psychosocial Health, Evidence-Based Pediatric
Guidance Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
What can growth say about a child's health?
Growth can be an indicator of overall health
Accurate measurement and regular plotting can help detect growth issues.
Poor growth may indicate serious problems such as: a variety of medial conditions, genetic syndromes,
nutritional deficiencies
Because children have a limited time to grow, every visit is an opportunity to help your pediatric patient
by recognizing health concerns as early as possible in their development
Know when to measure length vs height
For children up to 2 years, measure length using an infantometer, for children 2 years and older,
measure height using a stadiometer
measure accurately
To be considered accurate, height measurements must be within 0.5cm, but many factors can lead to
inaccuracy. For example, if a child is wearing socks, shoes, or a ponytail, or not standing correctly,
measurements may not be accurate
, plot the measurements
To get an ongoing picture of a child's growth, document the measurements on proper growth charts.
Growth charts are age-based and and gender and condition specific
is it time to refer to a specialist?
Parents are counting on your as their child's medical expert. Some cases of growth failure can have a
lasting impact on a child's physical development, so it's critical that any apparent growth issues be
investigated to determine the underlying cause
A "wait and see" approach could delay potential diagnosis and appropriate management
Early recognition of growth failure and referral to a specialist may be key in helping to identify children
who may need follow-up and monitoring
Strabismus
Ocular misalignment; most common cause of amblyopia
Anisometropia
Asymmetric refractive error between the 2 eyes, which causes image suppression in the eye with the
larger error
Astigmatism
Blurred vision at any distance because of abnormal curvature of the cornea or lens
Hyperopia
Farsightedness; visual images come to focus behind the retina