Several Months Of Low in Pediatrics — 4yo Child | General Pediatrics | SMLE Q#11812

SMLE Question #11812

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
A 4-year-old girl is brought to clinic for several months of low energy during active play and preference for indoor sedentary activities. She has no fever, weight loss, snoring, cough, wheeze, chest pain, syncope, or exercise-induced dizziness. She sleeps 10–11 hours nightly. Diet is age-appropriate. Growth has tracked consistently on her chart. Cardiovascular, respiratory, neurologic, and musculoskeletal examinations are normal. Which recommendation is most appropriate to improve her energy and activity levels?

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