Poor Weight Gain in Pediatrics — Case | General Pediatrics | SMLE Q#18036

SMLE Question #18036

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
An 8-month-old boy is brought for poor weight gain. Birth weight was at the 50th percentile; over the last month, weight fell to the 10th percentile. Length and head circumference remain at the 50th percentile. He is exclusively breastfed, feeds frequently, and appears hungry after feeds. He is alert, interactive, and has a normal physical examination. There is no vomiting, diarrhea, fever, recurrent infections, or developmental regression. What is the most appropriate next step in management?

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