Weight- in Pediatrics — Case | General Pediatrics | SMLE Q#18238

SMLE Question #18238

Pediatrics General Pediatrics

Objective: OBJ-377

Last updated: February 2026
A 4-month-old, formula-fed infant has poor weight gain with weight-for-age below the 3rd percentile and crossing down percentiles since the 2-month visit. Length and head circumference track appropriately, and the physical examination is unremarkable. The caregiver reports financial hardship and sometimes adds extra water to the formula to make it last longer. What is the most appropriate next step in management?

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