A nurse in a pediatric clinic is performing a physical examination of a 30-month-old child. Which finding requires further evaluation?

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Weight gain slows during the toddler years with an average yearly weight gain of 4-6 lb (1.8-2.7 kg). By age 30 months, current weight should be approximately 4 times greater than birth weight. A toddler weighing 6 times the initial birth weight requires further evaluation. Family nutrition and meal habits should be discussed. (Option A) A toddler achieves bowel and bladder sphincter control by age 24 months as bladder capacity increases. (Option B) Chest circumference exceeds abdominal circumference after age 2, resulting in a taller and more slender appearance. (Option D) Head circumference increases by 1 in (2.5 cm) during the second year and then slows to a growth rate of 0.5 in (1.25 cm) per year until age 5. Educational objective: Weight gain slows during the toddler years. By age 30 months, a toddler's weight should be approximately 4 times greater than the birth weight.

A Nurse in a Pediatric Clinic Is Performing a Physical