The nurse is assessing an 8-year-old child whose growth rate measures below the third percentile for a child his age.He appears significantly younger than his stated age and is chubby with infantile facial features.Which condition does this child have?

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Hypopituitary dwarfism is caused by a deficiency in growth hormone in childhood and results in a retardation of growth below the third percentile,delayed puberty,and other problems.The child's appearance fits this description.Achondroplastic dwarfism is a genetic disorder resulting in characteristic deformities; Marfan syndrome is an inherited connective tissue disorder characterized by a tall,thin stature and other features.Acromegaly is the result of excessive secretion of growth hormone in adulthood.(For more information,see Table 9-5,Abnormalities in Body Height and Proportion.)

The Nurse Is Assessing an 8-Year-Old Child Whose Growth Rate