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

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Hypopituitary dwarfism is caused by deficiency in growth hormone in childhood and results in 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 tall,thin stature and other features.Acromegaly is the result of excessive secretion of growth hormone in adulthood.See Table 9-5,Abnormalities in Body Height and Proportion,for more information.

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