Part I: Read through the following case study and answer the questions.
You have recently become a Registered Dietitian employed at a family practice clinic. One of your responsibilities is to weigh and measure patients and assess their growth.
Today, a 24-month old girl named Amanda comes to the clinic; she is 34'' tall and weighs 33 lbs. Using the appropriate WH0 Growth Grids for Girls (link below), determine what percentile Amanda falls into for both height and weight. (NOTE: This may be an estimation; for example, it may fall between one or two of the standard growth curves. Remember that percentiles can go no higher than 100.)
You also have access to her previous measurements. They are:
Age: 18 months - Weight:28 lbs. Height: 32"
12 months - Weight 23 lbs. Height 29.5"
9 months - Weight 20 lbs. Height 27.5"
Find the height and weight percentiles at 18mo, 12mo, and 9 mo. Plot these measurements using age on the X axis and the weight percentile on the Y axis. On the same graph, plot the age (X-axis) and height percentile (Y-axis). Your graph will have 2 lines.
Submit your graph and, in 250-300 words, analyze Amanda's growth and weight. For example, do the height and weight plots follow a similar patterns? Do they stay between the same percentiles, or are they different? What does this indicate? Finally, what is your advice to Amanda's parents?
Part II:
1. I have eating habits that are different from those of my family and friends.
Often
Sometimes
Rarely
Never
2. I cannot go through the day without worrying about what I will or will not eat.
Almost Always
Sometimes
Rarely
Never
3. I prefer to eat alone or when I am sure that no one will see me.
Often
Sometimes
Rarely
Never
4. I make excuses (e.g. "I already ate", "I am not feeling well", etc.) so that I will not have to eat with friends and family.
Often
Sometimes
Rarely
Never
5. I have uncontrollable eating binges during which I consume large amounts of food and afterwards I make myself vomit.
Never
Less than once a week
1-6 times a week
Once or more a day
6. I find myself cutting up my food into tiny pieces, hiding food so people will think I ate it, chewing it and spitting it out without swallowing it and/or keeping hidden stashes of food.
Often
Sometimes
Rarely
Never
7. I have determined that there are certain "safe" foods that are okay for me to eat, and "bad" foods that I refuse to eat.
Often
Sometimes
Rarely
Never
8. I become angry when others show interest in what I eat and pressure me to eat more.
Often
Sometimes
Rarely
Never
9. I am afraid that no one would understand my fears about food and eating, so I keep these feelings to myself.
Often
Sometimes
Rarely
Never
10. I enjoy cooking gourmet meals and/or high calorie foods for others, but I would never eat them myself.
Often
Sometimes
Rarely
Never
11. I go through long periods of time without eating (fasting) or eating very little as means of weight control.
Often
Sometimes
Rarely
Never
12. My friends tell me that I am thin, but I do not believe them because I feel fat.
Often
Sometimes
Rarely
Never
13. I would panic if I got on the scale and found out that I had gained weight.
Almost Always
Sometimes
Rarely
Never
14. I use laxatives or diuretics as a means of weight control.
Never
Rarely
Sometimes
On a regular basis
15. I have an overwhelming fear of gaining weight.
True
False
16. I exercise excessively to try to lose weight and I become anxious if I miss a workout.
True
False
17. It is very important that I am thinner than all of my friends.
Almost Always
Sometimes
Rarely
Never
18. I am unable to maintain a weight that is considered healthy and consistent with my build, age and height.
True
False
19. (Females only) My menstrual period has stopped or become irregular due to no known medical reasons.
True
False
20. I can spend hours reading books or magazines about dieting, exercising, fitness, or calorie counting.
Often
Sometimes
Rarely
Never
21. I have felt depressed and irritable lately, and spend most of my time alone.
True
False
22. I tend to be a perfectionist; I am not satisfied unless things are perfect.
Often
Sometimes
Rarely
Never.