Pediatric ATI Practice Exam

During a well-child visit, which finding in a 6-year-old child should be assessed further?

1. Presence of a loose, central incisor.

2. Increased leg length related to height.

3. Decreased head circumference compared to full height.

4. Presence of sparse, fine pubic hair.

The correct answer is: Decreased head circumference compared to full height.

Decreased head circumference compared to full height in a 6-year-old child can be a significant finding that warrants further assessment. Head circumference is a critical measure of a child's growth and brain development. In young children, a head circumference significantly lower than expected can indicate underlying issues such as developmental delays or neurological concerns. Tracking head circumference is particularly important in young children, as it can provide insights into conditions like microcephaly or other developmental disorders. In contrast, the other options may represent normal variations or less concerning issues. For example, a loose central incisor is typical around this age as children transition from primary to permanent teeth. Increased leg length in proportion to height can simply indicate a child's growth pattern without indicating pathology. Sparse pubic hair could also be part of normal prepubescent development for a child at this age. Ultimately, the goal during a well-child visit is to identify any potential concerns regarding growth and development, and a decreased head circumference is a measurable aspect that may suggest the need for closer examination and possible intervention.