What finding in a two-and-a-half-year-old toddler should be reported to the provider?

In evaluating the growth and development of a two-and-a-half-year-old toddler, it is essential to understand normal growth patterns and developmental milestones.

The finding that the head circumference exceeds chest circumference in a toddler is significant and should be reported to the provider. By around 2-3 years of age, the head circumference should ideally be less than that of the chest circumference due to the rapid growth of the chest and body. If the head circumference continues to be larger than the chest circumference at this age, it may indicate underlying issues such as hydrocephalus or other neurological concerns that require further assessment.

In contrast, a height increase of 7.5 cm (3 inches) over the past year is within the normal range for a toddler. Growth typically slows after infancy, and this measurement reflects a healthy growth pattern.

The closure of the anterior and posterior fontanelles is also a normal finding for this age group, as the fontanelles typically close by the age of 18-24 months.

Lastly, a current weight that is approximately four times the birth weight is expected and reflects a normal growth trajectory since infants often quadruple their birth weight by age 2 to 3 years.

Therefore, among the provided options, the