Assess and review the childs growth and development and social
1. Determine school readiness.
2. Discuss preparation of the school and teacher for a child
with short stature.
3. Prepare the child for psychosocial situations and discussing
issues. Be sure the child can explain why he or she is short and
can ask for help in an appropriate way. Children with achondroplasia
usually are included in the regular education program.
4. Suggest adaptive aids for the school to cope with heavy doors,
high doorknobs, reaching for the blackboard, foot support, and
a regular-sized desk. Also be sure that the child can use the
5. Test hearing regularly each year, checking for possible recurrent
serious otitis media.
6. Check deep tendon reflexes yearly for asymmetry or increased
reflexes suggesting spinal stenosis.
7. Continue to assess history for possible obstructive sleep
8. Review socialization and foster independence.
9. Review weight control. The child may need to restrict food
intake and eat as little as half as much as an average-sized child
10. Discuss contact with support groups. It is especially valuable
at this age.
11. Obtain an orthopedic evaluation when the child is approximately
5 years of age in order to make appropriate treatment plans, if