1. Medical history: A thorough review of the child’s medical history, including any family history of growth issues. 2. Physical examination: This includes measuring the child's height, weight, and head circumference. 3. Growth charts: Comparing the child’s measurements to standardized growth charts. 4. Laboratory tests: Blood tests to check for hormonal imbalances, nutrient deficiencies, or underlying chronic illnesses. 5. Imaging tests: X-rays may be used to determine bone age, which can provide insight into whether the growth plates are maturing properly.