The child must have been experiencing malnutrion as this corresponds to the given symptoms that the child shows. Which is having to have an extended abdomen which a child who is malnutritioned usually has, listless- in which the child has no energy because he or she lacks nutrients in the body, small for her age is one of the signs of malnutrition because in order for her to be in the right height for age—she must have an adequate nutrition to attain this.