I'm not understanding the

imagine you are teaching a fifth-grader about health. write a paragraph for the fifth grader that explains why effective communication is related to health. include a definition of effective communication in your paragraph.

it's telling you is that you need explain to a younger child why communication is important & part of health. For example communicating with other could help the mental state and prevent depression or when a person does not communicate their health issues, they may worsen over time.(something like that)

i think she would gain 18 grams