DD was in the 180's with extended norms (WISC-IV) when younger and an almost identical score as your child on WISC V fairly recently. No 2e and no grade skips. She is happy as can be, has tons of good friends and loves music and sports. If she becomes unhappy at any time we will consider a grade skip. Otherwise, she is good. She easily does well academically but her strengths seem to be more in line with her creativity, so we are trying to give her plenty of time to focus on those things😀!