Something us obviously going on and if your Mom usn't sure what it is, I would get him to a Vet ASAP also. Pups,mess tiny ones,can go downhill quickly.
Has he had regular wormings?
Hi there. I would call your vet and ask for advice. They will probably tell you to take him in to an emergency vet/animal hospital as it is Sunday but it is worth it if something needs to be done to help your dog. A pup that little, I wouldn't wait to be honest. I have one not much bigger and understand how scary it is! Dogs are like kids . . . you judge by many things with the way they are acting. lethargy is worrisome in a pup.
So, call your vet and see if they recommend an emergency vet and if you can't get ahold of your vet, just go. good luck!