Ch. 43: Psychosocial issues of infants, children, and adolescents-FTT

Question 1

What is FTT?

Answer 1

Inadequate growth resulting from the inability to obtain or use calories required for growth

Question 2

FTT is usually described in an infant or child who falls below the ____ percentile for weight (and possibly for height) or who has persistent weight loss

Answer 2

5th percentile

Question 3

What are some reasons for FTT?

Answer 3

• Inadequate caloric intake
• Inadequate absorption
• Increased metabolism
• Defective utilization

Question 4

What are some organic causes of FTT?

Answer 4

• Cerebral palsy
• Chronic renal failure
• Congenital heart disease
• CF
• Celiac disease
• Down syndrome
• Gastroesophageal reflux
• Hepatic disease
• Hyperthyroidism
• Premature

Question 5

What are some non-organic causes of FTT?

Answer 5

• Parental neglect
• Lack of parenting knowledge
• Disturbed maternal-child attachment
• Poverty
• Health or childrearing beliefs
• Family stress
• Feeding resistant
• Insufficient breast milk

Question 6

Less than ____ on growth chart for weight

Answer 6

5th percentile

Question 7

What does infant look like?

Answer 7

Malnourished appearance

Question 8

Is child afraid of strangers?

Answer 8

No fear of strangers

Question 9

Do FTT children smile a lot?

Answer 9

No, minimal

Question 10

What is activity like of FTT child?

Answer 10

Decreased activity level

Question 11

Any developmental delays with FTT children?

Answer 11

Yes

Question 12

What kind of gaze do FTT children have?

Answer 12

Wide eyed

Question 13

What type of body do FTT children have?

Answer 13

Stiff or flaccid

Question 14

Nursing care: provide ____ formula as prescribed for FTT infants. Provide ______ for children.

Answer 14

24kcal/oz for infants

High calorie milk supplements for children

Question 15

What are some multivitamin supplements that can be given?

Answer 15

Zinc and iron

Question 16

Limit juice to ___ in FTT children

Answer 16

4oz/day

Question 17

Teach parents how to ____. What else can we do to ensure this.

Answer 17

Mix formula properly; provide step by step written instructions

Question 18

Encourage parents to:

1. Maintain ____ and ____ during feedings
2. ___ to infant while feeding
3. ___ infant frequently
4. Keep environment ___ and avoid _____
5. Be persistent, remaining calm during ____ of food refusal
6. Introduce new foods _____
7. Never ____ infant to eat

Answer 18

1. Eye contact and face-to-face posture
2. Talk
3. Burp
4. Quiet and avoid distractions
5. 10-15 min of refusal
6. Slowly
7. Never FORCE infant to eat!

Question 19

What happens if infant/child is considered to have “extreme malnourishment”?

Answer 19

Prepare client and parents for tube feedings or IV therpy

Question 20

A nurse is teaching a group of parents about infants who have FTT. Which of the following characteristics should be included in the teaching?
A. They may have been neglected
B. They come from an impoverished environment
C. They manifest colicky behaviors
D. They exhibit developmental delays

Answer 20

D.

A. FTT can be caused by neglect, but other risk factors can cause FTT
B. Poverty is a risk factor, but not all clients who have FTT are from impoverished environments
C. Infants who have FTT have withdrawn behavior
D. CORRECT: Infants who have FTT exhibit developmental delays as a result of decreased nutritional intake needed for brain development