FAILURE TO THRIVE

Question 1

• Is a sign of inadequate growth resulting from inability to obtain or use
  calories required for growth.
• Weight falls below the 5th percentile for the child’s age.
• A weight curve that crosses more than 2 percentile lines on a standardized
  growth chart after previous achievement of a stable growth pattern.

Answer 1

FTT

Question 2

classification according to pathophysiology

Answer 2

inadequate caloric intake
inadequate absorption
excessive caloric expenditure

Question 3

incorrect formula preparation, neglect food fads, aggressive juice consumption, lack of food availability, breastfeeding problems, behavioural problems affecting eating or
central nervous system problems affecting intake

Answer 3

. Inadequate caloric intake

Question 4

Food allergy, malabsorption, pyloric stenosis, GI atresia,
inborn errors of metabolism

Answer 4

Inadequate absorption

Question 5

Hyperthyroidism,
malignancy, congenital heart disease, chronic
pulmonary disease or chronic immunodeficiency

Answer 5

Excessive caloric expenditure

Question 6

Infants younger than 8 weeks of age, breastfeeding problems as a result of ___ and ___ may occur

Answer 6

inadequate latch, uncoordinated suck and swallow

Question 7

clinical manifestations of FTT

Answer 7

• feeding / eating disorders
• no fear of strangers
• avoidance of eye contact
• wide eyed gaze - room scanning
• flaccid and unresponsive
• minimal smiling

Question 8

assessment tools for FTT

Answer 8

• anthropometrics
• PE and developmental assessment
• diet and eating history
• family assessment

Question 9

laboratory tests for FTT

Answer 9

✔Complete blood count (CBC)
✔Electrolyte balance
✔Hemoglobin electrophoresis
✔Hormone studies, including thyroid function tests
✔X-rays
✔Urinalysis

Question 10

what do you check in hemoglobin electrophoresis

Answer 10

check for conditions like sickle cell disease

Question 11

why are xrays used to determine FTT

Answer 11

to determine bone age

Question 12

focus of treatment of FTT

Answer 12

reversing the cause of malnutrition

Question 13

goals (therapeutic mgmt)

Answer 13

• provide sufficient calories
• supplements
• deal with psychologic problems
• relieve any family stress

Question 14

indication for hosp admission

Answer 14

• severe malnutrition
• child abuse
• DHN
• caretaker substance abuse / psychosis
• infection