T2-FTT

Question 1

Failure to maintain weight and height about the 5th percentile

Answer 1

Failure to thrive

Question 2

What are the two types of FTT?

Answer 2

Organic

Non-organic

Question 3

What is organic FTT?

Answer 3

INBORN error of metabolism, neurologic disease, GE reflux, heart disease, CF

Question 4

What is non-organic FTT?

Answer 4

Feeding disorder

Parental neglect or abuse

Question 5

FTT is a condition of an infant or child who is not ____ adequately or is ___ with an an obvious reason

Answer 5

Not GROWING adequately or is LOSING WEIGHT without an obvious reason

Question 6

What is a sign of growth failure?

Answer 6

Malnutrition

Question 7

Is FTT a disease or a diagnosis?

Answer 7

No, but an impression which warrants comprehensive diagnostic evaluation

Question 8

FTT is a nutrition problem cause by the child’s _____ to obtain calories or to use ____ required for growth

Answer 8

INABILITY to obtain calories or to use CALORIES required for growth

Question 9

What are common parameters of FTT in a child under 2?

Answer 9

• Weight and height fall below 3rd percentile

- Dramatic decrease in growth

Question 10

Organic or non-organic: FTT that is unrelated to disease or a physical problem

Answer 10

Non-organic FTT (NFTT)

Question 11

What is NFTT most often the result of?

Answer 11

Psychosocial factors (issues with bonding for example)

Question 12

What are some examples of Organic FTT?

Answer 12

• Congenital heard disease
• Neurological deficits
• Chronic UTI
• GE reflux
• Endocrine dysfunction
• CF
• Malabsorption syndrome

Question 13

For NFTT, there is a _____ as well as growth failure

Answer 13

Developmental delay

Question 14

For NFTT, is growth failure chronic or acute?

Answer 14

Chronic

Question 15

For NFTT, is there any evidence of systemic disease or lab abnormality to account for growth failure?

Answer 15

NO

Question 16

NFTT, there are signs of _____.

Answer 16

Deprivation (lack a nurturing environment)

Question 17

NFFT, there is a significant ____ or _____ disruption within the family

Answer 17

Environmental or psychosocial

Question 18

NFTT, development of ___

Answer 18

• Mental retardation
• Behavioral disorders
• Alterations in social responsiveness
• Chronic malnutrition

Question 19

There are a lot of non-organic FTT manifestations. What are some of them?

Answer 19

• Decreased muscle mass
• Doesn’t like physical contact
• Doesn’t have attachment behaviors to caregivers
• Self-stimulatiing behavior (head banging, excessive sucking, etc)
• Sudden or rapid deceleration in growth
• Fussy, irritable infant
• Passive-apathy

Question 20

Does a NFTT baby smile?

Answer 20

Not really. there is minimal smiling and is unresponsive facial expressions

Question 21

What does a NFTT child do in its environment?

Answer 21

Scanning

Question 22

Does NFTT sleep well?

Answer 22

No, disturbed sleep (restlessness)

Question 23

What is the infant posturing of a NFTT baby?

Answer 23

Stiffening or arching the back

Question 24

T/F: NFTT babies are nonvocal

Answer 24

True

Question 25

NFTT: ___ emotional changes. Excessive _____.

Answer 25

Negative emotional changes and excessive crying

Question 26

NFTT: Not enough fluid in baby causes ____

Answer 26

Constipation

Question 27

What are some parent behaviors of NFTT babies? (there are a lot, just name as many as you can to get the idea)

Answer 27

- Negative feelings about infant - Poor eye contact - Doesnt want to hold baby (holds infant at distance) - Doesnt want to play or stimulate baby - Annoyed with care responsibilities - Financial strain - Drug/alcohol abuse - Bad role models - Decreased education - Can't figure out infants signals - No or minimal positive interactions

Question 28

What kind of attitude do NFTT parents have?

Answer 28

Attitude that infant is a burder

Question 29

Parental behaviors: They may ___ the bottle. What does this cause?

Answer 29

Prop bottle; can cause otitis media and aspiration *with FTT, don't prop the bottle because it doest help with bonding

Question 30

How does a parent of a NFTT baby refer to their child?

Answer 30

"the baby" rather than "he or she"

Question 31

Do parents of NFTT babies respond quickly to their childs cry?

Answer 31

No, slow response or maybe not even a response at all

Question 32

What is the initial treatment plan, regardless of if its inorganic or organic, for FTT?

Answer 32

Reversing malnutrition, giving sufficient calories to support catch-up growth

Question 33

What is a normal kcal amount for healthy babies? What about for FTT babies?

Answer 33

normal: 100cal/kg/day FTT babies: 150cal/kg/day (formula contains about 20cal/oz)

Question 34

FTT: Feeding times?

Answer 34

30 minutes per session

Question 35

Who will initially feed the baby?

Answer 35

Staff role models, then will begin to observe parent

Question 36

Where should FTT babies be fed?

Answer 36

Quiet | Unstimulating environment

Question 37

Should eye contact be established with FTT babies?

Answer 37

Yes

Question 38

How should feeding go with a FTT baby?

Answer 38

Maintain calm, even temperament throughout feeding

Question 39

What is the goal of a child when feeding if the child is FTT?

Answer 39

Child to associate feeding with pleasure (discipline should be limited during feeding)

Question 40

How should new foods be introduced with FTT babies?

Answer 40

SLOWLY; bottle feeding may be the only experience

Question 41

Should we force feed a FTT baby?

Answer 41

No, avoid this

Question 42

Should we give up feeding a FTT baby if they begin spitting up or doing some other negative behavior?

Answer 42

No, don't give up

Question 43

Is it okay to give directions and praises while feeding FTT child?

Answer 43

Yes | EX: "take a spoonful, good job!"

Question 44

Is it okay to praise the parent for success?

Answer 44

Yes