Ch. 43: Psychosocial issues of infants, children, and adolescents-FTT Flashcards
What is FTT?
Inadequate growth resulting from the inability to obtain or use calories required for growth
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
5th percentile
What are some reasons for FTT?
- Inadequate caloric intake
- Inadequate absorption
- Increased metabolism
- Defective utilization
What are some organic causes of FTT?
- Cerebral palsy
- Chronic renal failure
- Congenital heart disease
- CF
- Celiac disease
- Down syndrome
- Gastroesophageal reflux
- Hepatic disease
- Hyperthyroidism
- Premature
What are some non-organic causes of FTT?
- Parental neglect
- Lack of parenting knowledge
- Disturbed maternal-child attachment
- Poverty
- Health or childrearing beliefs
- Family stress
- Feeding resistant
- Insufficient breast milk
Less than ____ on growth chart for weight
5th percentile
What does infant look like?
Malnourished appearance
Is child afraid of strangers?
No fear of strangers
Do FTT children smile a lot?
No, minimal
What is activity like of FTT child?
Decreased activity level
Any developmental delays with FTT children?
Yes
What kind of gaze do FTT children have?
Wide eyed
What type of body do FTT children have?
Stiff or flaccid
Nursing care: provide ____ formula as prescribed for FTT infants. Provide ______ for children.
24kcal/oz for infants
High calorie milk supplements for children
What are some multivitamin supplements that can be given?
Zinc and iron
Limit juice to ___ in FTT children
4oz/day
Teach parents how to ____. What else can we do to ensure this.
Mix formula properly; provide step by step written instructions
Encourage parents to:
- Maintain ____ and ____ during feedings
- ___ to infant while feeding
- ___ infant frequently
- Keep environment ___ and avoid _____
- Be persistent, remaining calm during ____ of food refusal
- Introduce new foods _____
- Never ____ infant to eat
- Eye contact and face-to-face posture
- Talk
- Burp
- Quiet and avoid distractions
- 10-15 min of refusal
- Slowly
- Never FORCE infant to eat!
What happens if infant/child is considered to have “extreme malnourishment”?
Prepare client and parents for tube feedings or IV therpy
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
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
