FAILURE TO THRIVE or REACTIVE ATTACHEMENT DISORDER

Question 1

It is a condition which child is under nourished

Answer 1

Failure to thrive

Question 2

It is a state of under nutrition due to inadequate caloric intake

Answer 2

Failure to thrive

Question 3

It is a unique syndrome in which an infant falls below 5th percentile for weight and height on a standard growth chart or is falling in percentiles on a growth chart regardless if client is obese or SGA

Answer 3

Failure to thrive

Question 4

What will happen if we allow the failure to thrive to continue

Answer 4

Cognitive impairment and death

Question 5

Assessment

Answer 5

Take detailed pregnancy history of children routine health assessment
Always weigh children at routine assessments and plot and compare their weight with standard growth curver

Question 6

Characteristics

Answer 6

Lethargy with poor muscle tone
Lack of resistance to the examiners manipulation
Rocking in all fours excessively as if seeking stimulation
Greater reluctance to reach for toys or initiative human contact
Diminished or nonexistent crying
Staring hungrily at people who approach them as it they are starved for human contact
Little cuddling or conforming to being held
Delay sitting, standing, crawling due to being alone
Delay or absent speech due to lack of interaction

Question 7

Therapeutic management

Answer 7

Remove from parents care for evaluation
Delay studies other than routine blood and urinalysis
Place on diet appropriate for ideal weight/age