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Pediatrics-MJ > T2-FTT > Flashcards

T2-FTT Flashcards

1
Q

Failure to maintain weight and height about the 5th percentile

A

Failure to thrive

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2
Q

What are the two types of FTT?

A

Organic

Non-organic

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3
Q

What is organic FTT?

A

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

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4
Q

What is non-organic FTT?

A

Feeding disorder

Parental neglect or abuse

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5
Q

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

A

Not GROWING adequately or is LOSING WEIGHT without an obvious reason

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6
Q

What is a sign of growth failure?

A

Malnutrition

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7
Q

Is FTT a disease or a diagnosis?

A

No, but an impression which warrants comprehensive diagnostic evaluation

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8
Q

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

A

INABILITY to obtain calories or to use CALORIES required for growth

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9
Q

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

A
  • Weight and height fall below 3rd percentile

- Dramatic decrease in growth

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10
Q

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

A

Non-organic FTT (NFTT)

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11
Q

What is NFTT most often the result of?

A

Psychosocial factors (issues with bonding for example)

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12
Q

What are some examples of Organic FTT?

A
  • Congenital heard disease
  • Neurological deficits
  • Chronic UTI
  • GE reflux
  • Endocrine dysfunction
  • CF
  • Malabsorption syndrome
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13
Q

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

A

Developmental delay

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14
Q

For NFTT, is growth failure chronic or acute?

A

Chronic

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15
Q

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

A

NO

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16
Q

NFTT, there are signs of _____.

A

Deprivation (lack a nurturing environment)

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17
Q

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

A

Environmental or psychosocial

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18
Q

NFTT, development of ___

A
  • Mental retardation
  • Behavioral disorders
  • Alterations in social responsiveness
  • Chronic malnutrition
19
Q

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

A
  • 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
20
Q

Does a NFTT baby smile?

A

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

21
Q

What does a NFTT child do in its environment?

A

Scanning

22
Q

Does NFTT sleep well?

A

No, disturbed sleep (restlessness)

23
Q

What is the infant posturing of a NFTT baby?

A

Stiffening or arching the back

24
Q

T/F: NFTT babies are nonvocal

A

True

25
Q

NFTT: ___ emotional changes. Excessive _____.

A

Negative emotional changes and excessive crying

26
Q

NFTT: Not enough fluid in baby causes ____

A

Constipation

27
Q

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

A
  • 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
28
Q

What kind of attitude do NFTT parents have?

A

Attitude that infant is a burder

29
Q

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

A

Prop bottle; can cause otitis media and aspiration

*with FTT, don’t prop the bottle because it doest help with bonding

30
Q

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

A

“the baby” rather than “he or she”

31
Q

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

A

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

32
Q

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

A

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

33
Q

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

A

normal: 100cal/kg/day

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

34
Q

FTT: Feeding times?

A

30 minutes per session

35
Q

Who will initially feed the baby?

A

Staff role models, then will begin to observe parent

36
Q

Where should FTT babies be fed?

A

Quiet

Unstimulating environment

37
Q

Should eye contact be established with FTT babies?

A

Yes

38
Q

How should feeding go with a FTT baby?

A

Maintain calm, even temperament throughout feeding

39
Q

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

A

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

40
Q

How should new foods be introduced with FTT babies?

A

SLOWLY; bottle feeding may be the only experience

41
Q

Should we force feed a FTT baby?

A

No, avoid this

42
Q

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

A

No, don’t give up

43
Q

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

A

Yes

EX: “take a spoonful, good job!”

44
Q

Is it okay to praise the parent for success?

A

Yes

Pediatrics-MJ (61 decks)

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