Unit 18

Question 1

What are causes of Failure To Thrive?

Answer 1

Inadequate caloric intake (don’t drink juice)
Inadequate absorption (allergy, PKU, GI malformation)
Increased metabolism
Defective utilization (genetic anomaly, metabolic storage disease)

Question 2

What are s/s of FTT?

Answer 2

Developmental Delay
Undernutrition
Withdrawn behavior
Avoiding eye contact, wide-eyed gaze
No fear of strangers
Stiff or flaccid/unresponsive
Growth Failure

Question 3

What are risk factors for FTT?

Answer 3

Poverty
Disease
Parent behavior
Behavior problems
GI problems
Cerebral palsy
Cystic fibrosis

Question 4

What is treatment of FTT?

Answer 4

Assess family interactions and VS
Record I/Os
Sit in front during face-to-face posture, maintain eye contact
Be direct and persistent in feeding
Educate parents

Question 5

What is the stage, coping mechanisms, and adjustment of chronic disease of infants?

Answer 5

Trust vs mistrust
Make sure they have a safe area
Educate parents

Question 6

What is the stage, coping mechanisms, and adjustment of chronic disease of todlers?

Answer 6

Autonomy vs shame and doubt
Give them opportunities to choose (like safe toys, what clothes they want to wear, etc.)

Question 7

What is the stage, coping mechanisms, and adjustment of chronic disease of Preschoolers?

Answer 7

Initiative vs guilt
Allow them to participate in cares
Use graphic pain scale

Question 8

What is the stage, coping mechanisms, and adjustment of chronic disease of School-aged?

Answer 8

Industry vs inferiority
Allow them to work on what they can

Question 9

What is the stage, coping mechanisms, and adjustment of chronic disease of adolesence?

Answer 9

Identity vs role confusion
Make decisions
Treat like an adult
Connect them with peers

Question 10

What are nursing interventions to promote family’s optimal adjustment?

Answer 10

Provide support
Assessment
Support coping methods for parents, child, and siblings
Education

Question 11

What is the pathophysiology of cerebral palsy?

Answer 11

Disorder of posture and movement from static brain injury prenatally or postnatally causing activity limitations and disturbances of sensation, perception, communication, cognition, and behavior

Question 12

What is clinical manifestations of cerebral palsy?

Answer 12

abnormal muscle tone, coordination, and posturing
primitive reflexes and hyperreflexia
dysphagia
extreme irritability and crying
epilepsy
stiff when holding

Question 13

What are nursing management of cerebral palsy?

Answer 13

Medication - botulism, baclofen (muscle relaxant)
Safety
Seizure precautions
Position upright after a meal
Resources