Deck 14: Failure to Thrive During Infancy

Question 1

The causes for Failure to Thrive (FTT) include all of the following except:

A) Inborn errors of metabolism
B) Neglect and abuse
C) Decreased calorie expenditure
D) Inadequate calorie consumption

Answer 1

C

Question 2

FTT affects between 5% and 10% of the pediatric population and 40% of infants with FTT have a recognized pediatric disorder.

Answer 2

False

Question 3

When establishing a growth trend in infants and toddlers, which of the following is currently recommended:

A) World Health Organization growth chart until the infant reaches the age of 2 years
B) CDC growth chart for the first 2 years
C) AAP growth curve for the first year, and CDC growth chart thereafter
D) Fenton growth chart for first year and CDC growth chart thereafter

Answer 3

A

Question 4

The criteria for determination of FTT include:

A) A plateaued weight that crosses a single percentile line over two consecutive measurements
B) Weight to age ratio that is less than 30% of expected norms
C) Weight below the third-fifth percentile using a reliable, standardized curve
D) Identification in infants prior to 6 months of age

Question 5

When obtaining an accurate feeding history is hampered by poor parental recall or inconsistency, it may be necessary to hospitalize an infant to more optimally evaluate calorie intake and observe feeding interactions.

Question 6

When obtaining a health history on an infant with poor weight gain and possible diagnosis of FTT, some critical elements of the history include:

A) Intrauterine growth history and strength of suck
B) Frequency of stools
C) Proper preparation of formula or duration of feeding if breastfed
D) a and c
E) All of the above

Question 7

When considering a diagnosis of FTT, it is important to consider genetic and functional conditions that contribute to poor weight gain or short stature.

Question 8

Chronic conditions that can contribute to inadequate caloric absorption during infancy include the following:

A) Short gut syndrome
B) Sickle cell disease
C) Cow's milk protein allergy
D) a and c
E) All of the above

Question 9

Laboratory confirmation is required to determine an accurate diagnosis of FTT.

Question 10

Catch-up growth should be supported by a cautious refeeding plan to avoid overestimating the absorptive capacity of the gut and potential complications such as an electrolyte imbalance.