The nurse is reviewing the medical record of a 4-year-old client with failure to thrive. Which of the following risk factors likely contribute to the client's condition? Select all that apply.

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Failure to thrive (FTT) describes a client with poor growth due to inadequate caloric intake, inadequate food absorption, or excess caloric expenditure. In children, a weight that is <80% of ideal weight for height, weight that is below the 3rd to 5th percentile on growth charts, or persistent decrease in growth over time on growth charts support the diagnosis of FTT. Causes of FTT are typically multifactorial but may be related to certain medical conditions (eg, low birth weight, prematurity, congenital anomalies) or influenced by psychosocial risk factors, including: Domestic violence in the home and/or history of child neglect or abuse (Option B)Caregiver or child with negative attitudes toward food (eg, fear of obesity, anorexia, food restriction) (Option C)Poverty or food insecurity (which is the greatest risk factor) (Option E)Disordered feeding behaviors (eg, unstructured mealtimes) Domestic violence in the home and/or history of child neglect or abuse (Option B) Caregiver or child with negative attitudes toward food (eg, fear of obesity, anorexia, food restriction) (Option C) Poverty or food insecurity (which is the greatest risk factor) (Option E) Disordered feeding behaviors (eg, unstructured mealtimes) (Option A) Children are not at risk for FTT based on birth order or number of siblings. (Option D) Children with a parent who works outside the home do not have an increased risk for FTT. Educational objective: Failure to thrive (FTT) describes a client with poor growth due to inadequate caloric intake, inadequate food absorption, or excess caloric expenditure. In children, psychosocial risk factors for FTT include lack of structured mealtimes, domestic violence, negative attitudes toward food, and poverty.

The Nurse Is Reviewing the Medical Record of a 4-Year-Old