Flashcards
Failure to thrive
Cards in this deck (11)
- 11a. Describe normal weight gain for an infant in the first year of life.Weight
– 0-3 months 150-180 g/wk (not a straight line - “Double baby’s birthweight in first 3 months.” “An ounce a day with a rest on Sundays.”)
– 3-6 months 120 g/wk
– 6-9 months 80 g/wk
– 9-12 months 70 g/wk
Use the centile chart! - 21b. Are there any normal variations?Size at birth (esp weight) determined by uterine environment, size at 2yo by genes.
• “Catch up” growth eg. IUGR/SGA babies p97 at birth, on p50 at 12m
• Familial variations - “He’s just like his brother/father/uncle” - 32. List some reasons why an otherwise normal looking infant may not be taking in sufficient calories to gain weight normally.• Inadequate milk/food provided
• Problems with breast milk supply or technique
• Incorrect preparation or choice of formula
• Poor feeding due to structural cause eg. cleft palate
• Lack of parental knowledge about infant feeding & weight gain
• Parental mental health problem
• Parental non-orthodox health beliefs/practices
• Poverty/socio-economic problems – can’t afford appropriate formula - 43. TRUE/FALSE regarding failure to thrive? a. A serial evaluation of growth is helpful when assessing for failure to thrive.True
- 53. TRUE/FALSE regarding failure to thrive? b. Urinary tract infection is an unlikely cause of organic failure to thrive if there is no history of fever.False
- 63. TRUE/FALSE regarding failure to thrive? c. Infants from 2 weeks to 3 months age need evaluation if their weight gain is less than 20 grams a day.True
- 73. TRUE/FALSE regarding failure to thrive? d. Infants who are preterm or small for gestational generally catch up in terms of growth by one year of age.False, 2 years.
- 83. TRUE/FALSE regarding failure to thrive? e. There is no role for hospital admission in the management of failure to thrive in a child.False
- 93. TRUE/FALSE regarding failure to thrive? f. Coeliac disease may present with failure to thrive that dates back to the time of weaning onto solid food.True
- 103. TRUE/FALSE regarding failure to thrive? g. Failure to thrive may be a manifestation of severe emotional neglect in a baby.True
- 113. TRUE/FALSE regarding failure to thrive? h. Failure to thrive in the first year of life is a benign self resolving condition.False