Failure to thrive

Averil Tam
Flashcards by Averil Tam, updated more than 1 year ago
Averil Tam
Created by Averil Tam over 2 years ago
5
0

Description

general
Tags

Resource summary

Question Answer
1a. 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!
1b. 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 <p3 at birth, on p50 at age 12m • “Catch down” growth eg. LGA babies or infants of diabetic mums >p97 at birth, on p50 at 12m • Familial variations - “He’s just like his brother/father/uncle”
2. 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
3. TRUE/FALSE regarding failure to thrive? a. A serial evaluation of growth is helpful when assessing for failure to thrive. True
3. 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
3. 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
3. 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.
3. 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
3. 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
3. TRUE/FALSE regarding failure to thrive? g. Failure to thrive may be a manifestation of severe emotional neglect in a baby. True
3. TRUE/FALSE regarding failure to thrive? h. Failure to thrive in the first year of life is a benign self resolving condition. False
Show full summary Hide full summary

Similar

infective endocarditis
v.djabatey
Child development
as0180.2010
leukaemia
v.djabatey
Cystic fibrosis
v.djabatey
Bronchiolitis
v.djabatey
Laryngeal & tracheal infections
v.djabatey
Pneumonia
v.djabatey
Upper respiratory tract infection (URTI)
v.djabatey
The musculoskeletal system (mod 2, mod 10 (wk6), mod 11 (wk2)
Vicky O
Hair Loss
leac
PHS302 - Developmental Dysplasia of the Hip (DDH)
Louise Weir