Which is an important nursing consideration when caring for an ...

[jenna1]

Which is an important nursing consideration when caring for an infant with failure to thrive?
 
  a. Establish a structured routine and follow it consistently.
  b. Maintain a nondistracting environment by not speaking to the infant during feeding.
  c. Place the infant in an infant seat during feedings to prevent overstimulation.
  d. Limit sensory stimulation and play activities to alleviate fatigue.

Question 2

Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
 
  a. Avoidance of eye contact.
  b. An associated malabsorption defect.
  c. Weight that falls below the 15th percentile.
  d. Normal achievement of developmental landmarks.

[tjayeee]

Answer to Question 1

ANS: A
The infant with failure to thrive should have a structured routine that is followed consistently. Disruptions in other activities of daily living can have a great impact on feeding behaviors. Bathing, sleeping, dressing, playing, and feeding are structured. The nurse should talk to the infant by giving directions about eating. This will help the infant maintain focus. Young children should be held while being fed, and older children can sit at a feeding table. The infant should be fed in the same manner at each meal. The infant can engage in sensory and play activities at times other than mealtime.

Answer to Question 2

ANS: A
One of the clinical manifestations of nonorganic failure to thrive is the child's avoidance of eye contact with the health professional. A malabsorption defect would result in a physiologic problem, not behavioral. Weight (but not height) below the 5th percentile is indicative of failure to thrive. Developmental delays, including social, motor, adaptive, and language, exist.

[jenna1]

Excellent

[scottmt]

TYSM