The nurse is weighing an underweight infant diagnosed with ...

[bobthebuilder]

The nurse is weighing an underweight infant diagnosed with failure to thrive (FTT) and notes that the baby does not make eye contact and is less active than the other infants. What would be a probable cause for the FTT related to the infant's body languag
 
  A) Congenital heart defect
  B) Cleft palate
  C) Gastroesophageal reflux disease
  D) Maternal abuse

Question 2

The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed that the right side of his abdomen was swollen. What finding would suggest this child has a neuroblastoma?
 
  A) The child has a maculopapular rash on his palms.
  B) The parents report that their son is vomiting and not eating well.
  C) The parents report that their son is irritable and not gaining weight.
  D) Auscultation reveals wheezing with diminished lung sounds.

[mrphibs]

Answer to Question 1

Ans: D
Infants with FTT related to maternal neglect may avoid eye contact and be less interactive than other infants. Inorganic causes of FTT include neglect, abuse, behavioral problems, lack of appropriate maternal interaction, poor feeding techniques, lack of parental knowledge, or parental mental illness.

Answer to Question 2

Ans: B
Along with the swollen abdomen on one side, the parents reporting that the child is vomiting and anorexic points to the possibility of a neuroblastoma. Observing a maculopapular rash on the child's palms is a sign of graft-versus-host disease. The parents reporting that the child is irritable and not gaining weight suggests a possible brain tumor as well as malabsorption problems. Auscultation revealing wheezing with diminished lung sounds would suggest other problems, not a neuroblastoma.