Question 1

The causes for Failure to Thrive (FTT) include all of the following except:
A) Inborn errors of metabolism
B) Neglect and abuse
C) Decreased calorie expenditure
D) Inadequate calorie consumption

Accepted Answer

Failure to Thrive (FTT) is typically caused by inadequate calorie consumption, inborn errors of metabolism, or neglect and abuse, not by decreased calorie expenditure.

Question 2

FTT affects between 5% and 10% of the pediatric population and 40% of infants with FTT have a recognized pediatric disorder.

Accepted Answer

False

Question 3

When establishing a growth trend in infants and toddlers, which of the following is currently recommended:
A) World Health Organization growth chart until the infant reaches the age of 2 years
B) CDC growth chart for the first 2 years
C) AAP growth curve for the first year, and CDC growth chart thereafter
D) Fenton growth chart for first year and CDC growth chart thereafter

Accepted Answer

The World Health Organization (WHO) growth charts are recommended for infants and toddlers up to the age of 2 years because they are based on optimal growth standards for breastfed infants.

Question 4

The criteria for determination of FTT include:
A) A plateaued weight that crosses a single percentile line over two consecutive measurements
B) Weight to age ratio that is less than 30% of expected norms
C) Weight below the third-fifth percentile using a reliable, standardized curve
D) Identification in infants prior to 6 months of age

Accepted Answer

Failure to thrive (FTT) is often determined by weight below the third-fifth percentile on a standardized growth chart.

Question 5

When obtaining an accurate feeding history is hampered by poor parental recall or inconsistency, it may be necessary to hospitalize an infant to more optimally evaluate calorie intake and observe feeding interactions.

Accepted Answer

Hospitalization can provide a controlled environment to accurately monitor an infant's feeding and nutritional intake, ensuring proper evaluation and care.

Question 6

When obtaining a health history on an infant with poor weight gain and possible diagnosis of FTT, some critical elements of the history include:
A) Intrauterine growth history and strength of suck
B) Frequency of stools
C) Proper preparation of formula or duration of feeding if breastfed
D) A and C
E) All of the above

Accepted Answer

All the elements listed are critical in assessing an infant with poor weight gain and possible failure to thrive (FTT). Intrauterine growth history and strength of suck can indicate initial growth patterns and feeding ability. Frequency of stools can provide insight into digestion and absorption issues. Proper preparation of formula or duration of feeding if breastfed ensures the infant is receiving adequate nutrition.

Question 7

When considering a diagnosis of FTT, it is important to consider genetic and functional conditions that contribute to poor weight gain or short stature.

Accepted Answer

Failure to thrive (FTT) can be caused by a variety of factors, including genetic and functional conditions, which can affect a child's growth and development.

Question 8

Chronic conditions that can contribute to inadequate caloric absorption during infancy include the following:
A) Short gut syndrome
B) Sickle cell disease
C) Cow's milk protein allergy
D) A and C
E) All of the above

Accepted Answer

The answer of Chronic conditions that can contribute to inadequate...

Question 9

Laboratory confirmation is required to determine an accurate diagnosis of FTT.

Accepted Answer

Failure to Thrive (FTT) is primarily diagnosed through clinical assessment, growth measurements, and medical history rather than laboratory tests.

Question 10

Catch-up growth should be supported by a cautious refeeding plan to avoid overestimating the absorptive capacity of the gut and potential complications such as an electrolyte imbalance.

Accepted Answer

Catch-up growth requires careful refeeding to prevent refeeding syndrome, which can cause electrolyte imbalances and other complications if the gut's absorptive capacity is exceeded.

Quiz 14: Failure to Thrive During Infancy

The causes for Failure to Thrive (FTT) include all of the following except:

FTT affects between 5% and 10% of the pediatric population and 40% of infants with FTT have a recognized pediatric disorder.

When establishing a growth trend in infants and toddlers, which of the following is currently recommended:

The criteria for determination of FTT include:

When obtaining an accurate feeding history is hampered by poor parental recall or inconsistency, it may be necessary to hospitalize an infant to more optimally evaluate calorie intake and observe feeding interactions.

When obtaining a health history on an infant with poor weight gain and possible diagnosis of FTT, some critical elements of the history include:

When considering a diagnosis of FTT, it is important to consider genetic and functional conditions that contribute to poor weight gain or short stature.

Chronic conditions that can contribute to inadequate caloric absorption during infancy include the following:

Laboratory confirmation is required to determine an accurate diagnosis of FTT.

Catch-up growth should be supported by a cautious refeeding plan to avoid overestimating the absorptive capacity of the gut and potential complications such as an electrolyte imbalance.