Question

The following is a list of physiologic and psychosocial assessment data. Choose each piece of data that should be assessed further when there is a concern about failure to thrive. Select all that apply.

	a.	Avoidance of eye contact or touch
	b.	Weight less than 3rd to 5th percentile
	c.	Unresponsive to cuddling
	d.	Inability to establish a sense of trust in caregiver
	e.	Decreased muscle mass
	f.	Intense watchfulness
	g.	Wary of caregivers
	h.	Muscle hypotonia
	i.	Nonnurturing parenting behaviors
	j.	Sleep disturbance
	k.	Sudden deceleration in growth or weight loss
	l.	Delay in reaching milestones
	m.	Lack of preference for parents

Answer 1

a, avoidance of eye contact or touch
b, weight less than 3rd to 5th percentile
c, unresponsive to cuddling.
d, inability to establish a sense of trust in the caregiver
g, wary of caregivers
i, nonnurturing parenting behaviors
k, sudden deceleration in growth or weight loss
l, delay in reaching milestones
m, lack of preference for parents
failure to thrive is a weight of the children or rate of weight gain lower than other children of same age and gender. failure to thrive are weight, height of the child falls below the 10th percentile. Failure of thriving criteria includes weight loss that crossing more than one channel of growth(percentile) in body weight is evidence for failure to thrive. it is important to understand the parents perceptive about child growth and health. health education to parents improves awareness about their feeding practice. caregivers negligence, inappropriately seeking affection from strangers, delay in milestones like crawling, rolling over and talking, poor hygiene, diaper rash, impetigo as a various clinical features show psychological deprivation that causes failure to thrive.