A 12-month-old infant has been diagnosed with failure to thrive (FTT). Which assessment findings does the nurse expect to be documented with this infant? (Select all that apply.)
a. Fear of strangers
b. Minimal smiling
c. Avoidance of eye contact
d. Meeting developmental milestones
e. Wide-eyed gaze and continual scan of the environment
ANS: B, C, E
Signs and symptoms of FTT include minimal smiling, avoidance of eye contact, and a wide-eyed gaze and continual scan of the environment ("radar gaze"). There is no fear of strangers, and there are developmental delays, including social, motor, adaptive, and language.
You might also like to view...
A patient has an incompetent lower esophageal sphincter. What complication should the nurse expect in this patient?
A) Overdistension of the lower esophagus B) Gastric reflux C) Duodenal reflux D) Aspiration of food
Which statement by a parent of a newborn with hypospadias indicates an understanding of instructions given by the nurse?
A) "Circumcision should not be done now." B) "We will have the baby circumcised before we leave the hospital." C) "The condition will be surgically repaired before we leave the hospital." D) "The condition will be repaired at 3 months of age."
Which of the following descriptions of symptoms would alert the nurse to a diagnosis of premenstrual syndrome?
A) Symptoms are present for 5 days before menstruation begins, symptoms end within 2 days after menstrual cycle starts B) Symptoms are present for 5 days before menstruation begins, symptoms are present for at least three consecutive menstrual cycles C) Symptoms are present for 2 days before menstruation begins, symptoms are present for at least six consecutive menstrual cycles D) Symptoms are present for 2 days before menstruation begins, symptoms end within 4 days after menstrual cycle starts
When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?
a. Mild anxiety b. Pain and fatigue c. Family presence d. Patient autonomy