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Running Head: FAILURE TO THRIVE? 1 
Failure to Thrive? 
Lesson 3.2 
St. Josephs College of Maine
FAILURE TO THRIVE? 2 
Initially, the clinician should review the birth weight with an understanding that she was 
born at 36 weeks gestation, know as a late preterm birth to an adolescent mother. Most 
importantly, a review of BMI for age, to determine if it is less than the 5th percentile, and weight 
less than 75 percent of median weight for length should be determined. This infant does fall 
below the weight for length percentiles, just below or at 2% according to WHO, (Kirkland & 
Motil, 2014). Weight velocity unfortunately cannot be calculated as there are no weights 
available since the 2 week visit (Cole & Lanham, 2011). Failure to thrive can be a broadly used 
term to describe a child whose current weight or trajectory of weight gain does not equal that of 
other children of similar age, gender and ethnicity (Stephens, Gentry, Michener & Kendall, 
2008). According to the CDC, FTT includes children who drop more than two standard 
percentile lines on growth charts, are below the 3rd percentile for weight, have weight for length 
less than 80% of ideal weight, have height or weight less than a 3rd percentile, and have weight 
for height less than a 10th percentile or weight for age less than two standard deviations below 
the mean for age. More than 80% of children with poor growth do not have an underlying 
medical disorder, so a careful history of feeding patterns, appetite, daily intake, types of foods 
and amount of activity should be pursued. Failure to thrive without an underlying medical 
disorder represents a disruption in the biological, psychosocial, and environmental factors that 
contribute to a child's growth and development (Kirkland & Motil, 2014). 
History questions first and foremost should include feedings, amount taken, type of 
formula, and if there is any regurgitation. It is unlikely that this mother is breast-feeding, as she 
is attending school, so formula mixing techniques should be questioned and reviewed. A 
psychosocial history which involves the caretakers understanding of how often to feed the infant 
and how much the infant should be taking at this stage of development is crucial.
FAILURE TO THRIVE? 3
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Failure to thrive

  • 1. Running Head: FAILURE TO THRIVE? 1 Failure to Thrive? Lesson 3.2 St. Josephs College of Maine
  • 2. FAILURE TO THRIVE? 2 Initially, the clinician should review the birth weight with an understanding that she was born at 36 weeks gestation, know as a late preterm birth to an adolescent mother. Most importantly, a review of BMI for age, to determine if it is less than the 5th percentile, and weight less than 75 percent of median weight for length should be determined. This infant does fall below the weight for length percentiles, just below or at 2% according to WHO, (Kirkland & Motil, 2014). Weight velocity unfortunately cannot be calculated as there are no weights available since the 2 week visit (Cole & Lanham, 2011). Failure to thrive can be a broadly used term to describe a child whose current weight or trajectory of weight gain does not equal that of other children of similar age, gender and ethnicity (Stephens, Gentry, Michener & Kendall, 2008). According to the CDC, FTT includes children who drop more than two standard percentile lines on growth charts, are below the 3rd percentile for weight, have weight for length less than 80% of ideal weight, have height or weight less than a 3rd percentile, and have weight for height less than a 10th percentile or weight for age less than two standard deviations below the mean for age. More than 80% of children with poor growth do not have an underlying medical disorder, so a careful history of feeding patterns, appetite, daily intake, types of foods and amount of activity should be pursued. Failure to thrive without an underlying medical disorder represents a disruption in the biological, psychosocial, and environmental factors that contribute to a child's growth and development (Kirkland & Motil, 2014). History questions first and foremost should include feedings, amount taken, type of formula, and if there is any regurgitation. It is unlikely that this mother is breast-feeding, as she is attending school, so formula mixing techniques should be questioned and reviewed. A psychosocial history which involves the caretakers understanding of how often to feed the infant and how much the infant should be taking at this stage of development is crucial.