An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
A. Encouraging the infant to hold a bottle
B. Keeping the infant on bed rest to conserve energy
C. Rotating caregivers to provide more stimulation
D. Maintaining a consistent, structured environment
Correct Answer: D. Maintaining a consistent, structured environment
Nonorganic failure to thrive refers to decelerated or arrested physical growth and is related with poor developmental and emotional functioning. The nurse caring for an infant with this condition should maintain a consistent, structured environment that provides interaction with the infant to promote growth and development.
Option A: Encouraging the infant to hold a bottle would reinforce an uncaring feeding environment. Feed the child slowly and carefully in a quiet environment; during feeding, the child might be closely snuggled and gently rocked; it may be necessary to feed the child every 2 to 3 hours initially.
Option B: The infant should receive social stimulation rather than be confined to bed rest. Attempt to cuddle the child and talk to him or her in a warm, soothing tone and allow for play activities appropriate for the child’s age.
Option C: The number of caregivers should be minimized to promote consistency of care. While caring for the child, point out to the caregiver the child’s development and responsiveness, noting and praising any positive parenting behaviors the caregiver displays.