A
Allowed Nutrition Risk Criteria

ANTHROPOMETRIC

100

Low Weight for Height

101

Pre-pregnancy Underweight

102

Postpartum Underweight

103

Underweight or At Risk of Becoming Underweight (Infants and Children)*

110

High Weight for Height

111

Pre-pregnancy Overweight

112

Postpartum Overweight

113

Overweight (Children 2–5 years of Age)*

114

At Risk of Becoming Overweight (Infants and Children)*

120

Short Stature

121

Short Stature (infants, children)

130

Inappropriate Growth/Weight Gain Pattern

131

Low Maternal Weight Gain*

132

Maternal Weight Loss During Pregnancy

133

High Maternal Weight Gain*

134

Failure to Thrive

135

Inadequate Growth



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OCR for page 159
Dietary Risk Assessment in the WIC Program A Allowed Nutrition Risk Criteria ANTHROPOMETRIC 100 Low Weight for Height 101 Pre-pregnancy Underweight 102 Postpartum Underweight 103 Underweight or At Risk of Becoming Underweight (Infants and Children)* 110 High Weight for Height 111 Pre-pregnancy Overweight 112 Postpartum Overweight 113 Overweight (Children 2–5 years of Age)* 114 At Risk of Becoming Overweight (Infants and Children)* 120 Short Stature 121 Short Stature (infants, children) 130 Inappropriate Growth/Weight Gain Pattern 131 Low Maternal Weight Gain* 132 Maternal Weight Loss During Pregnancy 133 High Maternal Weight Gain* 134 Failure to Thrive 135 Inadequate Growth

OCR for page 159
Dietary Risk Assessment in the WIC Program 140 Low Birth Weight/Premature Birth 141 Low Birth Weight 142 Prematurity 150 Other Anthropometric Risk 151 Small for Gestational Age 152 Low Head Circumference 153 Large for Gestational Age BIOCHEMICAL 200 Hematocrit or Hemog1obin Below State Criteria 201 Low Hematocrit/Low Hemoglobin [formerly entitled Anemia] 210 Other Biochemical Test Results Which Indicate Nutritional Abnormality 211 Elevated Blood Lead Levels CLINICAL/HEALTH/MEDICAL 300 Pregnancy-Induced Conditions 301 Hyperemesis Gravidarum 302 Gestational Diabetes 303 History of Gestational Diabetes 310 Delivery of Low-Birthright/Premature Infant 311 History of Preterm Delivery 312 History of Low Birthweight 320 Prior Stillbirth, Fetal, or Neonatal Death 321 History of Spontaneous Abortion, Fetal or Neonatal Loss 330 General Obstetrical Risks 331 Pregnancy at a Young Age 332 Closely Spaced Pregnancies 333 High Parity and Young Age 334 Lack of Adequate Prenatal Care 335 Multifetal Gestation 336 Fetal Growth Restriction 337 History of Birth of a Large for Gestational Age Infant 338 Pregnant Woman Currently Breastfeeding 339 History of Birth with Nutrition-Related Congenital or Birth Defect 340 Nutrition-Related Risk Conditions (e.g.. Chronic Disease, Genetic Disorder Infection) 341 Nutrient Deficiency Diseases 342 Gastro-Intestinal Disorders

OCR for page 159
Dietary Risk Assessment in the WIC Program 343 Diabetes Mellitus 344 Thyroid Disorders 345 Hypertension (Includes Chronic and Pregnancy Induced) 346 Renal Disease 347 Cancer 348 Central Nervous System Disorders 349 Genetic and Congenital Disorders 350 Pyloric Stenosis 351 Inborn Errors of Metabolism 352 Infectious Diseases (Bronchiolitis added) 353 Food Allergies 354 Celiac Disease 355 Lactose Intolerance 356 Hypoglycemia 357 Drug-Nutrient Interactions 358 Eating Disorders 359 Recent Major Surgery, Trauma, Burns 360 Other Medical Conditions 361 Depression 362 Developmental, Sensory, or Motor Disabilities Interfering with the Ability to Eat 370 Substance Abuse (Drugs, Alcohol, Tobacco) 371 Maternal Smoking 372 Alcohol and Illegal Drug Use 380 Other Health Risks 381 Dental Problems 382 Fetal Alcohol Syndrome DIETARY 400 Inadequate/Inappropriate Nutrient Intake 401 Failure to Meet USDA/DHHS Dietary Guidelines for Americans 402 Vegan Diets 403 Highly Restrictive Diets 410 Other Dietary Risk 411 Inappropriate Infant Feeding 412 Early Introduction of Solid Foods 413 Feeding Cow’s Milk During First 12 Months 414 No Dependable Source of Iron for Infants at 6 Months of Age or Later 415 Improper Dilution of Formula 416 Feeding Other Foods Low in Essential Nutrients 417 Lack of Sanitation in Preparation/Handling of Nursing Bottles

OCR for page 159
Dietary Risk Assessment in the WIC Program 418 Infrequent Breastfeeding as Sole Source of Nutrients 419 Inappropriate Use of Nursing Bottles 420 Excessive Caffeine Intake (Breastfeeding Women) 421 Pica 422 Inadequate Diet 423 Inappropriate or Excessive Intake of Dietary Supplements Including Vitamins, Minerals and Herbal Remedies 424 Inadequate Vitamin/Mineral Supplementation 425 Inappropriate Feeding Practices for Children 426 Inadequate Folic Acid Intake to Prevent NTD’s, Spina Bifida and Anencephaly OTHER RISKS 500 Regression/Transfer/Presumptive Eligibility 501 Possibility of Regression 502 Transfer of Certification 503 Presumptive Eligibility for Pregnant Women 600 Breastfeeding Mother/Infant Dyad 601 Breastfeeding Mother of Infant at Nutritional Risk 602 Breastfeeding Complications (Women) 603 Breastfeeding Complications (Infants) 700 Infant of a WIC-Eligible Mother or Mother at Risk During Pregnancy 701 Infant Up to 6 Months Old of WIC Mother, or of a Woman Who Would Have Been Eligible During Pregnancy 702 Breastfeeding Infant of Woman at Nutritional Risk 703 Infant Born of Woman with Mental Retardation or Alcohol or Drug Abuse During Most Recent Pregnancy 800 Homelessness/Migrancy 801 Homelessness 802 Migrancy 900 Other Nutritional Risks 901 Recipient of Abuse 902 Woman, or Infant/Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food 903 Foster Care *   Added/modified per RISC deliberations as of March 2001.