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Index of Allowed Nutrition Risk Criteria

 

Nutrition Risk Manual (17 mb, PDF)

Anthropometric

Number Title Last Revised

101

Underweight (Women)

07/2009

103

Underweight or At Risk of Underweight (Infants and Children)

05/2011

 

111

Overweight (Women)

07/2009

113

Overweight (Children 2 – 5 years of Age)

05/2011

 

114

At Risk of Overweight (Infants and Children)

05/2011

 

115 High Weight for Length 05/2011  

121

Short Stature or At Risk of Short Stature (Infants and Children)

05/2011

 

131

Low Maternal Weight Gain

07/2009

132

Maternal Weight Loss During Pregnancy

04/2001

133

High Maternal Weight Gain

06/2010

134

Failure to Thrive

04/2004

135

Inadequate Growth

04/2001

141

Low Birth Weight and Very Low Birth Weight

04/2004

142

Prematurity

04/2004

151

Small for Gestational Age

04/2004

152

Low Head Circumference

05/2011

 

153

Large for Gestational Age

04/2004

Biochemical

201

Low Hematocrit/Low Hemoglobin

04/2001

211

Elevated Blood Lead Levels

04/2001

Clinical/
Health/
Medical

301

Hyperemesis Gravidarum

04/2001

302

Gestational Diabetes

07/2009

303

History of Gestational Diabetes

07/2009

304

History of Preeclampsia

07/2009

311

History of Preterm Delivery

04/2001

312 History of Low Birth Weight 04/2001  
321 History of Spontaneous Abortion, Fetal or Neonatal Loss 04/2001  
331 Pregnancy at a Young Age 04/2001  
332 Closely Spaced Pregnancies 04/2001  
333 High Parity and Young Age 04/2001  
334 Lack of or Inadequate Prenatal Care 04/2001  
335 Multi-fetal Gestation 07/2009  
336 Fetal Growth Restriction 04/2001  
337 History of Birth of a Large for Gestational Age Infant 04/2004  
338 Pregnant Woman Currently Breastfeeding 04/2001  
339 History of Birth with Nutrition Related Congenital or Birth
Defect
04/2001  
341 Nutrient Deficiency Diseases 04/2001  
342 Gastrointestinal Disorders 07/2009  
343 Diabetes Mellitus 07/2009  
344 Thyroid Disorders 05/2011
345 Hypertension and Prehypertension 07/2009  
346 Renal Disease 04/2001  
347 Cancer 04/2001  
348 Central Nervous System Disorders 06/2007  
349 Genetic and Congenital Disorders 04/2001  
351 Inborn Errors of Metabolism 05/2011
352 Infectious Diseases 04/2001  
353 Food Allergies 04/2001  
354 Celiac Disease 04/2001  
355 Lactose Intolerance 04/2001  
356 Hypoglycemia 04/2001  
357 Drug Nutrient Interactions 04/2001  
358 Eating Disorders 04/2001  
359 Recent Major Surgery, Trauma, Burns 04/2001  
360 Other Medical Conditions 04/2001  
361 Depression 04/2001  

 

Number Title Last Revised

362

Developmental, Sensory or Motor Disabilities Interfering with the Ability to Eat

04/2001

363

Pre-Diabetes

07/2009

371

Maternal Smoking

06/2007

372

Alcohol and Illegal Drug Use

04/2001

381

Dental Problems

04/2001

382

Fetal Alcohol Syndrome

04/2001

Dietary

401

Failure to Meet Dietary Guidelines for Americans

03/2005

411

Inappropriate Nutrition Practices for Infants

07/2009

Justification - Inappropriate Nutrition Practices for Infants

07/2009

425

Inappropriate Nutrition Practices for Children

07/2009

Justification - Inappropriate Nutrition Practices for Children

07/2009

427

Inappropriate Nutrition Practices for Women

07/2009

Justification - Inappropriate Nutrition Practices for Women

07/2009

428

Dietary Risk Associated with Complementary Feeding Practices

03/2005

Other Risks

501

Possibility of Regression

04/2001

502

Transfer of Certification

04/2001

503

Presumptive Eligibility for Pregnant Women

04/2001

601

Breastfeeding Mother of Infant at Nutritional Risk

04/2001

602

Breastfeeding Complications or Potential Complications

(Women)

04/2001

603

Breastfeeding Complications or Potential Complications

(Infants)

04/2001

701

Infant Up to 6 Months Old of WIC Mother or of a Woman Who Would Have Been Eligible During Pregnancy

04/2001

702

Breastfeeding Infant of Woman at Nutritional Risk

04/2001

703

Infant Born of Woman with Mental Retardation or Alcohol or Drug Abuse during Most Recent Pregnancy

04/2001

801

Homelessness

04/2001

Number Title Last Revised

802

Migrancy

04/2002

901

Recipient of Abuse

04/2001

902

Woman or Infant/Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food

04/2001

903

Foster Care

04/2001

904

Environmental Tobacco Smoke Exposure

06/2007

Pending Criteria – implementation date is 10/2013

 

 

Clinical/Health/Medical

   
Number Title Last Revised

344

Thyroid Disorders

05/2011

 

351

Inborn Errors of Metabolism

05/2011

 

353 Food Allergies 06/2012
354 Celiac Disease 06/2012
355 Lactose Intolerance 06/2012
     

Dietary

401

Failure to Meet Dietary Guidelines for Americans

06/2012