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use the case study below.Please read the case and answer these questions. Case Study: Rebecca,an infant born at 32 weeks,weighed 1200 g (2.6 lb) ,and was SGA.Her head circumference was 30 cm (< 5th percentile) .The mother was not interested in breastfeeding.A dietitian evaluated Rebecca and established appropriate growth and development goals for weight,length,head circumference,and body fat stores.A high-calorie formula (22 kcal/oz) was also initiated. -Which statement best describes body fat storage changes expected in Rebecca?


A) Fat stores will decrease in 3 months.
B) Fat stores will stay the same in 3 months.
C) Fat stores will increase in 3 months.
D) Body fat stores will increase immediately.

E) C) and D)
F) B) and D)

Correct Answer

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How many Calories would the American Academy of Pediatrics initially recommend for a 1.5-kg infant that was born at 33 weeks gestation?


A) 120 kcal/day
B) 162 kcal/day
C) 180 kcal/day
D) 225 kcal/day
E) 248 kcal/day

F) B) and E)
G) C) and E)

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There are several reasons why a baby that is born preterm may be hard to feed.These include all of the following EXCEPT:


A) fatigue.
B) high tolerance of volume.
C) low tolerance of volume.
D) disorganized feeding.
E) abdominal distension.

F) A) and B)
G) A) and C)

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There are many nutritional concerns in infants with special health care needs.Feeding problems may result from the disruption of the delivery of nutrients due to:


A) structure or functioning of the mouth or oral cavity.
B) instructions that were too complicated for parents to follow.
C) appetite being suppressed by medications or constipation.
D) inappropriate food choices or methods of preparation.
E) All of the above

F) C) and E)
G) All of the above

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The American Academy of Pediatrics and The European Society for Gastroenterology recommend the SAME level of energy intake for pre-term infants.

A) True
B) False

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An infant is diagnosed with maple syrup urine disease and requires a special infant formula.Which of the following would be the best choice?


A) An extensively hydrolyzed formula
B) A highly concentrated formula providing 40 kcal/fl oz
C) A standard infant formula with polycose and MCT oil
D) A standard infant formula with baby rice cereal
E) A mixture of amino acids,carbohydrates,and fats,without the amino acids valine,isoleucine,and leucine

F) D) and E)
G) A) and E)

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The initial nutrition problems resulting from VLBW and ELBW include:


A) inability to nurse like a full-term infant.
B) for most,a requirement for respiratory support to breathe.
C) a greater likelihood of food allergies and difficulty feeding.
D) a and b
E) b and c

F) B) and E)
G) A) and D)

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What is the most appropriate nutrition intervention for a special needs infant who has gastroesophageal reflux and swallowing difficulty?


A) Add 4 oz fruit juice as a snack
B) Feed infant more often
C) Mix baby rice cereal with standard formula
D) Supplement with a mixture of amino acids,carbohydrates,fats,vitamins,and minerals
E) Provide a concentrated formula that provides 40 cal/fluid ounce

F) A) and E)
G) B) and D)

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C

In preterm births,which organ is stressed,reducing an infant's ability to digest protein?


A) Heart
B) Small intestine
C) Liver
D) Gallbladder
E) Pancreas

F) B) and E)
G) C) and D)

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An infant that is unable to swallow and is having gastrointestinal problems should not be given enteral feedings.

A) True
B) False

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use the case study below.Please read the case and answer these questions. Case Study: Rebecca,an infant born at 32 weeks,weighed 1200 g (2.6 lb) ,and was SGA.Her head circumference was 30 cm (< 5th percentile) .The mother was not interested in breastfeeding.A dietitian evaluated Rebecca and established appropriate growth and development goals for weight,length,head circumference,and body fat stores.A high-calorie formula (22 kcal/oz) was also initiated. -Three months following an infant's birth,her mother returned to the community health care clinic and reported that Rebecca was "not as tired as she used to be when drinking her bottle." What additional information would reinforce the mom's report that the infant's feeding behaviors have improved?


A) The number of bowel movements had increased since the last visit
B) The amount of time between feedings had increased since the last visit
C) The infant was now drinking sugar water
D) The infant now enjoyed a pacifier

E) All of the above
F) A) and D)

Correct Answer

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B

Growth rates among infants that have the lung condition bronchopulmonary dysplasia (BPD) are slower due to all of the following EXCEPT:


A) higher nutritional requirements.
B) more muscle mass.
C) changes in endocrine systems.
D) changes in pulmonary systems.
E) All of the above are reasons that these infants have slower growth rates.

F) D) and E)
G) C) and D)

Correct Answer

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Slow growth is ALWAYS a symptom of inadequate nutrition.

A) True
B) False

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Rickets is a deficiency disease that is caused by insufficient amounts of which vitamin?


A) Vitamin A
B) Vitamin D
C) Vitamin C
D) Vitamin E
E) Vitamin B₁₂

F) B) and E)
G) All of the above

Correct Answer

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Because the infant mortality rate has declined,the number of infant's also requiring nutrition services has declined.

A) True
B) False

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An example of a central nervous system congenital anomaly is:


A) a heart malformation.
B) spina bifida.
C) cleft lip.
D) tracheoesophageal atresia.
E) autism.

F) D) and E)
G) B) and E)

Correct Answer

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A gavage feeding is one that:


A) provides nutrition directly through the central vein and includes amino acids,dextrose,and a lipid emulsion.
B) provides nutrition through a tube inserted into the stomach or small intestine.
C) provides slow feedings from the mouth or nose into the stomach through a tube.
D) provides oral nutrition that has been pureed thoroughly so the infant does not choke.
E) provides nutrition through the use of an oral syringe.

F) B) and D)
G) B) and E)

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The answer to question #48 was chosen because:


A) excluding valine,isoleucine,and leucine prevents toxic byproduct buildup.
B) increased calories,protein,and fats are needed.
C) the amino acids will be absorbed better if extensively broken down.
D) MCT oil is easier to digest and provides more calories.
E) a standard formula with rice has an increased thickness to lower the risk of choking.

F) B) and D)
G) B) and C)

Correct Answer

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use the case study below.Please read the case and answer these questions. Case Study: Rebecca,an infant born at 32 weeks,weighed 1200 g (2.6 lb) ,and was SGA.Her head circumference was 30 cm (< 5th percentile) .The mother was not interested in breastfeeding.A dietitian evaluated Rebecca and established appropriate growth and development goals for weight,length,head circumference,and body fat stores.A high-calorie formula (22 kcal/oz) was also initiated. -What daily weight gain goal would the dietitian set for the first three months?


A) 10-25 g/day
B) 20-30 g/day
C) 30-40 g/day
D) >40 g/day

E) A) and C)
F) All of the above

Correct Answer

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Protein sparing is best defined as:


A) eating enough protein so that you have plenty to spare.
B) eating enough carbohydrate so that protein can be used for growth.
C) eating enough fat so that protein can be used for growth.
D) All of the above
E) b and c only

F) A) and B)
G) A) and C)

Correct Answer

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E

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