Deck 10: Breastfeeding

Question 1

When counseling an adolescent with a family history of hyperinsulinemia and type 2 diabetes, the primary care pediatric nurse practitioner will recommend avoiding
A. baked potato chips.
B. canned vegetables.
C. high­fiber cereals.
D. processed breads.

Answer 1

processed breads.

Question 2

The primary care pediatric nurse practitioner provides anticipatory guidance for a
6­month­old infant who is breastfed who takes 400 IU of vitamin D daily. The parent reports that the infant has begun taking cereals, fruits, and vegetables in addition to nursing. What will the nurse practitioner recommend to promote healthy nutrition?
A. Begin supplementing with iron.
B. Continue to nurse as long as desired.
C. Discontinue the vitamin D supplement.
D. Stop breastfeeding at 1 year of age.

Answer 2

Continue to nurse as long as desired.

Question 3

The parents of a toddler tell the primary care pediatric nurse practitioner that they
get frustrated trying to get the child to eat any vegetables other than squash and carrots. What will the nurse practitioner recommend?
A. Continue to offer a variety of foods without forcing the child to eat them.
B. Offer snacks to make up for calories the child misses by not eating the vegetables.
C. Prepare dishes the child likes to ensure that a vegetable is eaten at each meal.
D. Require the child to take 1 to 2 bites of each food at each meal.

Answer 3

Continue to offer a variety of foods without forcing the child to eat them.

Question 4

The primary care pediatric nurse practitioner sees a 3­year­old child whose
parents report is a picky eater in spite of their continued efforts to provide nutritious meals. The parents ask whether a multivitamin is necessary. How will the nurse practitioner respond?
A. Ask the parents to provide a 3­day food diary.
B. Prescribe a daily multivitamin with iron.
C. Reinforce the need to meet DRIs each day.
D. Tell them that supplements are unnecessary

Question 5

The primary care pediatric nurse practitioner is performing a well child
examination on a 15­year­old girl who consumes a vegan diet. Based on this assessment, which nutrients may this adolescent need to supplement?
A. Calcium, vitamin C, and vitamin A
B. Iron, folic acid, and B12
C. Magnesium, vitamin E, and zinc
D. Vitamin D, vitamin C, and phosphorus

Question 6

The primary care pediatric nurse practitioner is evaluating a school­age child who,
after removal of a pituitary tumor, has altered hypothalamic control over hunger and satiety. The child is morbidly obese and expresses feeling depressed because of the obesity. What will the nurse practitioner recommend?
A. Developing a system to reward compliance with a dietary regimen
B. Restricting all access to food in the house and at school
C. Suggesting an after­school exercise program to help with weight loss
D. Using a food diary to track all calories and food intake

Question 7

The primary care pediatric nurse practitioner is providing anticipatory guidance to
the mother of a breastfed 6­month­old infant who asks about "baby­led weaning." What will the nurse practitioner tell her about this practice?
A. "Foods given for this purpose do not meet all the child's nutritional needs."
B. "Giving infants control of the feeding process will help prevent obesity."
C. "Infants are given soft, mashable table foods when able to self­feed."
D. "Infants must be able to grasp and feed themselves from a spoon to do this."

Question 8

The primary care pediatric nurse practitioner is examining a toddler who is below
the 3rd percentile for weight even though the parents claim that the child eats "constantly." What
will the nurse practitioner do initially?
A. Evaluate the child's feeding and elimination behaviors and ask the family to describe mealtime routines.
B. Recommend giving a multivitamin and offering high­calorie foods, such as ice cream.
C. Refer the child to a feeding evaluation clinic for a swallow study and evaluation of possible GERD.
D. Suggest that the parents supplement the child's food intake with a high­calorie formula.

Question 9

The parent of a toddler tells the primary care pediatric nurse practitioner that the
family has adopted a plant­based diet and the child is receiving rice and almond milk instead of cow's milk. The nurse practitioner will counsel the parents about
A. calcium deficiency.
B. excess caloric intake.
C. excess fat intake.
D. protein deficiency.

Question 10

The parent of a school­age child reports that the child is on a gluten­free diet.
When questioned about the reason for this diet, the parent states that the child has fewer stomach aches since beginning the diet but has never been diagnosed with celiac disease. The parent reports using gluten­free grain products for all family members. The nurse practitioner will tell this parent that gluten­free diets
A. are generally low in sugar and fat.
B. are healthy and help prevent obesity.
C. may be deficient in essential nutrients.
D. provide adequate protein to meet daily needs.

Question 11

The mother of a 6­year­old child tells the primary care pediatric nurse practitioner
that the child only wants to eat French fries and hamburgers and refuses most vegetables. What will the nurse practitioner recommend?
A. Giving the child a multivitamin since this is a phase
B. Having the child eat vegetables before getting the hamburger
C. Providing a variety of healthy foods at each meal
D. Putting extra lettuce and tomatoes on hamburgers