Deck 17: Pediatric Surgical Nutrition: Principles and Techniques

Question 1

A child with which of the following congenital anomaly would require calorie needs of REE X 1.5-1.7 or AE X 1.1-1.2?

A) Congenital Diaphragmatic Hernia
B) Gastroschisis
C) Hirschsprung's Disease
D) Esophageal Atresia

Answer 1

A

Question 2

Following traumatic brain injury protein catabolism peaks at _______.

A) 1-2 days
B) 5-7 days
C) 8-14 days
D) 20-30 days

Answer 2

C

Question 3

Osmolarity has no effect on gastric emptying.

Answer 3

False

Question 4

What is the most frequent cause of retching following fundoplasty?

A) Inadequate venting
B) Polypharmacy
C) Recurrent Hiatal Hernia
D) High osmolarity feeds

Question 5

What is the maximum dose of pectin that should be added to enteral feeds?

A) 1%
B) 3%
C) 5%
D) 10%

Question 6

Enteral feeds should be limited to what volume following fundoplication?

A) 22mL/kg/bolus and 6mL/kg/hr continuous
B) 20mL/kg/bolus and 7mL/kg/hr continuous
C) 15mL/kg/bolus and 8mL/kg/hr continuous
D) 13mL/kg/bolus and 5mL/kg/hr continuous

Question 7

Which section of the gastrointestinal tract regains motility fastest following surgery?

A) Stomach
B) Small Intestine
C) Large intestine
D) All section regain motility concurrently

Question 8

Early enteral nutrition, following surgery, may be beneficial because it:

A) Maintains the intestinal mucosal barrier
B) Improves blood flow
C) Decreases infectious complications
D) All of these

Question 9

Studies have found more rapid gastric emptying in formulas containing whey as compared to casein, because upon reaching the acidic environment of the stomach whey remains in a liquid state while casein curdles.

Question 10

Enteral sodium chloride is needed to support good growth in surgical infants and children.

Question 11

Additives that may be helpful in the advancement of enteral nutrition in the surgical infant include: (choose all that apply)

A) Sodium
B) Long chain triglycerides
C) Pectin
D) High dose vitamin C
E) Immunonutrition