Deck 33: Infant, Child, and Adolescent Nutrition

Question 1

A vegetarian adolescent has been placed on iron supplementation secondary to a diagnosis of iron-deficiency anemia. To increase the absorption of iron, the nurse would instruct the teen to take the supplement with:

A)Tomato juice.
B)Orange juice.
C)Black or green tea.
D)Milk.

Answer 1

Orange juice.

Question 2

An adolescent who is a vegetarian has been placed on iron supplementation secondary to a diagnosis of iron-deficiency anemia. To increase the absorption of iron, the nurse would instruct the teen to take the supplement with:

A)Orange juice.
B)Black or green tea.
C)Milk.
D)Tomato juice.

Answer 2

Orange juice.

Question 3

The nurse has been providing nutritional guidance to the parents of an 18-month-old. The comment by a parent that would prompt the nurse to provide the parent with further education is:

A)"We use separate utensils for preparing raw meat and preparing fruits, vegetables, and other foods."
B)"We allow our child to drink only pasteurized apple cider."
C)"We take the meat out of the freezer, and then allow it to thaw on the counter for two to three hours before cooking it thoroughly."
D)"We always wash our hands well before any food preparation."

Answer 3

"We take the meat out of the freezer, and then allow it to thaw on the counter for two to three hours before cooking it thoroughly."

Question 4

The parents of a two-and-a-half-year-old are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate?

A)"Nutritious foods should be made available at all times of the day so that the child is able to 'graze' whenever he is hungry."
B)"The child is experiencing physiologic anorexia, which is normal for this age group."
C)"A general guideline for food quantity at a meal is one-quarter cup of each food per year of age."
D)"It is more appropriate to assess a toddler's nutritional demands over a one-week period rather than a 24-hour one."
E)"The toddler should drink sixteen to twenty-four ounces of milk daily."

Question 5

While teaching parents of a newborn about normal growth and development, the nurse informs them that their child's weight should:

A)Triple by nine months of age.
B)Double by five months of age.
C)Triple by six months of age.
D)Double by one year of age.

Question 6

During a four-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?

A)Honey
B)Carrots, beets, and spinach
C)Pork
D)Cow's milk, eggs, and peanuts

Question 7

A two-month-old infant is admitted to the hospital with a diagnosis of "failure to thrive" (FTT). The nurse recognizes that the infant will be evaluated for:

A)Over-dilution of formula concentrate.
B)Parental neglect.
C)Rumination.
D)Malabsorption syndromes.
E)Pica

Question 8

The nurse collects the weight, height, and length of a child, and calculates the child's BMI to be in the 10^th percentile. Previous assessments indicate the child's BMI was also in the 10^th percentile. The nurse should explain to the parent that this assessment reveals:

A)Undernutrition.
B)Inconsistent growth.
C)Consistent growth.
D)Overnutrition.

Question 9

A 14-year-old girl is being admitted to the eating disorders unit of the hospital. The girl has a two-year history of anorexia nervosa and recently has sustained additional weight loss and electrolyte imbalances. During hospitalization, the priority concern for the health care team will be:

A)Individual counseling.
B)Family therapy.
C)Regulation of antidepressant drugs.
D)Nutritional support.

Question 10

While teaching the parents of a newborn about infant care and feeding, the nurse instructs the parents to:

A)Delay supplemental foods until the infant is four to six months old.
B)Begin diluted fruit juice at two months of age, but wait three to five days before trying a new food.
C)Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after two months of age.
D)Delay supplemental foods until the infant reaches 15 pounds or greater.

Question 11

The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend:

A)Breastfeeding the infant.
B)Switching to a bottle that has a collapsible bag inside.
C)Putting the infant in a baby swing after feeding.
D)Burping the baby more frequently.
E)Giving the baby a suppository once each morning.

Question 12

The nurse is teaching the parents of a four-month-old infant about good feeding habits. The nurse emphasizes the importance of holding the baby during feedings and not letting the infant go to sleep with the bottle, as this is most likely to increase the incidence of both dental caries and:

A)Aspiration.
B)Otitis media.
C)Malocclusion problems.
D)Sleeping disorders.

Question 13

The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. In the discussion period of the program, parents make the following comments. Which parent needs more information about safe food preparation?

A)"We always wash our hands well before any food preparation."
B)"We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."
C)"We take the meat out of the freezer and then allow it to thaw on the counter for two to three hours before cooking it thoroughly."
D)"If our baby doesn't drink all the formula in his bottle, we throw the rest out."