Deck 32: Infant, Child, and Adolescent Nutrition

Question 1

During a 4-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?
1) Honey
2) Carrots, beets, and spinach
3) Pork
4) Cow's milk, eggs, and peanuts

Answer 1

4

Question 2

The nurse is teaching the parents of a 4-month-old infant about good feeding habits. Which is the rationale for not letting the baby go to sleep with the bottle?
1) To decrease the risk for aspiration
2) To decrease the risk for dental caries
3) To decrease the risk for malocclusion problems
4) To decrease the risk for sleeping disorders

Answer 2

2

Question 3

A 2-month-old infant is admitted to the hospital with a diagnosis of "failure to thrive" (FTT). Which possible causes for FTT will the nurse include in the infant's plan of care? Select all that apply.
1) Overdilution of formula concentrate
2) Parental neglect
3) Rumination
4) Malabsorption syndromes
5) Pica

Answer 3

1, 2, 3, 4

Question 4

The nurse is providing care to a toddler-age client who is diagnosed with celiac disease. Which interventions will the nurse include in the toddler's plan of care? Select all that apply.
1) Temporary removal of wheat products from the diet
2) Permanent removal of oat products from the diet
3) Fat-soluble vitamin supplements
4) Avoidance of processed foods
5) Obtaining a dietary prescription

Question 5

The parents of a 2.5-year-old boy are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate? Select all that apply.
1) "Nutritious foods should be made available at all times of the day so that the child is able to 'graze' whenever he is hungry."
2) "The child is experiencing physiologic anorexia, which is normal for this age group."
3) "A general guideline for food quantity at a meal is one quarter cup of each food per year of age."
4) "It is more appropriate to assess a toddler's nutritional demands over a 1-week period rather than a 24-hour one."
5) "The toddler should drink 16 to 24 ounces of milk daily."

Question 6

The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. Which parental comment indicates the need for more information about safe food preparation?
1) "We always wash our hands well before any food preparation."
2) "We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods."
3) "We take the meat out of the freezer and then allow it to thaw on the counter for 2 to 3 hours before cooking it thoroughly."
4) "If our baby doesn't drink all the formula in his bottle, we throw the rest out."

Question 7

The nurse is providing care for an infant who is diagnosed with colic. Which interventions will the nurse include in the infant's plan of care? Select all that apply.
1) Using a front-carrying sling
2) Recommending swaddling
3) Suggesting frequent burping
4) Recording all feedings in an intake journal
5) Removing gluten from the diet

Question 8

Which assessment findings would cause the nurse to believe that a school-age child is not receiving enough vitamin C in the diet? Select all that apply.
1) Dermatitis
2) Bleeding gums
3) Scaling of the skin
4) Muscle weakness
5) Headaches

Question 9

A vegetarian adolescent is prescribed iron supplementation secondary to a diagnosis of iron-deficiency anemia. Which food will the nurse encourage the adolescent to increase intake of based on the current diagnosis?
1) Black tea
2) Eggs
3) Fresh fruit
4) Milk

Question 10

An adolescent is admitted to the eating disorders unit with a 2-year history of anorexia nervosa. Assessment data indicate that the adolescent has recently sustained additional weight loss and electrolyte imbalances. Which is the priority when planning care for this client?
1) Individual counseling
2) Family therapy
3) Regulation of antidepressant drugs
4) Nutritional support

Question 11

The mother of a 6-week-old male infant tells the nurse that her baby has had colic for several days, crying for up to 3 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 being formula-fed and gaining weight satisfactorily. Which recommendations will the nurse make based on the current data? Select all that apply.
1) Breastfeeding the infant
2) Switching to a bottle that has a collapsible bag inside
3) Putting the infant in a baby swing after feeding
4) Burping the baby more frequently
5) Giving the baby a suppository once each morning

Question 12

Which instruction from the nurse is appropriate when conducting teaching to new parents regarding infant care and feeding?
1) Delay supplemental foods until the infant is 4 to 6 months old.
2) Begin diluted fruit juice at 2 months of age, but wait 3 to 5 days before trying a new food.
3) Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age.
4) Delay supplemental foods until the infant reaches 15 pounds or greater.

Question 13

Which concepts will the nurse use when conducting client teaching to a family regarding Dietary Reference Intake (DRI) in the United States (U.S.)? Select all that apply.
1) Estimated Average Requirement (EAR)
2) Recommended Daily Allowance (RDA)
3) Adequate Intake (AI)
4) Upper Intake (UI)
5) Reference Nutrient Intake (RNI)

Question 14

The nurse is teaching the parents of a 6-month-old infant about the introduction of solid foods. Which foods will the nurse include in the teaching session? Select all that apply.
1) Rice cereal
2) Fruits
3) Vegetables
4) Meats
5) Nut products

Question 15

A vegetarian adolescent is placed on iron supplementation secondary to a diagnosis of iron-deficiency anemia. Which will the nurse encourage the adolescent to drink when taking the daily iron supplement?
1) Orange juice
2) Black or green tea
3) Milk
4) Tomato juice

Question 16

The nurse is providing nutritional guidance to the parents of a school-age child. Which comment by a parent would prompt the nurse to provide further education?
1) "We use separate utensils for food preparation and for eating."
2) "We allow our child to drink only pasteurized apple cider."
3) "We let our child sample cookie dough while making cookies."
4) "We always wash our hands well before any food preparation."

Question 17

A nurse is teaching an African American mother of a 3-month-old infant, born in the late fall, who is being exclusively breastfed. Which is the priority nutrient for the nurse to include in the teaching session?
1) Iron
2) Vitamin D
3) Calcium
4) Fluoride

Question 18

The nurse collects the weight and height measurements of a child, and calculates the child's body mass index (BMI) to be in the 10th percentile. Previous assessments indicate that the child's BMI was also in the 10th percentile. Which should the nurse include in the discussion of this child's BMI with the parents?
1) Undernutrition
2) Inconsistent growth
3) Consistent growth
4) Overnutrition

Question 19

Which statement should the nurse include when teaching parents of an infant about normal growth and development regarding weight gain?
1) "Your baby's weight should triple by 9 months of age."
2) "Your baby's weight should double by 5 months of age."
3) "Your baby's weight should triple by 6 months of age."
4) "Your baby's weight should double by 1 year of age."

Question 20

Which parental statements during the nutrition assessment for a toddler would cause the nurse concern? Select all that apply.
1) "My child drinks 20 ounces of fat-free milk each day."
2) "My child drinks 6 ounces of 100% fruit juice each day."
3) "We eat at fast-food restaurants several times each week."
4) "We only give our child pasteurized fruit juices."
5) "My child likes to drink water with snacks."