Deck 17: Nutrition

Question 1

The mother of a 6-year-old 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

Answer 1

C

Question 2

The primary care pediatric nurse practitioner sees a 3-year-old 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 3-day 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.

Answer 2

A

Question 3

The primary care pediatric nurse practitioner is providing anticipatory guidance to the mother of a breastfed 6-month-old infant who asks about "self-feeding." 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 self-feed."
D) "Infants must be able to grasp and feed themselves from a spoon to do this."

Answer 3

C

Question 4

The parent of a school-age child reports that the child is on a gluten-free 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 gluten-free grain products for all family members. The nurse practitioner will tell this parent that gluten-free 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 5

The primary care pediatric nurse practitioner provides anticipatory guidance for a 6-month-old 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.

Question 6

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 high-calorie 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 high-calorie formula.

Question 7

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.

Question 8

The parent of a toddler tells the primary care pediatric nurse practitioner that the family has adopted a plant-based 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 9

The parent of a 12-month-old infant asks the primary care pediatric nurse practitioner why 2% cow's milk is recommended instead of whole milk. What will the nurse practitioner tell this parent?

A) Whole milk is usually not fortified with vitamin D.
B) 2% milk is higher in essential proteins and minerals.
C) Young children don't need the extra calories found in whole milk.
D) Younger children need a limited amount of fats.

Question 10

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) high-fiber cereals.
D) processed breads.

Question 11

The primary care pediatric nurse practitioner is performing a well child examination on a 15-year-old 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