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The client asks if her 10-year-old daughter needs a weight loss diet. Which of the following would be the nurse's best response?

"Ten-year-old girls are about to enter the growth spurt of puberty, and it is natural for her to gain weight before she grows taller. Diets are not recommended for children, although healthy eating and moderation are always appropriate." -Girls generally experience increases in growth between ages 10 and 11 years of age and peak at 12 years. Because peak weight occurs before peak height, many girls and parents become concerned about what appears to be excess weight. Parents and caregivers should not overreact about weight since this can be a sensitive time in which body image issues can develop. Diets are not recommended for children, and foods should not be forbidden but eaten in moderation.

Calorie requirements during adolescence

-Are higher than during adulthood because of growth and developmental changes -Generally, nutrient requirements are higher during adolescence than at any other time in the life cycles, with the exception of pregnancy and lactation.

Which of the following are advantages of breast milk that formula does not provide?

-More antibodies and disease protection -One well-documented advantage or breastfeeding that has not been duplicated by formulas is protection against infectious disease. Breast milk contains bioactive components that protect the infant from disease by the transfer of passive immunity from mother to infant.

A reasonable weight for a healthy 5-month-old infant who weighed eight pounds at birth might be

16 pounds -birth weight doubles by 4-6 months of age and triples by one year.

Families should be encouraged to provide whole milk for children until the age of

2 years old -To support brain growth and development, 1 to 2 year old children should continue to drink whole milk. At age 2, fat intake should gradually be reduced to 30-40% of a child's intake and transitioning to low-fat or fat-free milk is recommended.

Select the eating behavior that does NOT indicate a nutrition risk in a child.

A child that eats foods from all food groups -A child that eats foods from all food groups is not at nutrition risk. A two and a half year old should be using a cup and not a bottle. Frequent fast food and meals not eaten with the family place a child at nutrition risk. A child who only eats cereal is not eating from all food groups and could be lacking vital nutrients.

An infant should begin eating solid foods between

At 4 to 6 months of age, infants should gradually begin eating solid foods, including iron-fortified cereals and vitamin-C rich fruits and vegetables.

Which of the tips below would be applicable for an older adult who wants to eat well?

Enjoy your meals b. Add herbs and spices to your foods c. Try to eat with others

To help prevent neural tube defects, women who are of childbearing age who are capable of becoming pregnant should take supplements of

Folate is important for the prevention of neural tube defects such as spina bifida. All women of childbearing age who are capable of becoming pregnant should have a daily intake of 400mcg of synthetic folic acid. During pregnancy, women should consume 600mcg per day. This can be achieved through supplements, fortified foods, and folate naturally present in foods.

Why are solid foods not recommended for an infant during the first few months of life?

Infants who are introduced to solid foods before the age of 4 to 6 months are at increased risk of food allergies due to intestinal permeability. For the first few months of life, breast milk or formula should be the only form of infant nutrition. Before solid foods are introduced, infants should be able to sit with some support and have control of the head, neck, and trunk to be able to refuse foods when full. -a. The infant can develop allergies due to gut permeatbility. b. Breast milk or formula should be the primary source of nutrients. c. The infant cannot control his or her head and trunk effectively.

A mineral likely to be consumed in inadequate amounts by older adults is

Intake of calcium may be low in older adults. Osteoporosis is common. Stomach discomfort commonly limits milk intake, and calcium supplements may be needed.

A pregnant woman experiencing nausea and vomiting could try which of the following strategies to alleviate symptoms?

Nausea and vomiting are common discomforts of pregnancy. Pregnant women can try eating small, frequent meals to help with decreased gastric motility. Fluids should not be taken with meals and consumed in between. Not lying down after eating is a strategy for dealing with heartburn. Exercise may help with constipation.

To facilitate lactation, a mother needs

Nursing mothers need adequate nutrition and fluids to produce enough milk to feed their baby .Well-nourished women who exclusively breastfeed need 500-800 additional kcal/day, depending on the volume of milk production.

Overweight and obese youth are at risk for the same complications from overweight that afflict adults. True or false?

True. An overweight child is more likely to develop complications of adult overweight, such as diabetes, hypertension, and metabolic syndrome.

In general, calorie needs in older adults decrease while the need for other nutrients stays the same or increases. True or false?

True. Calorie needs in older adults decrease due to a decrease in lean body mass and physical activity while the need for other nutrients stays the same or increases.

Older adults may not feel thirsty even when becoming dehydrated. True or false?

True. Due to a diminished sense of thirst that occurs with aging, older adults may not feel thirsty even when they are becoming dehydrated. They should drink fluids at regular intervals and not depend on the thirst sensation.

The nurse knows her instructions about vitamin B12 are effective when the client verbalizes he will

Vitamin B12 is only found in animal products. Eating more meat for an older adult would not be appropriate since he may have trouble chewing and swallowing the meat, which could lead to choking. People older than 50 are recommended to obtain most of their B12 requirement from fortified foods, such as cereal, or supplements.

A reasonable weight gain during pregnancy for a normal-weight woman is about

Women who begin their pregnancies at a healthy weight need to gain between 25-35 pounds to cover the growth and development of the placenta, uterus, blood, breasts, and infant.

Public health recommendations for alcohol consumption during pregnancy advise

there is no safe level of alcohol consumption during pregnancy. Pregnant women should completely abstain from alcohol during their pregnancy.

Infants have higher requirements per kilogram of body weight for calories and most nutrients than adults do. True or false?

true -The amount of calories and protein needed per unit of body weight is greater for infants than for adults because growth in the first year of life is more rapid than at any other time in the life cycle (excluding the fetal period).


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