Chapter 13 | PrepU | Nutrition for Infants, Children, and Adolescents

The nurse is seeing a parent with an 11-year-old boy for a well child visit. The parent expresses concern that the child has not grown as tall as the parent expected by this age. How should the nurse respond? "Your son should have started a growth spurt by now." "Growth should end by 14 years." "A growth spurt should begin in about one year." "Peak growth should finish within the next year."

"A growth spurt should begin in about one year."

A father is concerned because his baby spits up a small amount of formula after many feedings. Which of the following should the nurse recommend? "Burp the infant more often." "Shorten the feeding time." "Invert the infant to burp her." "Switch to an antireflux formula."

"Burp the infant more often."

A parent is asking the school health nurse how much her son is expected to grow before he reaches puberty. Which is the correct response from the nurse? "He will grow 2 to 3 inches per year." "He will only grow after reaching puberty." "He will gain 2 to 3 pounds per year." "He will grow 5 inches."

"He will grow 2 to 3 inches per year."

Brianna was 6 pounds at birth. Her weight will be approximately ____ pounds by 4 to 6 months and approximately ____ pounds by 12 months. 12, 18 12, 16 10, 18 18, 24

12, 18

The nurse is seeing 12 year old regarding concerns about eating and growth. The nurse is correct to inform the client that he should be having how much calcium daily? 2700mg 1300mg 500mg 1000mg

1300mg

The Dietary Reference Intake for a three-year-old moderately active girl will be the same as that for which of the following? Select all that apply. A one-year-old active girl A four-year-old sedentary boy A four-year old active girl A five-year-old sedentary boy A four-year-old sedentary girl

A four-year-old sedentary boy A four-year-old sedentary girl A five-year-old sedentary boy

The nurse is providing nutritional education to the parents of a group of toddler aged children. Which of the following children will likely consume the most food? A larger, active child A smaller, active child A smaller, sedentary child A larger, sedentary child

A larger, active child

Which of the following is a CORRECT explanation about the relationship between breastfeeding and obesity? Breastfed infants have longer periods between feedings than formula-fed infants. Breastfed infants feed less often than formula-fed infants. Breastfed infants grow more quickly than formula-fed infants. Breastfed infants have a lower risk of obesity in some populations.

Breastfed infants have a lower risk of obesity in some populations.

The nurse knows which of the following is true about preterm infant formula? Is used at home for the first few months Contains more calories and some nutrients than term formulas Contains fewer calories than enriched formula Is used for infants born 34 to 36 weeks of gestation

Contains more calories and some nutrients than term formulas

The nurse recognizes which of the following statements about breastfeeding is CORRECT? Exclusive breastfeeding is related to decreased rate of weight gain in infancy. The less an infant breastfeeds, the lower the risk of overweight and obesity in toddlers and preschoolers. Exclusive breastfeeding is related to increased weight in toddlers and preschoolers. The longer an infant breastfeeds, the higher the rate of weight gain during infancy.

Exclusive breastfeeding is related to decreased rate of weight gain in infancy.

What teaching points will the nurse recommend in a newborn class to help alleviate spit up from formula fed infants? Select all that apply. Prop the bottle for independent feeding. Feed the infant more slowly. Encourage the infant to finish every bottle. Jiggle the bottle and make extra movements. Burp the infant more frequently.

Feed the infant more slowly. Burp the infant more frequently.

The nurse is discussing lifestyle modification strategies with a 15-year-old female who is concerned about developing obesity. Which of the following should the nurse recommend? Increase the nutrient density of meals. Consume artificially sweetened beverages. Eat directly from the package of foods. Eliminate eating breakfast each day.

Increase the nutrient density of meals.

The public health nurse is offering information for parents on nutrition for children. Which of the following is an effective strategy for getting a child on the path to healthy eating? Teach the child to take what he or she will eat and not go back for more. Offer new foods many times. Have children eat separately from parents. Choose how much the child will eat.

Offer new foods many times.

The Healthy Eating index-2015 found that one of the reasons overall diet quality for all childhood age and ethnic groups is excessive intake of which of the following? Dietary Fiber Calcium Sodium Potassium

Sodium

The school health nurse is seeing a 15 year old client who asks how much of her adult weight she has likely already gained. The correct response is which of the following? The client has gained half of her adult weight The client has gained 15% of her adult weight The client has gained about one fifth of her adults weight. The client has already gained most of her adult weight

The client has gained half of her adult weight

Which of the following statements is MOST likely to be true? Despite an increase in obesity in youth, chronic conditions have not affected them as much as adults. All overweight and obese teenagers become obese adults. 50% of children and adolescents are overweight or obese. The prevalence of overweight and obesity has been increasing in the United States for 4 decades.

The prevalence of overweight and obesity has been increasing in the United States for 4 decades.

A client is a new mother. Which of the following is correct advice about breastfeeding? To help maintain milk production, avoid formula Avoid pumping during growth spurts. Give water in a bottle when the weather is hot. Give cow's milk in a bottle if the infant is weaned before 1 year of age.

To help maintain milk production, avoid formula

A new parent is asking for ways to help their child develop healthy eating habits. Which of the following is a recommendation for creating a positive eating environment? Have the child eat alone. Toys, books, and/or screens should be removed from the table. Have toddlers eat with utensils. Provide frequent snacks so that the child is not hungry.

Toys, books, and/or screens should be removed from the table.

A baby is 9 months old and can hold a cup and spoon feed himself. His development is _____ for his age. appropriate behind ahead months behind

ahead

After a child is born, when is growth faster than at any other time in a lifespan? toddler years first 12 months adolescence first 6 months

first 12 months

MyPlate shows that about one half of a plate of food should consist of which of the following foods? vegetables and grains. dairy and vegetables. proteins and fruits. grains and proteins.

grains and proteins.

A study found that normal-weight teenage girls were ____ as likely to attend college as obese female adolescents. four times one quarter twice half

twice

Approximately what proportion of total calories come from empty calories in children and adolescents? one fifth two fifths three fifths one half

two fifths

A baby is 7 months old and can sit without being supported, puts food between her jaws, and eats mashed food from a spoon. Her development is _____ for her age. months ahead behind slightly ahead appropriate

appropriate

A family is concerned about isoflavones and wants to consume foods with minimal or no isoflavones. Which of the following infant formulas should they avoid? term with added long-chain fatty acids antireflux formula soy enriched

soy

When their MyPlate empty calorie allowance is compared, a 15-year-old boy can consume ____ empty calories as an eight-year-old girl. <Insert: Table 12.4> twice as many one third as many half as many three times as many

three times as many

A nurse is providing nutrition education for a group of caregivers. Which of the following should the nurse recommend for formula feeding? "Stop feeding when babies turn away from bottles, as this is a sign that they are finished." "Feed babies every time they cry, since crying means that they are hungry." "Put babies to bed with formula bottles to help them sleep." "Ensure that babies finish their bottles to make sure they get enough nutrients."

"Stop feeding when babies turn away from bottles, as this is a sign that they are finished."

A client tells the nurse that she does not eat chocolate because she is prone to acne. How should the nurse respond? "That is not necessary, since diet is not linked to acne." "That might help, since diet can aggravate acne" "That might help, since diet causes acne." "That is incorrect, since chocolate decreases acne."

"That might help, since diet can aggravate acne"

Which recommendation will the nurse give about introducing solid foods in infants? To limit the likelihood that infants will become picky eaters, foods of one type should be offered. Establishing continuous grazing rather than offical mealtimes will help prevent overweight and obesity. Introduce single-ingredient foods one at a time so that allergic reactions, such as rashes, vomiting, or diarrhea, can be identified. After 30 days of apparent tolerance, another new food can be introduced

Introduce single-ingredient foods one at a time so that allergic reactions, such as rashes, vomiting, or diarrhea, can be identified.

Which of the following is a nutrient that is deficient in some older American infants? Sodium Iron Protein Preformed vitamin A

Iron

A new father is asking for ways to help his child develop healthy eating habits. Which of the following is a recommendation for creating a positive eating environment? Serve only the foods the parents like. Never force a child to eat. Limit fat when the child is very young. Use food as a reward.

Never force a child to eat.

The nurse is admitting a 1-year-old infant to the pediatric unit with dehydration and flu-like symptoms. The infant's mother is concerned about her ability to continue to breastfeed her baby. The nurse recognizes this will affect the child's nutritional status. Which of the following nursing diagnosis would be MOST appropriate in this situation? Risk of altered nutrition: risk of excess fluid volume Risk of altered nutrition: risk of decreased fluid volume Risk of altered nutrition: risk of ineffective feeding Risk of altered nutrition: interrupted feeding

Risk of altered nutrition: interrupted feeding

An infant's parents are vegans and would like to raise their children on vegan diets. Which infant formula should the nurse recommend? Lactose-free Preterm with added long-chain fatty acids Enriched Soy

Soy

During a one-day diet analysis, a three-year-old child ate 1 cup of fruit, 1.5 cups of vegetables, 4 ounces of grains, 4 ounces of proteins, and 2.5 cups of milk. According to the Healthy Eating for Preschoolers Daily Food Plan, his intake was: <Insert: Figure 12.3> at the recommended daily range for all food groups. below the recommended daily range for some food groups. below the recommended daily range for some food groups and above for other food groups. above the recommended daily range for some food groups.

at the recommended daily range for all food groups.

The nurse is helping a mother plan snacks for an 18-month-old child. Which of the following snacks should the nurse recommend the mother include in the child's eating pattern? air-popped popcorn banana bread skim milk bagel with jam

banna bread

The nurse is discussing breastfeeding with a new mom. The nurse is correct in telling the new mom that the American Academy of Pediatrics recommends which of the following? breastfeeding for 3 months, then switching to solid foods. formula with breastfeeding for the first 6 months. supplemented formula for the first 3 months. breastfeeding for at least the first 12 months.

breastfeeding for at least the first 12 months.

The nurse is seeing a mom and her two-year-old child who needs to consume more fruits and vegetables. Which of the following foods should be recommended? watermelon with seeds whole grapes celery and carrot sticks leafy greens

leafy greens

To help infants older than 6 months of age obtain adequate iron, which of the following types of meat would be best? cold cuts red meat poultry hot dogs

red meat

The nurse recognizes a parent requires nutritional education if her children consumes which of the following in excessive amounts? calcium potassium magnesium sodium

sodium