Question 1

Which of the following helps promote better feeding of a premature infant after being discharged from the hospital?

Accepted Answer

A)  Attracting the infant's attention with toys 
B)  Playing with the infant at feeding time 
C)  Supporting the infant's body during feeding 
D)  Feeding while playing age-appropriate DVDs 
A)  Attracting the infant's attention with toys 
B)  Playing with the infant at feeding time 
C)  Supporting the infant's body during feeding 
D)  Feeding while playing age-appropriate DVDs C

Question 2

An infant born at 32 weeks' gestation is now 6 months old. Her adjusted age is _____ months.

Accepted Answer

A)  6 
B)  4 
C)  3 
D)  2 
A)  6 
B)  4 
C)  3 
D)  2 B

Question 3

The metabolic rate of the premature newborn is _____ kcal/kg/day.

Accepted Answer

A)  30 
B)  50 
C)  90 
D)  105 
A)  30 
B)  50 
C)  90 
D)  105 B

Question 4

The energy needs of a premature infant fed parenterally differ from those of a premature infant fed enterally because parenterally fed infants

Accepted Answer

A)  require less energy per kilogram of body weight. 
B)  require an equal amount of energy per kilogram of body weight. 
C)  require more energy per kilogram of body weight. 
D)  have very erratic energy requirements. 
A)  require less energy per kilogram of body weight. 
B)  require an equal amount of energy per kilogram of body weight. 
C)  require more energy per kilogram of body weight. 
D)  have very erratic energy requirements.

Question 5

An infant has a birth weight below the 10th percentile, but her linear growth and head growth are between the 10th and 90th percentiles. This infant would be classified as

Accepted Answer

A)  AGA. 
B)  SGA with asymmetric IUGR. 
C)  SGA with symmetric IUGR. 
D)  only SGA. 
A)  AGA. 
B)  SGA with asymmetric IUGR. 
C)  SGA with symmetric IUGR. 
D)  only SGA.

Question 6

Because of a preterm infant's decreased ability to concentrate urine, in which of the following should sodium concentration be monitored regularly?

Accepted Answer

A)  Serum 
B)  Urine 
C)  Stool and urine 
D)  Urine and serum 
A)  Serum 
B)  Urine 
C)  Stool and urine 
D)  Urine and serum

Question 7

Which of the following is NOT one of the characteristics that make premature infant formula different from standard infant formula?

Accepted Answer

A)  Premature infant formula may provide 24 kcal/oz. 
B)  Premature infant formula provides more casein than whey protein. 
C)  Premature infant formula provides MCT oil. 
D)  Premature infant formula provides more sodium. 
A)  Premature infant formula may provide 24 kcal/oz. 
B)  Premature infant formula provides more casein than whey protein. 
C)  Premature infant formula provides MCT oil. 
D)  Premature infant formula provides more sodium.

Question 8

Which of the following must be supplemented to preterm infants fed parenterally or fed human milk to prevent the development of osteopenia?

Accepted Answer

A)  Protein 
B)  Calcium and phosphorus 
C)  Vitamins A and D 
D)  All fat-soluble vitamins 
A)  Protein 
B)  Calcium and phosphorus 
C)  Vitamins A and D 
D)  All fat-soluble vitamins

Question 9

Which of the following is a fluid loss that is preventable in the care of low birthweight (LBW) infants?

Accepted Answer

A)  Insensible water loss caused by increased permeability of the skin 
B)  Insensible water loss caused by radiant warmers 
C)  Sensible water loss caused by an inability to concentrate urine 
D)  Insensible water loss caused by a larger surface area relative to body weight 
A)  Insensible water loss caused by increased permeability of the skin 
B)  Insensible water loss caused by radiant warmers 
C)  Sensible water loss caused by an inability to concentrate urine 
D)  Insensible water loss caused by a larger surface area relative to body weight

Question 10

Infants begin to gain weight above their birth weight

Accepted Answer

A)  by the end of the first day postpartum. 
B)  within 48 to 72 hours postpartum. 
C)  by the end of the first week postpartum. 
D)  by 2 to 3 weeks postpartum. 
A)  by the end of the first day postpartum. 
B)  within 48 to 72 hours postpartum. 
C)  by the end of the first week postpartum. 
D)  by 2 to 3 weeks postpartum.

Question 11

Compared with term infants, preterm infants have an increased need for vitamin

Accepted Answer

A)  A. 
B)  C. 
C)  D. 
D)  E. 
A)  A. 
B)  C. 
C)  D. 
D)  E.

Question 12

Which of the following is NOT adequately provided to preterm infants through the use of human milk fortifiers?

Accepted Answer

A)  Zinc 
B)  Calcium 
C)  Phosphorus 
D)  Iron 
A)  Zinc 
B)  Calcium 
C)  Phosphorus 
D)  Iron

Question 13

How much fluid should be provided to an LBW infant during the first day of life?

Accepted Answer

A)  40 to 85 ml/kg 
B)  50 to 100 ml/kg 
C)  80 to 105 ml/kg 
D)  1000 ml total 
A)  40 to 85 ml/kg 
B)  50 to 100 ml/kg 
C)  80 to 105 ml/kg 
D)  1000 ml total

Question 14

Gastric residuals should be checked when feeding an LBW infant by bolus gavage feeding

Accepted Answer

A)  1 hour after each feeding. 
B)  before each feeding. 
C)  once each day at the same time. 
D)  when abdominal distension is suspected. 
A)  1 hour after each feeding. 
B)  before each feeding. 
C)  once each day at the same time. 
D)  when abdominal distension is suspected.

Question 15

Which of the following may contribute to dehydration in a premature infant?

Accepted Answer

A)  Hypoglycemia 
B)  Hypercholesterolemia 
C)  Hyperglycemia 
D)  Hypovolemia 
A)  Hypoglycemia 
B)  Hypercholesterolemia 
C)  Hyperglycemia 
D)  Hypovolemia

Question 16

After discharge, most preterm infants need approximately _______ ml/kg/day of breastmilk or standard infant formula.

Accepted Answer

A)  124 
B)  120 
C)  180 
D)  250 
A)  124 
B)  120 
C)  180 
D)  250

Question 17

Human milk

Accepted Answer

A)  has a different composition in the mothers of preterm infants. 
B)  has zinc and iron that is more readily absorbed. 
C)  has hormones. 
D)  all of the above. 
A)  has a different composition in the mothers of preterm infants. 
B)  has zinc and iron that is more readily absorbed. 
C)  has hormones. 
D)  all of the above.

Question 18

Which of the following procedures should be used in the transition from parenteral to enteral feedings with an LBW infant?

Accepted Answer

A)  Advance to enteral feeding as quickly as possible. 
B)  Begin full-volume enteral feeding. 
C)  Stop parenteral feeding until enteral feeding is well established. 
D)  Maintain parenteral feeding until enteral feeding is well established. 
A)  Advance to enteral feeding as quickly as possible. 
B)  Begin full-volume enteral feeding. 
C)  Stop parenteral feeding until enteral feeding is well established. 
D)  Maintain parenteral feeding until enteral feeding is well established.

Question 19

The total of IV lipid in an LBW infant is generally

Accepted Answer

A)  25% to 40% of nonprotein calories. 
B)  10 g/kg/day. 
C)  10% to 15% of nonprotein calories. 
D)  60% of nonprotein calories. 
A)  25% to 40% of nonprotein calories. 
B)  10 g/kg/day. 
C)  10% to 15% of nonprotein calories. 
D)  60% of nonprotein calories.

Exam 42: Medical Nutrition Therapy for Low-Birth-Weight Infants

Which of the following helps promote better feeding of a premature infant after being discharged from the hospital?

An infant born at 32 weeks' gestation is now 6 months old. Her adjusted age is _____ months.

The metabolic rate of the premature newborn is _____ kcal/kg/day.

The energy needs of a premature infant fed parenterally differ from those of a premature infant fed enterally because parenterally fed infants

An infant has a birth weight below the 10th percentile, but her linear growth and head growth are between the 10th and 90th percentiles. This infant would be classified as

Because of a preterm infant's decreased ability to concentrate urine, in which of the following should sodium concentration be monitored regularly?

Which of the following is NOT one of the characteristics that make premature infant formula different from standard infant formula?

Which of the following must be supplemented to preterm infants fed parenterally or fed human milk to prevent the development of osteopenia?

Which of the following is a fluid loss that is preventable in the care of low birthweight (LBW) infants?

Infants begin to gain weight above their birth weight

Compared with term infants, preterm infants have an increased need for vitamin

Which of the following is NOT adequately provided to preterm infants through the use of human milk fortifiers?

How much fluid should be provided to an LBW infant during the first day of life?

Gastric residuals should be checked when feeding an LBW infant by bolus gavage feeding

Which of the following may contribute to dehydration in a premature infant?

After discharge, most preterm infants need approximately _______ ml/kg/day of breastmilk or standard infant formula.

Human milk

Which of the following procedures should be used in the transition from parenteral to enteral feedings with an LBW infant?

The total of IV lipid in an LBW infant is generally

Intake: Digestion, Absorption, Transport, and Excretion of Nutrients

Intake: Energy

Inflammation and the Pathophysiology of Chronic Disease

Intake: Analysis of the Diet

Clinical: Nutritional Genomics

Clinical: Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical, Physical, and Functional Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: the Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food and Nutrient Delivery: Diet Guidelines, Nutrient Standards, and Cultural Competence

Food and Nutrient Delivery: Complementary and Integrative Medicine and Dietary Supplementation

Food and Nutrient Delivery: Nutrition Support

Education and Counseling: Behavioral Change

Nutrition for Reproductive Health and Lactation

Nutrition in Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Nutrition in Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Medical Nutrition Therapy for Adverse Reactions to Food: Allergies and Intolerances

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Hepatobiliary and Pancreatic Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid, Adrenal, and Other Endocrine Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical Nutrition Therapy for Renal Disorders

Medical Nutrition Therapy for Cancer Prevention, Treatment, and Survivorship

Medical Nutrition Therapy for Hiv and Aids

Medical Nutrition Therapy in Critical Care

Medical Nutrition Therapy for Rheumatic Disease

Medical Nutrition Therapy for Neurologic Disorders

Mnt in Psychiatric and Cognitive Disorders

Medical Nutrition Therapy for Genetic Metabolic Disorders

Medical Nutrition Therapy for Intellectual and Developmental Disabilities

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