Question 1

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. D

Question 2

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. A

Question 3

Low birth weight is defined as birth weight

Accepted Answer

A) less than 1000 
B) less than 1500 
C) less than 2500 g. 
D) for age less than the 10th percentile. 
A) less than 1000 
B) less than 1500 
C) less than 2500 g. 
D) for age less than the 10th percentile. C

Question 4

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 5

After discharge, most preterm infants need approximately _______mL/kg/day of breast milk or standard infant formula

Accepted Answer

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

Question 6

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

Question 7

It is appropriate to use caloric supplements such as glucose polymers or MCT for

Accepted Answer

A) all infants requiring catch-up growth. 
B) infants whose nutrient needs are being met with the exception of energy. 
C) small-for-gestational-age infants until they has reached acceptable weight for age. 
D) infants receiving inadequate protein. 
A) all infants requiring catch-up growth. 
B) infants whose nutrient needs are being met with the exception of energy. 
C) small-for-gestational-age infants until they has reached acceptable weight for age. 
D) infants receiving inadequate protein.

Question 8

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 9

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 10

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 11

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 12

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

Question 13

An infant has a birth weight below the 10th percentile, but her linear and head growths are between the 10th and 00th 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 14

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

Question 15

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 16

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 post partum. 
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 post partum.

Question 17

Which of the following is a fluid loss is preventable in the care of low-birth-weight (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 18

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 19

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

Accepted Answer

A) Premature infant formula may provide 24 kcal per ounce. 
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 per ounce. 
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 20

Which of the following is the recommendation for administration of IV fat emulsion to an LBW infant?

Accepted Answer

A) Provide at least 40% of nonprotein calories. 
B) Do not exceed 60% of nonprotein calories. 
C) Provide 10% to 15% of nonprotein calories. 
D) Provide only the 10% emulsion. 
A) Provide at least 40% of nonprotein calories. 
B) Do not exceed 60% of nonprotein calories. 
C) Provide 10% to 15% of nonprotein calories. 
D) Provide only the 10% emulsion.

Exam 43: Medical and Nutrition Therapy for Low-Birth-Weight Infants

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

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

Low birth weight is defined as birth weight

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

After discharge, most preterm infants need approximately _______mL/kg/day of breast milk or standard infant formula

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

It is appropriate to use caloric supplements such as glucose polymers or MCT for

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

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

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

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

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

An infant has a birth weight below the 10th percentile, but her linear and head growths are between the 10th and 00th percentiles.This infant would be classified as

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

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

Infants begin to gain weight above their birth weight

Which of the following is a fluid loss is preventable in the care of low-birth-weight (LBW) infants?

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 makes premature infant formula different from standard infant formula?

Which of the following is the recommendation for administration of IV fat emulsion to an LBW infant?

Digestion, Absorption, Transport, and Excretion of Nutrients

Energy

The Nutrients and Their Metabolism

Intake: Analysis of the Diet

Assessment: Nutritional Genomics

Clinical: Inflammation, Physical and Functional Assessment

Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: The Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food-Nutrient Delivery: Planning the Diet With Cultural Competency

Food and Nutrient Delivery: Bioactive Substances and Integrative Care

Food-Nutrient Delivery: Nutrition Support Methods

Interventions: Education and Counseling for Behavior Change

Nutrition in Pregnancy and Lactation

Nutrition During Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Mnt for Food Allergy and Food Intolerance

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Liver, Biliary System, and Exocrine Pancreas Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid and Related Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical and Nutrition Therapy for Renal Disorders

Medical and Nutrition Therapy for Cancer

Medical and Nutrition Therapy for HIV and AIDS

Medical and Nutrition Therapy for Metabolic Stress: Sepsis, Trauma, Burns, and Surgery

Medical and Nutrition Therapy for Rheumatic Disease

Medical and Nutrition Therapy for Neurologic Disorders

Medical and Nutrition Therapy for Psychiatric Conditions

Medical and Nutrition Therapy for Genetic Metabolic Disorders

Medical and Nutrition Therapy for Developmental Disabilities

Filters