NR 228 Nutrition Exam 2 QUESTIONS AND ANSWERS 2022
Pregnancy weight gain for normal weight - Answer-25-35 lbs
*due to breast feeding and amniotic
... [Show More] fluid
Dietary Guidelines for pregnant women - Answer--Avoid foods such as raw eggs, raw meats, excessive amounts of coffee (only one cup per day)
Vitamins that should not increase during pregnancy are - Answer--Vitamin C (hypercalcemia)
-Vitamin E (fetal heart defect)
-Vitamin K (prolong jaundice)
Preeclampsia nutrition related concerns - Answer--Patient will be put on the DASH diet (hypertension diet) to help lower BP
-Limit and avoid trans fats, sat. fats, sugar, salt, no fast food, no coffee
-Increase foods rich in potassium, magnesium, and vitamins, fruits and vegetables, whole grain, protein
Gestational Diabetes Mellitus - Answer-Recommended foods to prevent GDM include carbohydrates, iron, calcium, protein, and fat sources. (simple carbs, fruits and veggies)
Maternal PKU - Answer-Lack of proper dietary therapy during pregnancy. Findings in infant: microcephaly, mental retardation, growth retardation, congenital heart defects.
-Pregnant women should not eat foods high in phenylalanine (should only consume 1-4 mg per day)
-Avoid fish, meat, diet soda, eggs, wheat
-Fruit, vegetables, and low protein foods are okay to eat
Lactation - Answer-750-1000mL of breast milk daily
-500 kcal for producing breast milk daily
*avoid foods such as garlic, citrus (lemon/limes), broccoli, spices, and cauliflower because it may alter taste of breast milk
Infancy birth weight and breast feeding - Answer--first 6 months of life infant should consume breast milk.
-second 6 months of life infant should consume a combination of breast milk and baby food
Infant Dietary Guidelines - Answer--Solid foods at 4-5 months
-if exclusively breastfeeding, baby should be taking in an iron supplement at 4 months old to avoid iron deficiency anemia.
Infancy and Fat Consumption - Answer--Fat and cholesterol consumption is important in brain growth and development and nerve tissue
-If infant is overweight, do not restrict fats
Baby Bottle Tooth Decay - Answer-occurs when baby goes to bed with a bottle
-bottle before bed should only contain water
Nutrition-Related Concerns: Infancy - Answer--Premature/low-weight = failure to thrive
-if child has PKU, phenyl-free formula should be used
-If baby has galactosemia (lactose intolerant) baby should consume soy formula
Toddlers: 1-3 years old diet - Answer--limit 100% juice: 4-6oz per day
-consume snack foods such as graham crackers, apple slices, and cheese cubes
-Limit milk intake to 24oz per day due to lack of iron
-child should try food product 7-10 times before deciding not to like something
Preschoolers: 4-6 years old diet - Answer--environmental influencer eaters
-avoid eating sugary foods while watching tv
-healthy plate contains: veggies, fruits, whole grain, healthy protein, water, healthy oils
School age children: 7-12 years old diet - Answer--Concerns are: 10% skipping breakfast and type of diet they are consuming
-Risk for diabetes and obesity
Adolescence: 13-19 years old diet - Answer-- iron, fiber, calcium, protein, and vitamins are important nutrients to consume
-Calcium intake = 1300 mg daily (3 to 4 servings of dairy products)
-Adolescents reach maximum bone density levels during this time
-Foods high in CA: milk, sardines, cheese, yogurt
Adulthood diet - Answer--important to exercise and eat a balanced diet to avoid cardiovascular diseases
-calcium is an important vitamin to consume due to bone health
Older adult diet concerns - Answer--arthritis is the most common factor of prevention of eating well
-decrease in calorie needs
-decrease in nutrient absorption(vitamin B12, B9 (folic acid), and calcium)
-decrease in mass and tone
-oral problems caused by dentures
-medical conditions
Nutritional Guidelines for balanced diet (eldery) - Answer--40-55% carbohydrates
-10-20% fat
-consume whole grains such as brown rice, oat meal, and whole wheat bread
-avoid added sugars especially in fruits
-avoid coconut oil due to high in sat. fat
Elderly Population prevention - Answer--exercise and strength training
-increase water intake for hydration
-weight bearing exercises, increase sun exposure, and consumption of vitamin D reduces risk for osteoporosis
Primary nutritional deficiency - Answer-inadequate intake of nutrients
secondary nutritional deficiency - Answer-caused by illness, disease, and iatrogenic (ex: patient is NPO for procedure and it's causing nutritional deficiency)
Malnutrition side effects - Answer-- weight loss
-dry skin
-brittle, thin hair
-loss of muscle mass
-brittle nails
-weakness
-bone and joint pain
-fatigue
Nutrition Assessment Tools - Answer--ht/wt
-bi/triceps skin fold measurements
Calculate % of wt change overtime:
Usual wt - present wt / usual wt X 100 - Answer-- 1-2% in 1 week = moderate wt loss
- >2% in 1 week = severe wt loss
- 5 in 1 month = moderate wt loss
- >5 in 1 month = severe wt loss
Normal BMI - Answer-18.5-24.9
Overweight BMI - Answer-25-29.9
Obese BMI - Answer-30-39.9
Severely Obese BMI - Answer-35-39.9
Morbidly Obese BMI - Answer-greater than 40
Males that are high risk for cardiovascular disease and diabetes have a waist circumference of - Answer-greater than 102 cm
Females that are high risk for cardiovascular disease and diabetes have a waist circumference of - Answer-greater than 88 cm
Clinical values that measure adequate nutrition intake are - Answer-- fluid intake and output
-calorie count = most accurate measure
-hemoglobin levels: low levels = patient is not eating enough nutrients such as protein [Show Less]