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| Question | Answer |
|---|---|
| What actions should parents be advised to take to protect a child with asthma and specific food allergies? | Greatest risk of death from anaphylaxis (epipen, avoid exposure to allergen - read food labels) |
| When should supplemental foods be introduced to the diet of an infant? | American Academy of Pediatrics recommends introducing complementary foods at 4-6 months. |
| What advice should be provided to parents regarding avoiding foods likely to cause allergies for infant less than 1 year of age? | Recommendations for infants at risk due to a family history of allergy are to delay feeding of cow milk until 1 year of age; Strawberries, wheat, eggs until 2 years; peanuts, nuts, fish, and shellfish until 3 years. |
| A child born in the fall would be most likely to be deficient in which nutrient? | Vitamin D, calcium |
| What disorders can allowing an infant to go to sleep with a bottle cause? | Early childhood caries, otitis media, endocarditis |
| What can parents do to cope with the dietary habits of a 2-year-old? | offer a variety of nutritious foods several times daily (3 meals, 2 snacks) & let toddler make choices from foods offered. Offer foods only at meal & snack times & have the child eat in a high chair. Limit milk intake to 1 quart daily & juice to 6 oz/day |
| Kwashiorkor | ). Protein deficiency manifests with edema leading to large abdomens & rounded faces; scant depigmented hair; skin changes & decreased serum proteins. Hepatomegaly, kidney failure (if severe) |
| marasmus | lack of energy-producing calories;results in emaciation, decreased energy levels, and retarded development |
| Anorexia nervosa | extreme weight loss accompanied by preoccupation with weight & food, excessive compulsive exercising, peculiar patterns of eating & handling the food, and distorted body image |
| Bulimia nervosa | Erosion of tooth enamel, increased dental caries & gum recession, Back of a hand can have calluses from inducing vomiting. Esophageal tears & esophagitis may also occur |
| What recommendations regarding feeding newborns and young infants should be provided to young mothers (in accordance with the American Academy of Pediatrics? | introducing complementary foods at 4-6 months. Breast milk can be the only food for the first 6 months, through 12 months of age.Avoid hot dogs, hard vegetables, candy, whole grapes & chunks of peanut butter. |
| Review the care of the child with celiac disease. What foods are allowed for this child’s diet? | Management of disease is total exclusion of gluten from the diet. Barley, rye, and wheat are completely eliminated; oats may be tolerated. Substitutions using potato, rice, soy, quinoa, buckwheat, or bean flours & foods are provided. |
| What is the best advice for young parents to prevent their pre-school aged child from developing dental caries ? | Limit fruit juices to 8-12 ounces daily, avoid bottles. Children can begin to brush their own teeth with parental supervision & help to reach all tooth surfaces. Fluoride may need to be supplemented |
| Review the Nursing recommendations for the child who receives enteral feedings. | Enteral feeding is the closest to natural feeding methods, The child must be able to absorb nutrients, and Enteral feeding has a high success rate |
| Review the recommendations to improve the absorption of iron. | Enhanced absorption if taken together with vitamin C. |
| Review food safety recommendations for a young mother. | wash hands & surfaces often; avoid cross-contamination; cook to proper temperatures; refrigerate promptly |
| What is the most common preventable infectious disease in the U.S.? | Dental caries; can lead to more serious infections like endocarditis |
| Review the nutritional recommendations to be provided for a child with cystic fibrosis. | Well balanced diet with 110-200% of RDA for calories. Digestive problems can be eased with pancreatic enzymes & dietary modification. Fats & salt necessary in diet. |
| List the recommendations to be made to the parent of an infant who must receive enteral feedings. | Hold & rock the infant during feedings; give pacifier to infant to meet developmental needs for oral stimulation; burp the infant throughout the feeding; place the infant in right side-lying position for ½-1 hour after feedings if not contraindicated |
| Review the recommended weight gains for children under 1 year of age. | 5-7 ounces/week for first 6 months; 3-5 ounces/week (6-12 months). |
| Be able to discuss interpreting the various percentiles for weights of children versus age. | A measurement below 10th percentile, especially for BMI, may indicate undernutrition, whereas one over 90th percentile may indicate overnutrition |
| Discuss the causes of dental caries. | when allowed to nurse or drink from a bottle for a long periods, especially when sleeping. should not be placed in bed with bottle or allowed to carry a bottle of milk or juice around during the day. Limit consumption of juices to 4-6 oz/day.Bulimia |
| Review the normal progression of solid foods to be introduced into the diet of an infant. | rice cereal (4-6 months); vegetables (6-8 months); meats (8-10 months); introduce 1 food at time waiting 3-5 days for another; avoid honey until 1 yo |
Created by:
zoranrula@yahoo.com
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