Nutrition Through the Life Cycle 8th Edition by Judith Brown - COMPLETE TEST BANK

TEST BANK

TEST BANK

Chapter 1. Nutrition Basics.

Chapter 2. Preconception Nutrition.

Chapter 3. Preconception Nutrition: Conditions and Interventions.

Chapter 4. Nutrition During Pregnancy.

Chapter 5. Nutrition During Pregnancy: Conditions and Interventions.

Chapter 6. Nutrition During Lactation.

Chapter 7. Nutrition During Lactation: Conditions and Interventions.

Chapter 8. Infant Nutrition.

Chapter 9. Infant Nutrition: Conditions and Interventions.

Chapter 10. Toddler and Preschooler Nutrition.

Chapter 11. Toddler and Preschooler Nutrition: Conditions and Interventions.

Chapter 12. Child and Preadolescent Nutrition.

Chapter 13. Child and Preadolescent Nutrition: Conditions and Interventions.

Chapter 14. Adolescent Nutrition.

Chapter 15. Adolescent Nutrition: Conditions and Interventions.

Chapter 16. Adult Nutrition.

Chapter 17. Adult Nutrition: Conditions and Interventions.

Chapter 18. Nutrition and Older Adults.

Chapter 19. Nutrition and Older Adults: Conditions and Interventions.

Chapter 1 1. Individuals without risk factors for heart disease should limit cholesterol intake to no more than 300 milligrams a day. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/29/2023 11:40 PM DATE MODIFIED: 11/29/2023 11:42 PM 2. Which of the following diseases is characterized by high blood glucose levels? a. type 2 diabetes b. hypertension c. stroke d. Alzheimer’s disease e. fatty liver disease ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/29/2023 11:43 PM DATE MODIFIED: 11/29/2023 11:44 PM 3. Which of the following statements depicts the progression of a micronutrient deficiency? a. Physical signs develop before a decrease in tissue reserves. b. Physical signs develop before a decrease in dietary intake. c. Insufficient nutrient availability to cells occurs before physical signs develop. d. Insufficient nutrient availability to cells occurs after physical signs develop. e. Impaired cellular function occurs after physical signs develop.

ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/29/2023 11:48 PM DATE MODIFIED: 11/29/2023 11:50 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 4. Malnutrition can result from both inadequate and excessive levels of nutrient intake. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:04 AM DATE MODIFIED: 11/30/2023 12:07 AM 5. Which of the following changes have been made to the nutrition facts panel? a. Added sugars are now listed. b. Poly-unsaturated fats are now listed. c. Zinc is now listed. d. Calories are now listed at the bottom of the panel. e. Daily values are now listed on the left of each nutrient.

ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:07 AM DATE MODIFIED: 11/30/2023 12:12 AM 6. Healthy dietary patterns include: a. refined grain products. b. foods high in tropical oils. c. processed foods high in sodium. d. nuts with high amounts of omega-3 fatty acids. e. sweetened teas.

ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.6 - Design a healthy dietary pattern.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 DATE CREATED: DATE MODIFIED:

11/30/2023 12:14 AM 11/30/2023 12:19 AM

7. The four major components of an individual nutrition assessment conducted by a registered dietitian nutritionist include: a. physical, dietary, neurological, and biochemical assessment. b. dietary, biochemical, neurological, and anthropometric assessment. c. anthropometric, physical, neurological, and biochemical assessment. d. neurological physical, dietary, and anthropometric assessment. e. biochemical, physical, dietary, and anthropometric assessment.

ANSWER: e POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:20 AM DATE MODIFIED: 11/30/2023 12:27 AM 8. Which of the following products could be labeled "trans fat-free"? a. a cookie with 1.0 g of trans fat b. a cookie with 0.4 g of trans fat c. a cookie with 1.4 g of trans fat d. a cookie with 2 g of trans fat e. cookies can never be labeled as “trans fat-free” ANSWER: b POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:32 AM DATE MODIFIED: 11/30/2023 12:37 AM 9. A dietary supplement can legally claim to treat, cure, or prevent a disease. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:38 AM DATE MODIFIED: 11/30/2023 12:40 AM 10. Galactosemia is a disorder that interferes with the body's utilization of the sugar galactose found in lactose. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:54 AM DATE MODIFIED: 11/30/2023 12:55 AM 11. A DASH eating plan is effective for reducing high blood pressure as well as the risk of some types of cancer, osteoporosis, and heart disease. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition and Health Guidelines for Americans QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.6 - Design a healthy dietary pattern.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:02 AM DATE MODIFIED: 11/30/2023 1:02 AM 12. What are the six categories of essential nutrients? a. carbohydrates, alcohol, fats, proteins, vitamins, and minerals b. carbohydrates, fiber, fats, proteins, vitamins, and minerals c. carbohydrates, proteins, fats, minerals, water, and vitamins d. carbohydrates, proteins, fiber, water, alcohol, and lipids ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:04 AM DATE MODIFIED: 11/30/2023 1:06 AM 13. Which of the following substances is an essential nutrient? a. fiber b. cholesterol c. linoleic acid d. vitamin D e. creatine ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:16 AM DATE MODIFIED: 11/30/2023 1:17 AM 14. A calorie is: a. a measure of the amount of energy transferred from food to the body. b. a measure of the amount of energy inside the body's fat cells. c. a component of fats that is soluble in water. d. a chemical substance that activates enzymes. e. a measure of the extent to which blood glucose levels are raised by consumption of food.

ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:19 AM DATE MODIFIED: 11/30/2023 1:19 AM 15. Which of the following statements describes the primary function of ascorbic acid? a. It is required for the conversion of homocysteine to methionine. b. It participates in the regulation of gene expression. c. It is required for the transport and metabolism of fat and cholesterol. d. It acts as an antioxidant and is required for collagen synthesis. e. It is required for normal red blood cell formation.

ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:22 AM DATE MODIFIED: 11/30/2023 1:23 AM 16. The Estimated Average Requirement (EAR) refers to: a. an intake level estimated to meet the nutrient needs of 98% of healthy people. b. an intake value estimated to meet the nutrient needs of half the healthy individuals in a group. c. upper limits of a nutrient estimated to be compatible with health. d. standard levels of daily nutrient intake. e. an estimated level of nutrient intake for unhealthy people.

ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:24 AM DATE MODIFIED: 11/30/2023 1:25 AM 17. Complex carbohydrates include: a. glucose, glycogen, and most types of fiber. b. glucose, sucrose, and fructose. c. starches, glycogen, and most types of fiber. d. starches, glucose, and sucrose. e. starches, glycogen, and glucose.

ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:30 AM DATE MODIFIED: 11/30/2023 1:32 AM 18. Which of the following two monosaccharides are found in sucrose (table sugar)? a. glucose and lactose b. maltose and fructose Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 c. glucose and maltose d. glucose and fructose e. maltose and lactose ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:37 AM DATE MODIFIED: 11/30/2023 1:38 AM 19. Blood sugar is also known as _____, while fruit sugar is also known as _____. a. glucose; fructose b. glucose; lactose c. lactose; fructose d. maltose; lactose e. fructose; maltose ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:46 AM DATE MODIFIED: 11/30/2023 1:47 AM 20. Human digestive enzymes are unable to break down: a. sucrose. b. glycogen. c. alcohol sugars. d. maltose. e. fiber.

ANSWER: e POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:48 AM DATE MODIFIED: 11/30/2023 1:49 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 21. Carbohydrates that have a high glycemic index: a. help to build and maintain protein-based components in the body. b. reduce elevated levels of blood cholesterol and triglycerides. c. increase levels of HDL cholesterol. d. decrease the risk of developing type 2 diabetes. e. raise blood glucose levels higher than carbohydrates that have a low glycemic index.

ANSWER: e POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:50 AM DATE MODIFIED: 11/30/2023 1:52 AM 22. The only important animal source of carbohydrates is _____, which is found in _____. a. lactose; meat b. glucose; meat c. maltose; milk d. lactose; milk e. sucrose; milk ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:53 AM DATE MODIFIED: 11/30/2023 1:53 AM 23. Triglycerides are composed of: a. two glycerol molecules attached to a fatty acid. b. two fatty acids attached to a glycerol molecule. c. three glycerol molecules attached to a fatty acid. d. three fatty acids attached to a glycerol molecule. e. three fatty acids attached to three glycerol molecules.

ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:55 AM DATE MODIFIED: 11/30/2023 1:56 AM 24. Which of the following substances provides the most energy per gram? a. protein b. fiber c. fat d. water e. glucose ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:57 AM DATE MODIFIED: 11/30/2023 1:58 AM 25. Which of the following statements about carbohydrates is true? a. Glucose and galactose combine to form the disaccharide milk sugar. b. Plants store complex carbohydrates in the form of proteins. c. Amino acids required for protein synthesis are obtained through carbohydrates in food. d. The most basic form of carbohydrates is polysaccharides. e. Simple and complex carbohydrates provide nine calories per gram.

ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:59 AM DATE MODIFIED: 11/30/2023 1:59 AM 26. If one double bond is present in one or more of the fatty acids, the fat is considered: a. monosaturated. b. polysaturated. c. polyunsaturated. d. saturated. e. monounsaturated.

ANSWER: e Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:44 AM DATE MODIFIED: 11/30/2023 2:45 AM 27. . LDL cholesterol is: a. lowered by intake of trans-fatty acids. b. associated with heart-disease risk when present in high levels. c. associated with heart-disease risk when present in low levels. d. raised by intake of unsaturated fatty acids. e. unaffected by intake of saturated fatty acids.

ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 2:52 AM DATE MODIFIED: 11/30/2023 2:57 AM 28. Which of the following statements about proteins is true? a. Proteins provide two calories per gram. b. Proteins obtained from food sources such as milk, cheese, and meat are considered low-quality proteins. c. All plant sources of protein provide all the nine essential amino acids required by the body. d. Proteins help build and maintain muscles, bones, enzymes, and red blood cells. e. Proteins are made up of various types of triglycerides.

ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 2:57 AM DATE MODIFIED: 11/30/2023 3:00 AM 29. Essential amino acids: a. are produced by the human body. b. must be obtained through a person's diet.

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Chapter 1 c. must be synthesized from nonessential amino acids. d. are abundant in lipids. e. are also referred to as dispensable amino acids.

ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:09 AM DATE MODIFIED: 11/30/2023 3:12 AM 30. There are _____ essential amino acids. a. eight b. nine c. twenty-one d. three e. six ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:12 AM DATE MODIFIED: 11/30/2023 3:16 AM 31. Complementing amino acids can be found in which of the following plant-based food combinations? a. grains and potato b. grains and dried beans c. seeds and milk d. soybeans and milk e. eggs and onions ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:16 AM DATE MODIFIED: 11/30/2023 3:19 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 32. Fat-soluble vitamins: a. are stored only for a few weeks by the body. b. include vitamins A, D, E, and C. c. can be consumed in very high amounts without causing harmful effects. d. can be stored in the body for months. e. are immediately metabolized by the body and never stored.

ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:19 AM DATE MODIFIED: 11/30/2023 3:22 AM 33. Which of the following vitamins acts as an antioxidant in the body? a. vitamin C b. thiamin c. riboflavin d. biotin e. vitamin D ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:23 AM DATE MODIFIED: 11/30/2023 3:25 AM 34. Which of the following terms refers to chemical substances present in plants, some of which can affect body processes in humans that may benefit health? a. vitamins b. coenzymes c. phytochemicals d. amino acids e. minerals ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:26 AM DATE MODIFIED: 11/30/2023 3:29 AM 35. After class, you go to the coffee shop and get an espresso Frappuccino that contains the following nutrients: 11 g of protein, 104 g of carbohydrate, and 4 g of fat. How many total calories does this drink provide? a. 476 b. 496 c. 507 d. 500 e. 610 ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:30 AM DATE MODIFIED: 11/30/2023 3:33 AM 36. After class, you go to the coffee shop and get an espresso Frappuccino that contains the following nutrients: 11 g of protein, 104 g of carbohydrate, and 4 g of fat. Given that the daily value of total fat intake is 65 g, what is the % daily value of fat in the Frappuccino? a. 0% b. 1.5% c. 6% d. 12% e. 17% ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:34 AM DATE MODIFIED: 11/30/2023 3:37 AM 37. A 14-inch cheese quesadilla contains 30 g of carbohydrate, 10 g of protein, and 8 g of fat. The approximate number of calories in one-half of the quesadilla is: a. 65. b. 80.

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Chapter 1 c. 146. d. 116. e. 120.

ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:37 AM DATE MODIFIED: 11/30/2023 3:40 AM 38. The adequate intake of essential nutrients to meet the known needs of 98% of healthy people is known as: a. daily value. b. adequate intake. c. recommended dietary allowance. d. recommended intake. e. tentative value.

ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:42 AM DATE MODIFIED: 11/30/2023 3:43 AM 39. One example of a nutrient-dense food is: a. nonfat yogurt. b. soda. c. ice cream. d. a cheese twist. e. chips.

ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:45 AM DATE MODIFIED: 11/30/2023 3:47 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 40. A eighty-four-year-old who is on a dairy-free diet is exhibiting signs of osteoporosis. Supplementation of which of the following nutrients may be beneficial? a. potassium b. fluoride c. calcium d. zinc e. iron ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:48 AM DATE MODIFIED: 11/30/2023 3:50 AM 41. Which of the following nutrients is considered nonessential? a. vitamin A b. calcium c. glucose d. zinc e. vitamin B12 ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:52 AM DATE MODIFIED: 11/30/2023 3:53 AM 42. Which of the following terms refers to the science of measuring the human body and its various parts? a. anencephaly b. anatomy c. atherosclerosis d. anthropometry e. amylophagia ANSWER: d POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:54 AM DATE MODIFIED: 11/30/2023 3:55 AM 43. The balance of fluids, nutrients, gases, temperature, and other conditions needed to ensure proper functioning of cells is known as: a. regulation. b. homeostasis. c. energy balance. d. cellular respiration. e. metabolism.

ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:01 AM DATE MODIFIED: 11/30/2023 4:02 AM 44. The disorder that is characterized by excessive levels of body iron that can lead to liver and heart abnormalities is: a. hemochromatosis. b. galactosemia. c. diabetes. d. hypertension. e. phenylketonuria.

ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:03 AM DATE MODIFIED: 11/30/2023 4:04 AM 45. Which of the following nutrients should be consumed in low quantities by a person who suffers from phenylketonuria? a. tyrosine b. phenylalanine c. potassium Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 d. vitamin K e. iron ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:05 AM DATE MODIFIED: 11/30/2023 4:06 AM 46. Sammy is six years old and consumes an excessive amount of sugar such as soda, candy, and energy drinks. Sammy is at risk of developing which of the following diseases and disorders? a. hypertension b. cancer c. Alzheimer’s disease d. tooth decay e. osteoporosis ANSWER: d POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:07 AM DATE MODIFIED: 11/30/2023 4:08 AM 47. Which of the following vitamins are fat-soluble? a. vitamins A, D, E, and K b. vitamins A and B12 c. vitamins C and B6 d. vitamins K and C e. vitamins E, D, and iron ANSWER: a POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:09 AM DATE MODIFIED: 11/30/2023 4:15 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 48. Which of the following vitamins are water-soluble? a. vitamins A, D, E, and K b. vitamins A and B12 c. vitamins C and B6 d. vitamins K and C e. vitamins E, D, and iron ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:15 AM DATE MODIFIED: 11/30/2023 4:19 AM 49. Which of the following statements about oxidative stress is true? a. It is a brain disease that represents the most common form of dementia and is characterized by memory loss. b. It is the first response of the body's immune system to infectious agents, toxins, or irritants. c. It is a condition that occurs when cells are exposed to more oxidizing molecules than to antioxidant molecules that neutralize them. d. It is a disorder that interferes with the body's utilization of the sugar galactose found in lactose. e. It is an event that occurs when a blood vessel in the brain ruptures or becomes blocked.

ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:20 AM DATE MODIFIED: 11/30/2023 4:23 AM 50. Which of the following food items can be labeled as "enriched"? a. juice b. yogurt c. noodles d. soda e. oranges ANSWER: c POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:24 AM DATE MODIFIED: 11/30/2023 4:27 AM 51. By law, low-fat and skim milk must be fortified with: a. vitamins A and D. b. vitamins A and C. c. vitamins C and D. d. vitamin B12 and iron. e. folic acid and iron.

ANSWER: a POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:27 AM DATE MODIFIED: 11/30/2023 4:36 AM 52. Strains of lactobacillus and bifidobacterial that have beneficial effects on the body are called: a. minerals. b. refined elements. c. probiotics. d. prebiotics. e. antibiotics.

ANSWER: c POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:37 AM DATE MODIFIED: 11/30/2023 4:38 AM 53. Which of the following food sources contains probiotics? a. kefir b. beef c. gluten Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 d. onion e. garlic ANSWER: a POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:14 AM DATE MODIFIED: 11/30/2023 5:15 AM Nutrition Facts 4 servings per container Serving Size Amount Per Serving Calories

1

/2 cup (80g) 340

Total Fat 10g Saturated Fat 1g Trans Fat 0g Cholesterol 0mg Sodium 20mg Total Carbohydrate 62g Dietary Fiber 4g Total Sugars 58g Protein 2g Vitamin D 1 mcg Calcium 130 mg Iron 2 mg Potassium 620mg

% Daily Value* 10% 6% 0% 0% 20% 14 % 4% 5% 10 % 11 % 18%

54. What is the percent of calories obtained from protein? a. 4% b. 10% c. 12% d. 18% e. 20% ANSWER: a POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the given nutrition label to answer question LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able Copyright Cengage Learning. Powered by Cognero.

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Chapter 1

KEYWORDS: DATE CREATED: DATE MODIFIED:

to understand the nutritional value of most food products.

Bloom's: Apply 11/30/2023 5:23 AM 11/30/2023 5:25 AM

Nutrition Facts 4 servings per container 1 Serving Size /2 cup (80g) Amount Per Serving Calories 340 Total Fat 10g Saturated Fat 1g Trans Fat 0g Cholesterol 0mg Sodium 20mg Total Carbohydrate 62g Dietary Fiber 4g Total Sugars 58g Protein 2g Vitamin D 1 mcg Calcium 130 mg Iron 2 mg Potassium 620mg

% Daily Value* 10% 6% 0% 0% 20% 14 % 4% 5% 10 % 11 % 18%

55. Which mandatory nutrient is missing from the food label? a. unsaturated fats b. vitamin C c. zinc d. vitamin A e. added sugar ANSWER: e POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the given nutrition label to answer question LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:29 AM DATE MODIFIED: 11/30/2023 5:32 AM Nutrition Facts 4 servings per container 1 Serving Size /2 cup (80g) Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 Amount Per Serving Calories

340

Total Fat 10g Saturated Fat 1g Trans Fat 0g Cholesterol 0mg Sodium 20mg Total Carbohydrate 62g Dietary Fiber 4g Total Sugars 58g Protein 2g Vitamin D 1 mcg Calcium 130 mg Iron 2 mg Potassium 620mg

% Daily Value* 10% 6% 0% 0% 20% 14 % 4% 5% 10 % 11 % 18%

56. How many cups of this product would need to be consumed to reach 10 grams of fiber? a. 1/2 c b. 1 c c. 1 ¼ c d. 1 ½ c e. 1 ¾ c ANSWER: c POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the given nutrition label to answer question LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:35 AM DATE MODIFIED: 11/30/2023 5:38 AM 57. Foods permitted for consumption according to Jewish dietary laws: a. are called kosher foods. b. are called halal foods. c. exclude caffeinated beverages. d. do not include meats. e. include pork.

ANSWER: a POINTS: 1 REFERENCES: The Life-Course Approach to Nutrition and Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 LEARNING OBJECTIVES: NTLC.BRWN.24.1.3 - Cite two examples of how nutrient needs change during the life cycle and how nutritional status at one stage during the life cycle can influence health status during another.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:40 AM DATE MODIFIED: 11/30/2023 5:41 AM 58. Which of the following foods is included in the traditional diet of Native Americans? a. watermelon b. milk c. buffalo d. flour tortillas e. chicken ANSWER: c POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:43 AM DATE MODIFIED: 11/30/2023 5:45 AM 59. Which of the following foods has the highest glycemic index? a. watermelon b. jellybeans c. potato d. hummus e. pasta ANSWER: c POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:46 AM DATE MODIFIED: 11/30/2023 5:47 AM 60. Which of the following terms refers to the interactive method for collecting dietary information that utilizes repeated use of questions to improve the accuracy of information provided by interviewees about the food they ate the previous day? a. diet narrative b. anthropometrics Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 c. quantitative testing d. multiple pass e. 24-hour recall ANSWER: d POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:48 AM DATE MODIFIED: 11/30/2023 5:49 AM 61. The Healthy Eating Index: a. assigns scores based on the extent to which diets meet recommended standards of intake. b. assesses a person's dietary intake based on twelve dietary components. c. is primarily used for monitoring an individual's dietary quality. d. bases its guidelines on Food and Drug Administration dietary restrictions. e. cannot be used for research purposes to assess population dietary quality.

ANSWER: a POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 6:07 AM DATE MODIFIED: 11/30/2023 6:11 AM 62. Which of the following dietary assessment methods would be relatively inexpensive to administer and tabulate in epidemiological study? a. food survey b. 24-hour recall c. food frequency questionnaire d. dietary record e. multiple pass ANSWER: c POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 6:13 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 DATE MODIFIED:

11/30/2023 6:16 AM

63. A young child who tires easily and has a short attention span may have blood taken for analyses of hemoglobin and serum ferritin to assess _____ levels. a. calcium b. iron c. vitamin B d. sodium e. fiber ANSWER: b POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 6:17 AM DATE MODIFIED: 11/30/2023 6:20 AM 64. Continuous assessment of nutritional status of a population for the purpose of detecting changes in malnutrition and of food availability in order to initiate corrective measures is called: a. the automated multiple-pass method. b. biochemical assessment. c. anthropometry. d. nutrition monitoring. e. nutrition surveillance.

ANSWER: e POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 6:21 AM DATE MODIFIED: 12/4/2023 4:57 AM 65. Which of the following statements about national food and nutrition programs is true? a. The School Lunch Program is the United States' largest food assistance program. b. Women with incomes above the poverty line are automatically ineligible for WIC. c. None of the USDA food assistance programs have been shown to be cost effective. d. The Food Stamp Program subsidizes food purchases of low-income families and individuals. e. WIC provides food vouchers for low-income men and women.

ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.5 - Identify the basic elements of four public food and nutrition programs.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 6:27 AM DATE MODIFIED: 11/30/2023 6:31 AM 66. A person with inadequate calcium, vitamin D, and fruit and vegetable consumption is at risk to develop which of the following diseases/conditions? a. cancer b. osteoporosis c. iron-deficiency anemia d. hypertension e. Alzheimer's disease ANSWER: b POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:46 PM DATE MODIFIED: 11/30/2023 11:47 PM 67. The Dietary Guidelines for Americans must be updated every: a. six months. b. year. c. five years. d. ten years. e. fifteen years.

ANSWER: c POINTS: 1 REFERENCES: Nutrition and Health Guidelines for Americans QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.6 - Design a healthy dietary pattern.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:48 PM DATE MODIFIED: 11/30/2023 11:49 PM 68. Which of the following statements is a key message supported by MyPlate and the Dietary Guidelines for Americans? a. Make at least ¼ of your plate fruits and vegetables.

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Chapter 1 b. Eat fewer foods that are high in sodium. c. Include oversized portions. d. Switch to 2% milk. e. Consume more whole grains and less refined grains.

ANSWER: b POINTS: 1 REFERENCES: Nutrition and Health Guidelines for Americans QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.6 - Design a healthy dietary pattern.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:50 PM DATE MODIFIED: 11/30/2023 11:51 PM 69. Which of the following readings indicates that a client is experiencing hypertension? a. blood pressure reading of 140/90 mmHg b. blood pressure reading of 120/80 mmHg c. blood pressure reading of 110/70 mmHg d. blood pressure reading of 90/80 mmHg e. blood pressure reading of 100/90 mmHg ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 11:51 PM DATE MODIFIED: 11/30/2023 11:53 PM 70. Which of the following choices is a chemical substance found in plants that may have benefits to health? a. vitamins b. minerals c. essential fatty acids d. phytochemicals e. antioxidants ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 11:56 PM DATE MODIFIED: 11/30/2023 11:57 PM 71. The unit of measurement that reflects the amount of energy supplied by food is known as: a. kilocalorie. b. gram. c. dose.

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Chapter 1 d. nutrient load. e. carbohydrate.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 11:57 PM DATE MODIFIED: 11/30/2023 11:58 PM 72. The conversion of glucose to energy or fat is an example of which of the following types of processes? a. anabolic b. anerobic c. metabolic d. hydraulic e. proteolytic ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 11:58 PM DATE MODIFIED: 12/1/2023 12:08 AM 73. A chemical substance that activates enzymes is referred to as a: a. trans fat. b. molecule. c. reactant. d. coenzyme. e. co-lipid.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 12:09 AM DATE MODIFIED: 12/1/2023 12:10 AM 74. Which of the following statements regarding hydrogenated fats is true? a. The FDA banned naturally occurring trans fats from the food supply. b. The FDA banned all trans fats from the food supply. c. The FDA banned synthetic fats from the food supply. d. The FDA banned cis fats from the food supply. e. The FDA banned artificial trans fats from the food supply.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 HAS VARIABLES: False DATE CREATED: 12/1/2023 12:10 AM DATE MODIFIED: 12/1/2023 12:11 AM 75. Which of the following statements about strokes is true? a. A stroke occurs when a blood vessel leading to the heart ruptures or becomes blocked. b. A stroke is associated with softening of the arteries. c. A stroke is linked to low vegetable and fruit intake and excessive alcohol intake. d. A stroke is linked to a lacto-ovo dietary pattern. e. A stroke occurs when blood pressure is above 140-90.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 12:11 AM DATE MODIFIED: 12/1/2023 12:12 AM 76. Which of the following statements about cholesterol is true? a. Cholesterol is an essential nutrient. b. Cholesterol is considered a fatlike compound. c. The recommend intake for dietary cholesterol is 500 mg/day. d. The body can produce enough cholesterol for needed biological activities. e. Dietary sources of cholesterol include beans, lentils, and legumes.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 12:19 AM DATE MODIFIED: 12/1/2023 12:21 AM 77. Chemical substances that prevent or repair damage to cells caused by exposure to oxidizing agents are: a. phytochemicals. b. antioxidants. c. vitamins. d. minerals. e. essential nutrients.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 12:22 AM DATE MODIFIED: 12/1/2023 12:23 AM 78. Which of the following choices is an essential amino acid?

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Chapter 1 a. glutamine b. arginine c. proline d. lysine e. alanine ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 12:24 AM DATE MODIFIED: 12/1/2023 12:25 AM 79. Explain the differences between food frequency questionnaires and dietary records.

ANSWER: Food frequency questionnaires are semi-quantitative tools used to assess nutrient intake and dietary patterns in a group of people. These questionnaires tend to underestimate food intake and are less likely to identify nutrient and health relationships compared to a quantitative method such as a diet record.

POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:26 AM DATE MODIFIED: 12/1/2023 12:30 AM 80. Describe the challenges with assessing nutritional biomarkers.

ANSWER: Nutritional biomarker values and reference ranges are affected by many variables including analytical quality performance factors such as accuracy and validity and specimen-related limitations such as stability and storage of the sample. Population characteristics also impact nutritional biomarker assessment and include biological factors such as the impact of fasting and nutrient interactions and health-related factors such as medication in use and the impact of chronic conditions such as heart disease or obesity. Participant related demographics such as age, sex, ethnicity, etc. also pose challenges for accurately assessing biomarkers.

POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:30 AM DATE MODIFIED: 12/1/2023 12:33 AM 81. There are no “good” or “bad” foods.

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Chapter 1 a. True b. False ANSWER: True POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:33 AM DATE MODIFIED: 12/1/2023 12:34 AM 82. Health problems related to nutrition originate within cells. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Principles of the Science of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.1 - Understand the meaning of the nutrition concepts presented.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:35 AM DATE MODIFIED: 12/1/2023 12:35 AM 83. The Nutrition Labeling and Education Act requires that almost all multiple-ingredient foods and dietary supplements be labeled with a Nutrition Facts panel. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:36 AM DATE MODIFIED: 12/1/2023 12:37 AM 84. The Nutrition Facts panel was updated in 2016 to remove serving sizes from the packaging. a. True b. False ANSWER: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 POINTS: 1 REFERENCES: Nutrition Labeling QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.2 - Read and understand the elements of nutrition labels; you will be able to understand the nutritional value of most food products.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:38 AM DATE MODIFIED: 12/1/2023 12:38 AM 85. Poor nutrition at an early age does not impact nutrition at a later age. a. True b. False ANSWER: False POINTS: 1 REFERENCES: The Life-Course Approach to Nutrition and Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.3 - Cite two examples of how nutrient needs change during the life cycle and how nutritional status at one stage during the life cycle can influence health status during another.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:39 AM DATE MODIFIED: 12/1/2023 12:40 AM 86. Loss of land, discrimination, and poverty all contributed to the alterations of the Native American traditional diet. a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Life-Course Approach to Nutrition and Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.3 - Cite two examples of how nutrient needs change during the life cycle and how nutritional status at one stage during the life cycle can influence health status during another.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:41 AM DATE MODIFIED: 12/1/2023 12:41 AM 87. A registered dietitian nutritionist is required to pass a national registration examination to provide medical nutrition therapy. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:43 AM DATE MODIFIED: 12/1/2023 12:44 AM 88. Food frequency questionnaires are most commonly used for clinical purposes. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.4 - Describe the components of individual level nutrition assessment.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:45 AM DATE MODIFIED: 12/1/2023 12:46 AM 89. Infants born to parents participating in WIC while pregnant are less likely to be small at birth. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.1.5 - Identify the basic elements of four public food and nutrition programs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:47 AM DATE MODIFIED: 12/1/2023 12:47 AM 90. My Plate encourages healthy eating messages such as to switch to 2% or whole milk. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition and Health Guidelines for Americans QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 1 LEARNING OBJECTIVES: NTLC.BRWN.24.1.6 - Design a healthy dietary pattern.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:48 AM DATE MODIFIED: 12/1/2023 12:48 AM

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Chapter 2 1. The subfertility of one partner can be compensated by the reproductive capacity of the other partner. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Preconception Overview QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:29 AM DATE MODIFIED: 12/1/2023 1:29 AM 2. Weight gain is the recommended first-line treatment for amenorrhea related to low body weight. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:35 AM DATE MODIFIED: 12/1/2023 1:37 AM 3. Healthy couples having unprotected intercourse have a 50% chance of a diagnosed pregnancy within a given menstrual cycle. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:37 AM DATE MODIFIED: 12/1/2023 1:39 AM 4. During the preconception period, factors such as reproductive history, folic acid intake, contraceptive use, and dietary supplement use would be addressed as part of the nutrition care process.

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Page 1

Chapter 2 a. True b. False ANSWER: True POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:39 AM DATE MODIFIED: 12/1/2023 1:41 AM 5. Obese individuals are more likely to be fertile than individuals within an ideal body weight range. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:41 AM DATE MODIFIED: 12/1/2023 1:43 AM 6. The pituitary gland is responsible for temperature regulation and sleep. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:43 AM DATE MODIFIED: 12/1/2023 1:44 AM 7. Vas deferens is an endocrine gland that contributes fluid to the semen. a. True b. False ANSWER: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:45 AM DATE MODIFIED: 12/1/2023 1:48 AM 8. It is easier and more efficient to build up iron stores before pregnancy than during pregnancy. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:48 AM DATE MODIFIED: 12/1/2023 1:50 AM 9. Nutrient requirements for all individuals should be met though a nutrient dense diet and supplementation if deficiencies exist. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Recommended Dietary Intake and Healthy Dietary Patterns for Preconceptional Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.5 - Develop a one-day menu for a preconceptional woman and a man based on the MyPlate.gov food guidance materials.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:50 AM DATE MODIFIED: 12/1/2023 1:51 AM 10. Excessive vitamin A intake decreases the risk the fetus will develop facial and heart abnormalities. a. True b. False ANSWER: False POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 REFERENCES: Recommended Dietary Intake and Healthy Dietary Patterns for Preconceptional Women QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:51 AM DATE MODIFIED: 12/1/2023 1:52 AM 11. Fertility usually resumes within three to six months after discontinuing the use of contraceptives. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.6 - Identify three nutrition-related consequences that may be related to the use of combination hormonal contraceptives, and a consequence that is related to the use of estrogen or progestin contraceptives only.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:53 AM DATE MODIFIED: 12/1/2023 1:55 AM 12. The WIC program serves low-income pregnant, postpartum, and breastfeeding women, and infants and children up to age five who are at nutritional risk. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:58 AM DATE MODIFIED: 12/1/2023 1:59 AM 13. One in every four women in Indonesia experiences iron-deficiency anemia during pregnancy. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:00 AM DATE MODIFIED: 12/1/2023 2:01 AM 14. The luteinizing hormone is secreted from the hypothalamus and stimulates the release of the follicle-stimulating hormone. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:01 AM DATE MODIFIED: 12/1/2023 2:03 AM 15. Weight loss in excess of 15% of normal weight is an infertility risk factor. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:03 AM DATE MODIFIED: 12/1/2023 2:04 AM 16. Infertility risk factors for men include: a. a vegan diet. b. the exposure of genitals to low temperatures. c. heavy metal exposure. d. aspirin use. e. an age of thirty-five years Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 ANSWER: c POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.20. 2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:49 AM DATE MODIFIED: 12/1/2023 2:54 AM 17. Infertility is generally defined as the lack of conception after _____ of unprotected intercourse. a. three months b. six months c. one year d. three years e. five years ANSWER: c POINTS: 1 REFERENCES: Preconception Overview QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:56 AM DATE MODIFIED: 12/1/2023 2:58 AM 18. Which of the following factors is related to altered fertility in women? a. anorexia nervosa b. inadequate zinc status c. exposure to lead d. high intake of soy foods e. halogen exposure ANSWER: a POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 2:59 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE MODIFIED:

12/1/2023 3:01 AM

19. The protein secreted by fat cells that, by binding to specific receptor sites in the hypothalamus, decreases appetite, increases energy expenditure, and stimulates gonadotropin secretion is called: a. estrogen. b. progesterone. c. collagen. d. leptin. e. testosterone.

ANSWER: d POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:16 AM DATE MODIFIED: 12/1/2023 3:19 AM 20. Healthy People 2030’s nutrition-related objectives for the nation for pregnancy and childbirth include: a. decreasing the number of women getting the Tdap vaccine during pregnancy. b. reducing the number of pregnancies conceived within twenty-four months of the previous birth. c. increasing the number of pregnant women who receive early and adequate prenatal care. d. increasing the rate of unintended pregnancies. e. Reducing the proportion of women of childbearing age who get adequate folic acid.

ANSWER: c POINTS: 1 REFERENCES: Preconception Overview QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:19 AM DATE MODIFIED: 12/1/2023 3:22 AM 21. The _____ phase of the menstrual cycle occurs after ovulation. a. follicular b. luteal c. estrogen d. primordial e. menstruation ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:23 AM DATE MODIFIED: 12/1/2023 3:25 AM 22. The first half of the menstrual cycle is called the _____ phase. a. follicular b. luteal c. estrogen d. primordial e. menses ANSWER: a POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:27 AM DATE MODIFIED: 12/1/2023 3:28 AM 23. Ovulation results from a surge in the _____ hormone. a. estrogen b. progesterone c. luteinizing d. follicle-stimulating e. gonadotropin-releasing ANSWER: c POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:29 AM DATE MODIFIED: 12/1/2023 3:30 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 24. The two hormones secreted by the pituitary gland during the follicular phase of menstrual cycle are: a. follicle-stimulating hormone and progesterone. b. progesterone and estrogen. c. follicle-stimulating hormone and luteinizing hormone. d. luteinizing hormone and progesterone. e. luteinizing hormone and estrogen.

ANSWER: c POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:31 AM DATE MODIFIED: 12/1/2023 3:33 AM 25. The ovaries, testes, fat cells, corpus luteum, and the placenta all secrete which of the following hormones? a. gonadotropin-releasing hormone b. luteinizing hormone c. progesterone d. estrogen e. gonadotropin-releasing hormone ANSWER: d POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:34 AM DATE MODIFIED: 12/1/2023 3:35 AM 26. Which of the following hormones stimulates the maturation of male sex organs and sperm? a. progesterone b. estrogen c. follicle-stimulating hormone d. luteinizing hormone e. testosterone ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:38 AM DATE MODIFIED: 12/1/2023 3:39 AM 27. Which of the following individuals has the lowest risk of infertility? a. a twenty-five-year-old female following a vegan diet b. a twenty-five-year-old female without any comorbidities c. a thirty-five-year-old female without any comorbidities d. a thirty-five-year-old female following a high-fiber diet e. a thirty-five-year-old male with inadequate zinc status ANSWER: b POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 3:48 AM DATE MODIFIED: 12/1/2023 3:49 AM 28. In a typical twenty-eight-day cycle, when would levels of luteinizing hormone most likely be the highest? a. day one b. day seven c. day ten d. day fourteen e. day twenty-eight ANSWER: d POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 4:10 AM DATE MODIFIED: 12/1/2023 4:13 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 29. Cramps and other side effects of menstruation can be traced to the production of which of the following hormones? a. progesterone b. follicle-stimulating hormone c. prostaglandins d. estrogen e. gonadotropin-releasing hormone ANSWER: c POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:13 AM DATE MODIFIED: 12/4/2023 6:54 AM

2 30. Underweight is generally indicated by body mass index values less than _____ kg/m . a. 16.5 b. 18.5 c. 21 d. 24.5 e. 30 ANSWER: b POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:16 AM DATE MODIFIED: 12/1/2023 4:28 AM 31. In males, mature sperm are stored in the: a. testes. b. vas deferens. c. prostate gland. d. seminal vesicles. e. epididymis.

ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:29 AM DATE MODIFIED: 12/1/2023 4:30 AM 32. A critical level of body fat is needed to trigger and sustain normal reproductive functions in women. Which of the following indications of body fat appears to support reproductive function? a. 18.5 kg/m2 b. 20 kg/m2 c. 22 kg/m2 d. 24.5 kg/m2 e. 26 kg/m2 ANSWER: b POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 4:32 AM DATE MODIFIED: 12/1/2023 4:34 AM 33. Which of the following types of mineral toxicity is related to decreased sperm production and abnormal sperm motility and shape? a. zinc b. iron c. lead d. iodine e. selenium ANSWER: c POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE CREATED: DATE MODIFIED:

12/1/2023 4:38 AM 12/1/2023 4:39 AM

34. When endometrial tissue becomes embedded within other body tissues, it is referred to as which of the following types of conditions? a. functional hypothalamic amenorrhea b. endometriosis c. pelvic inflammatory disease d. celiac disease e. fallopian tube disease ANSWER: b POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:40 AM DATE MODIFIED: 12/1/2023 4:41 AM 35. The leading diagnoses related to infertility are: a. endocrine abnormalities that modify hormonal regulation of fertility. b. unknown causes. c. environmental contaminants such as lead and mercury. d. overweight and obesity in men. e. sexually transmitted diseases.

ANSWER: a POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:42 AM DATE MODIFIED: 12/1/2023 4:42 AM 36. Which of the following factors would be more likely to affect male fertility than female fertility? a. severe psychological stress b. high alcohol intake c. inadequate zinc status d. excessive body fat Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 e. excessive weight loss ANSWER: c POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:43 AM DATE MODIFIED: 12/1/2023 4:44 AM 37. Which of the following factors has been linked to impaired fertility in both males and females? a. celiac disease b. steroid abuse c. exposure of genitals to high temperatures d. a high-fiber diet e. poor iron stores ANSWER: a POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:51 AM DATE MODIFIED: 12/1/2023 4:52 AM 38. Weight loss may contribute to an increased risk of amenorrhea, anovulatory cycles, and short or absent luteal phases due to hormonal changes. A healthy and realistic weight loss for a woman weighing 220 lbs and presenting other comorbidity risk factors is: a. no more than two pounds per week b. twenty-five pounds c. thirty pounds d. thirty pounds e. fifty pounds ANSWER: a POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body Copyright Cengage Learning. Powered by Cognero.

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Chapter 2

KEYWORDS: DATE CREATED: DATE MODIFIED:

fat content, iron status, and alcohol intake on fertility in women and men.

Bloom's: Apply 12/1/2023 4:53 AM 12/1/2023 4:53 AM

39. Pelvic inflammatory disease (PID) can: a. cause less estrogen to be secreted, thus blocking ovulation. b. lead to scarring and blockage of the fallopian tubes. c. cause sperm to become less viable in males. d. increase the lining of the endometrium. e. decrease zinc absorption.

ANSWER: b POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:54 AM DATE MODIFIED: 12/1/2023 4:55 AM 40. A body mass index (BMI) greater than _____ kg/m2 is typically needed to sustain normal reproductive function in women. a. 17 b. 20 c. 25 d. 30 e. 35 ANSWER: b POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:56 AM DATE MODIFIED: 12/1/2023 4:57 AM 41. Which of the following hormones is likely elevated in an obese male? a. luteinizing hormone b. follicle-stimulating hormone c. gonadotropin-releasing hormone Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 d. testosterone e. estrogen ANSWER: e POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:13 AM DATE MODIFIED: 12/1/2023 5:14 AM 42. Which of the following dietary components can protect cells of the reproductive system from damage by free radicals? a. sodium b. calcium c. iron d. iodine e. antioxidants ANSWER: e POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:15 AM DATE MODIFIED: 12/1/2023 5:15 AM 43. Which of the following terms can be defined as an alteration in the normal sequence of a gene? a. allele b. gene variant c. functional hypothalamic amenorrhea d. gene splicing e. endometriosis ANSWER: b POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE CREATED: DATE MODIFIED:

12/1/2023 5:16 AM 12/1/2023 5:17 AM

44. Which of the following nutrients has a critical period that has been defined as three months prior to conception through one-month post-conception? a. alcohol b. vitamin C c. folic acid d. zinc e. vitamin D ANSWER: c POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:18 AM DATE MODIFIED: 12/1/2023 5:19 AM 45. Which of the following individuals likely has a high level of circulating leptin? a. a male with a BMI of 22.5 kg/m2 b. a female with a BMI of 22.5 kg/m2 c. a male with a BMI of 18.0 kg/m2 d. a female with a BMI of 18.0 kg/m2 e. a male with a BMI of 27.5 kg/m2 ANSWER: e POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:20 AM DATE MODIFIED: 12/1/2023 5:21 AM 46. Maternal nutrient status is associated with the development of facial and heart abnormalities in the fetus. Which of the following nutrient statuses is responsible for this clinical finding? a. excessive vitamin A intake b. decreased copper intake c. excessive energy intake d. excessive vitamin B12 intake Copyright Cengage Learning. Powered by Cognero.

Page 17

Chapter 2 e. decreased folate intake ANSWER: a POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:22 AM DATE MODIFIED: 12/1/2023 5:24 AM 47. DNA methylation: a. modifies gene function in the fetus during late pregnancy. b. activates gene expression. c. is an abnormal part of development. d. is needed for cellular differentiation. e. is unaffected by nutritional intake.

ANSWER: d POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:25 AM DATE MODIFIED: 12/1/2023 5:28 AM 48. Which of the following statements regarding the risk for developing pelvic inflammatory disease is most accurate? a. PID occurs predominantly in older males and is associated with urinary tract infections. b. PID occurs predominantly in older females and is associated with upper respiratory tract infections. c. PID occurs predominantly in females less than twenty-five years of age and is associated with upper respiratory tract infections. d. PID occurs predominantly in males less than twenty-five years of age and is associated with urinary tract infections. e. PID occurs predominantly in females less than twenty-five years of age and is associated with sexually transmitted diseases.

ANSWER: e POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility Copyright Cengage Learning. Powered by Cognero.

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Chapter 2

KEYWORDS: DATE CREATED: DATE MODIFIED:

processes.

Bloom's: Analyze 12/1/2023 5:29 AM 12/1/2023 5:31 AM

49. Which of the following statements regarding caffeine consumption during pregnancy is true? a. Caffeine should be eliminated from the diet. b. Caffeine is an essential nutrient and needs to be consumed in small amounts. c. Caffeine should be limited during pregnancy, if a woman chooses to do so, after discussing the benefits and possible risk factors with a medical expert. d. Strong scientific evidence supports the removal of caffeine from the diet. e. Caffeine is biologically inactive and cannot interact with the bodily processes.

ANSWER: c POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Analyze DATE CREATED: 12/1/2023 5:32 AM DATE MODIFIED: 12/1/2023 5:36 AM 50. In 1998, when the Food and Drug (FDA) administration mandated supplementing refined grain products with folic acid, there was a decline in: a. neural tube defects. b. miscarriage. c. late delivery. d. early delivery. e. fetal heart abnormalities.

ANSWER: a POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:37 AM DATE MODIFIED: 12/1/2023 5:38 AM 51. Which of the following types of nutritional and health advice would a doctor likely give to a preconceptional woman? a. The woman's physical activity should be limited to less than thirty minutes per day. b. The woman should eat mostly dark green vegetables. c. At least half of the woman's grain intake should be from refined grains.

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Chapter 2 d. The woman's vitamin intake should be at least 10,000 IU of vitamin A per day. e. The woman should consume 400 mcg of folic acid in addition to dietary folate.

ANSWER: e POINTS: 1 REFERENCES: Recommended Dietary Intake and Healthy Dietary Patterns for Preconceptional Women QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.5 - Develop a one-day menu for a preconceptional woman and a man based on the MyPlate.gov food guidance materials.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 6:13 AM DATE MODIFIED: 12/1/2023 6:16 AM 52. Which of the following female sports has the highest incidence of irregular or absent menstrual cycles? a. electronic-sport players b. ballet dancers c. volleyball players d. runners e. competitive bodybuilders ANSWER: e POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 6:17 AM DATE MODIFIED: 12/1/2023 6:21 AM 53. Combination hormonal contraceptives are least likely to be associated with: a. weight gain. b. decreased blood levels of HDL cholesterol. c. increased risk of blood clots. d. increased levels of triglycerides and LDL cholesterol. e. increased blood glucose and insulin.

ANSWER: a POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.6 - Identify three nutrition-related consequences that may be related to the use of combination hormonal contraceptives, and a consequence that is related to the use of estrogen or progestin contraceptives only.

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Chapter 2 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/1/2023 6:21 AM 12/1/2023 6:26 AM

54. A woman would likely be advised to switch from a progestin-only hormonal contraceptive to a combination hormonal contraceptive because of: a. weight gain. b. irritability. c. fatigue. d. headache. e. abdominal pain.

ANSWER: a POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.6 - Identify three nutrition-related consequences that may be related to the use of combination hormonal contraceptives, and a consequence that is related to the use of estrogen or progestin contraceptives only.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:28 AM DATE MODIFIED: 12/1/2023 6:33 AM 55. Which of the following statements regarding a nutritional exposure and the impact of fetal development is true? a. Excessive iodine increases the risk of facial and cardiac abnormalities. b. Excessive iron increases the risk of early delivery. c. Inadequate vitamin A increases the risk of facial and cardiac abnormalities. d. Inadequate iron increases the risk of early delivery. e. Lead exposure increases the risk of late delivery.

ANSWER: d POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 6:35 AM DATE MODIFIED: 12/1/2023 6:38 AM 56. Which of the following statements regarding poorly controlled diabetes in pregnant women is most accurate? a. Poorly controlled diabetes increases the risk of fetal malformation early on in pregnancy. b. Poorly controlled diabetes increases the risk of delivering a small-for-gestational-age infant. c. Poorly controlled diabetes has no impact on male or female fertility. d. There is a lack of evidence suggesting a connection with poorly controlled diabetes and infant outcomes.

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Chapter 2 e. Since diabetes is a genetic condition, infants of mothers with diabetes will also have diabetes at birth.

ANSWER: a POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 3:00 AM DATE MODIFIED: 12/4/2023 3:04 AM 57. The regular consumption of which of the following foods is recommended to improve iron deficiency? a. cupcakes b. oranges c. lean meat d. egg e. pasta ANSWER: c POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 3:05 AM DATE MODIFIED: 12/4/2023 7:31 AM 58. Which of the following dietary patterns aligns closely with dietary recommendations for pregnant women? a. consumption of high-kilocalorie meats, a variety of fruits and vegetables, and full-fat milk b. consumption of 2% milk, high-kilocalorie meats, and half of grains being whole grains c. consumption of lean meats, a variety of fruits and vegetables, and 2% milk d. consumption of a variety of fruits and vegetables, lean meats, half of grains being whole grains, and fat-free milk e. consumption of a variety of fruits and vegetables, lean meats, half of grains being whole grains, and 2% milk ANSWER: d POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.5 - Develop a one-day menu for a preconceptional woman and a man based on the MyPlate.gov food guidance materials.

KEYWORDS: Bloom's: Apply Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE CREATED: DATE MODIFIED:

12/4/2023 3:21 AM 12/4/2023 3:22 AM

59. Which of the following statements describes the impact of supplementation in Indonesia? a. Iron supplementation resulted in reduced fetal malformations. b. Folic acid supplementation resulted in improved fine motor skills. c. Folate and iron supplementation resulted in reduced incidence of maternal iron deficiency. d. Iron supplementation resulted in improved fine motor skills. e. Folate and iron supplementation resulted in reduced incidence of fetal iron deficiency.

ANSWER: c POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 3:23 AM DATE MODIFIED: 12/4/2023 3:49 AM 60. In a study conducted in Vietnam, the offspring of women given multivitamin supplements before conception were less likely to be stunted and had better fine motor skills at age two than women who received only _____ supplements. a. iron b. zinc c. folic acid d. retinoic acid e. iodine ANSWER: c POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:25 AM DATE MODIFIED: 12/4/2023 4:26 AM 61. The set of standards set forth by the National Academy of Nutrition and Dietetics to serve as guidelines for the delivery of nutrition services is referred to as: a. the Nutrition Care Process. b. the Supplemental Nutrition Program for Women, Infants, and Children. c. the preconception health services. d. the ADIME process. e. the preconception nutrition guidelines.

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Chapter 2 ANSWER: a POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:27 AM DATE MODIFIED: 12/4/2023 4:28 AM 62. Which of the following statements correctly describes preconception health care? a. Preconception health care is concerned with the health and nutrition status of females only. b. The psychological needs of pregnant females are not addressed as part of the preconception health care. c. Fetal health and development is not a concern of preconception health care. d. Preconception health care may include topics such as vaccinations, weight status, and dietary intake. e. Preconception health care advises couples about the most effective contraceptive methods to use.

ANSWER: d POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:29 AM DATE MODIFIED: 12/4/2023 4:30 AM 63. The term for the developing organism from conception through eight weeks is: a. follicle. b. Sertoli cell. c. infant. d. embryo. e. fetus.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:31 AM DATE MODIFIED: 12/4/2023 4:33 AM 64. The biological capacity to bear children is referred to as: a. puberty. b. subfertility. c. infertility. d. fertility.

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Chapter 2 e. fecundity.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:33 AM DATE MODIFIED: 12/4/2023 4:34 AM 65. The reduced level of fertility characterized by unusually long time to conception or repeated pregnancy losses is referred to as: a. puberty. b. subfertility. c. infertility. d. fertility. e. fecundity.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:35 AM DATE MODIFIED: 12/4/2023 4:36 AM 66. The term for the developing organism from eight weeks from conception to the moment of birth is called: a. follicle. b. sertoli cell. c. infant. d. embryo. e. fetus.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:37 AM DATE MODIFIED: 12/4/2023 4:38 AM 67. The actual production of children is referred to as: a. puberty. b. subfertility. c. infertility. d. fertility. e. fecundity.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 HAS VARIABLES: False DATE CREATED: 12/4/2023 4:39 AM DATE MODIFIED: 12/4/2023 4:43 AM 68. A person who is unable to bear children after one year of unprotected intercourse is referred to as: a. fecund. b. subfertile. c. infertile. d. fertile. e. infecund.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:49 AM DATE MODIFIED: 12/4/2023 5:12 AM 69. Which of the following terms refers to the death of a baby at twelve weeks from conception? a. an infecundity. b. a miscarriage. c. a subfertility. d. an infant death. e. an infertility.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:12 AM DATE MODIFIED: 12/4/2023 5:13 AM 70. Jordan has reached the period in life in which they are capable of reproduction. This is referred to as: a. prepubescence. b. fertility. c. puberty. d. menopause. e. infertility.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:14 AM DATE MODIFIED: 12/4/2023 5:18 AM 71. The tissue that is formed from the follicle that contained the ovum prior to its release is referred to as: Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 a. sperm. b. endometrium. c. luteal. d. ova. e. corpus luteum.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:19 AM DATE MODIFIED: 12/4/2023 5:20 AM 72. Tiana is a high school athlete and has not had a menstrual cycle for the past two years. The absence of menstruation is referred to as: a. menopause. b. infertility. c. amenorrhea. d. sterile. e. corpus luteum.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:34 AM DATE MODIFIED: 12/4/2023 5:35 AM 73. An involuntary absence of production of children is referred to as: a. fecundity. b. subfertility. c. infertility. d. fertility. e. infecundity.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:35 AM DATE MODIFIED: 12/4/2023 5:36 AM 74. Discuss three of the Healthy People 2030 nutrition-related objectives for the nation for pregnancy and childbirth.

ANSWER: • There are nineteen nutrition-related objectives for the nation for pregnancy and childbirth as outlined by the Healthy People 2030. These include: • Reduce the rate of fetal deaths at twenty or more weeks of gestation.

• Increase the proportion of women who get screened for postpartum depression.

• Reduce the proportion of pregnancies conceived within eighteen months of previous Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 • • • • • • • • • • • • • • • •

birth.

Reduce pregnancies in adolescents.

Increase the proportion of women and adolescents at risk for unintended pregnancy who use effective birth control.

Reduce congenital syphilis.

Reduce the rate of mother to child HIV transmission.

Increase the proportion of pregnant women who receive early and adequate prenatal care.

Reduce preterm deaths.

Increase the proportion of women who had a healthy weight before pregnancy.

Increase abstinence from cigarette smoking among pregnant women.

Increase successful quit attempts in pregnant women who smoke.

Increase the portions of women who get the Tdap vaccine during pregnancy.

Reduce cesarean births among low-risk women with no prior births.

Reduce maternal deaths.

Reduce severe maternal complications identified during delivery hospitalizations.

Increase abstinence from alcohol and illicit and opioids drugs among pregnant women.

Reduce the proportion of unintended pregnancies.

Increase the proportion of childbearing age who get enough folic acid.

POINTS: 1 REFERENCES: Preconception Overview QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.1 - Cite three examples of the Healthy People 2030 nutrition-related objectives for the preconception period.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:36 AM DATE MODIFIED: 12/4/2023 5:37 AM 75. Discuss the relationship between fertility, body weight, and body fat in females. Identify the possible implications related to both inadequate and excessive body fat.

ANSWER: In normal-weight women, weight loss that exceeds approximately 10-15% of usual weight decreases estrogen, LH, and FSH concentrations. Consequences of these hormonal changes include amenorrhea, anovulatory cycles, and short or absent luteal phases. It is estimated that about 30% of cases of impaired fertility are related to simple weight loss. Hormone levels tend to return to normal when weight is restored to within 95% of previous weight. Weight gain is the recommended first-line treatment for amenorrhea related to low body weight.

Obese women tend to have higher levels of estrogen, androgens, and leptin than nonobese women. These hormonal changes favor the development of menstrual-cycle irregularity (it occurs in 30–47% of overweight and obese women), ovulatory failure and anovulatory cycles, and amenorrhea. Loss of excess body fat is related to improvements in hormone levels, oxidative stress and chronic inflammation, and conception rates in both men and women. A critical level of body fat (usually indicated by a body mass index over 20 kg/m2) is needed to trigger and sustain normal reproductive functions in women. Low level of body fat during adolescence is related to delays in the age of onset of menstruation and to reduced fertility later in life.

POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 REFERENCES: Nutrition and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:38 AM DATE MODIFIED: 12/4/2023 5:39 AM 76. Describe the sources of disruptions in fertility in males and females.

ANSWER: The intricate mechanisms that regulate fertility can be disrupted by many factors, including adverse nutritional exposures, severe stress, infection, tubal damage and other structural problems, and chromosomal abnormalities. Conditions that modify fertility appear to affect hormones that regulate ovulation, the presence or length of the luteal phase, sperm production, or the tubular passageways that ova and sperm must travel for conception to occur. Sexually transmitted infections, for example, can result in pelvic inflammatory disease (PID), which may lead to scarring and blockage of the fallopian tubes. Endometriosis is also a common cause of reduced fertility. It develops when portions of the endometrial wall that build up during menstrual cycles leave the uterus and become embedded within other body tissues. Endocrine abnormalities that modify hormonal regulation of fertility are the leading diagnoses related to infertility. "Unknown cause" is the next most common diagnosis, applied to about 10% of all cases of male and female infertility.

POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 5:40 AM DATE MODIFIED: 12/4/2023 5:40 AM 77. Describe the relationship between blood estrogen and progesterone levels and changes in the uterine lining that ultimately results in menstruation.

ANSWER: During the follicular phase of the menstrual cycle, there are low levels of estrogen. As the days of the cycle progress, blood levels of estrogens begin to rise and peak at twelve days into the cycle. The luteal phase starts at fourteen days into the cycle. Blood progesterone levels peak at twenty days into the cycle. The increased estrogens and progesterone levels cause the uterine lining to thicken. Towards the end of the luteal phase, blood estrogen and progesterone levels begin to decline which causes the blood vessels in the uterine wall to constrict. This constriction causes the uterine wall to release its outer layer in the menstrual flow.

POINTS: 1 REFERENCES: Reproductive Physiology QUESTION TYPE: Subjective Short Answer Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.2 - Identify six major hormones involved in the regulation of male and female fertility processes, and identify their source and effects on the regulation of fertility processes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:41 AM DATE MODIFIED: 12/4/2023 5:41 AM 78. A couple trying to become pregnant for eight months without success is seeking medical care. The man has a body mass index of 29, and the woman has recently had irregular menses. During their medical visit, the woman mentioned that she had recently lost sixteen pounds in a short time because she was worried about gaining too much weight during a future pregnancy. What types of dietary or lifestyle behaviors would be important to discuss?

ANSWER: The man's body mass index indicates that he may be overweight. Thus, he may be advised to eat a healthier diet, follow nutritional guidelines, and exercise, because the loss of body fat is related to improvements in hormone levels, oxidative stress and chronic inflammation, and conception rates. The woman's irregular menses after losing sixteen pounds suggest that her weight loss may have negatively affected her fertility (as sudden weight loss has been linked to decreased estrogen, LH, and FSH concentrations). Her irregular menses, termed amenorrhea, may return to normal if her weight is restored to within 95% of her previous weight. Through a healthy program of regaining weight and maintaining healthy activity, her hormone levels may be returned to normal, and her fertility may improve.

POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Analyze DATE CREATED: 12/4/2023 5:42 AM DATE MODIFIED: 12/4/2023 5:42 AM 79. Explain the mechanism of how contraceptive pills containing estradiol and progestin prevent pregnancy.

ANSWER: When used together, estradiol and progestin suppress the action of LH and FSH and thereby ovulation. Progestin blocks LH and ovulation, and by causing the cervical mucus to become thick and sticky, induces a barrier to sperm.

POINTS: 1 REFERENCES: Influence of Contraceptives on Preconceptional Nutrition Status QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.6 - Identify three nutrition-related consequences that may be related to the use of combination hormonal contraceptives, and a consequence that is related to the use of estrogen or progestin contraceptives only.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 5:43 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE MODIFIED:

12/4/2023 5:44 AM

80. How might male reproductive health suffer because of inadequate intake of zinc status?

ANSWER: Zinc is a key nutrient that regulates oxidative stress, sperm maturation, and testosterone synthesis. Therefore, zinc deficiency impairs normal male reproductive functions. There is limited data on the role of zinc supplementation in improving male infertility. More research is needed in this area.

POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:44 AM DATE MODIFIED: 12/4/2023 5:49 AM 81. Discuss the gene variant associated with folate status and its importance to periconceptional women.

ANSWER: Some individuals have an increased need for folate due to specific gene variants involved in folate metabolism. These gene variants can impair the conversion of folate to its active form and increase folate requirement. One of the best-studied and most common gene variants affects 5,10-methylenetetrahydrofolate reductase (MTHFR) activity. This enzyme is responsible for production of the major circulating form of folate used by the body. The C677T allele of the gene that encodes for MTHFR produces an enzyme that has reduced activity. Women with this gene variant are at increased risk of having a neural tube defectaffected newborn.

POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.4 - Cite four examples of relationships between nutrient intake and nutritional status during the periconceptional period and the outcome of pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 5:50 AM DATE MODIFIED: 12/4/2023 5:51 AM 82. Describe the role that alcohol plays in reproductive health. Specifically, discuss the impact of alcohol on fetal development and the recommendations during conception and beyond.

ANSWER: Alcohol consumption during fetal development can lead to birth defects in many tissues and organs. Consumption of two drinks or more daily increases the risk of miscarriage and fetal death. Because of this, Healthy People 2030 aims to increase abstinence from alcohol use among pregnancy women.

POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Subjective Short Answer Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:52 AM DATE MODIFIED: 12/4/2023 5:52 AM 83. What types of services are offered as part of preconceptional care?

ANSWER: Increasingly, routine preconceptional health care visits and educational sessions are being recommended and introduced into health care services. Risk assessment services focus on ascertainment of health history, dietary intake, folate and iron status, weight status, drug and alcohol use, dietary supplement use, and vaccination status.

Psychosocial needs should also be addressed as part of preconceptional care and referrals made to appropriate services for issues such as eating disorders, abuse, violence, or lack of food or shelter.

POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:54 AM DATE MODIFIED: 12/4/2023 5:55 AM 84. Discuss the components included in the nutrition assessment section of the Nutrition Care Process.

ANSWER: Information on food/nutrition-related history such as dietary intake, supplement use, and nutrition-related behaviors are included. Additionally, biochemical data, medical tests, procedures, anthropometric measurements and client history are included.

POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 5:56 AM DATE MODIFIED: 12/4/2023 5:57 AM 85. Identify the top three contributors to caffeine consumption and the recommendations for caffeine consumption during pregnancy.

ANSWER: Coffee, tea, and energy drinks represent the top three contributors to caffeine in the diet. Due to the lack of scientific evidence on the role of caffeine during pregnancy, there are currently no evidence-based recommendations related to caffeine consumption. However, since caffeine is known to have biological activity, those concerned about the potential effect Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 should not be dissuaded from cutting back or eliminating coffee or caffeine if they chose to do so.

POINTS: 1 REFERENCES: Nutrition During the Periconceptional Period QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:58 AM DATE MODIFIED: 12/4/2023 5:59 AM 86. Which of the following dietary substitutions aligns with dietary recommendations for pregnant women? a. replacing fat-free milk with 2% milk b. reducing the consumption of canned fruits and vegetables c. replacing whole-wheat bread with white bread d. replacing high-fat meats with lean meats e. replacing 1% milk with fat-free milk ANSWER: d POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.5 - Develop a one-day menu for a preconceptional woman and a man based on the MyPlate.gov food guidance materials.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 6:00 AM DATE MODIFIED: 12/4/2023 6:01 AM 87. Runners have the highest incidence of amenorrhea compared to all other female athletes. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.3 - Describe the potential effects of nutrition-related factors such as body fat content, iron status, and alcohol intake on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:02 AM DATE MODIFIED: 12/4/2023 6:02 AM 88. The WIC program serves all women, infants, and children regardless of income status.

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Chapter 2 a. True b. False ANSWER: False POINTS: 1 REFERENCES: Model Preconceptional Health and Nutrition Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.7 - Cite three important nutrition-related components of preconceptional health care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:03 AM DATE MODIFIED: 12/4/2023 6:04 AM 89. Which of the following sections of the Nutrition Care Process includes information on changes in the client’s nutrition-related health status? a. assessment b. diagnosis c. behavioral-environmental diagnosis d. intervention e. monitoring and evaluation ANSWER: e POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:04 AM DATE MODIFIED: 12/4/2023 6:05 AM 90. Documentation of the use of complementary medicine should be included in which section of the Nutrition Care Process? a. assessment b. diagnosis c. behavioral-environmental diagnosis d. intervention e. monitoring and evaluation ANSWER: a POINTS: 1 REFERENCES: The Nutrition Care Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.2.8 - Describe the four steps of the Nutrition Care Process.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 2 DATE CREATED: DATE MODIFIED:

12/4/2023 6:06 AM 12/4/2023 6:07 AM

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Chapter 3 1. Rates of reproductive health problems related to high levels of body fat are increasing in the United States. a. True b. False ANSWER: True POINTS: 1 DIFFICULTY: Weight Status and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/29/2023 11:40 PM DATE MODIFIED: 11/29/2023 11:45 PM 2. The luteal phase of the menstrual cycle occurs after ovulation. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/29/2023 11:47 PM DATE MODIFIED: 11/29/2023 11:48 PM 3. Hypothalamic amenorrhea, miscarriage, and preterm delivery are all associated with anorexia nervosa and bulimia nervosa. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Negative Energy Balance and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/29/2023 11:53 PM DATE MODIFIED: 11/29/2023 11:54 PM 4. Peak bone mass is established before the age of forty.

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Chapter 3 a. True b. False ANSWER: False POINTS: 1 REFERENCES: Negative Energy Balance and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:04 AM DATE MODIFIED: 11/30/2023 12:08 AM 5. Insulin resistance and impaired glucose tolerance are common characteristics associated with polycystic ovary syndrome. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:08 AM DATE MODIFIED: 11/30/2023 12:09 AM 6. Polycystic ovary syndrome is sometimes difficult to diagnose because signs and symptoms of the disorder vary among women. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:10 AM DATE MODIFIED: 11/30/2023 12:11 AM 7. The treatment for celiac disease includes a low carbohydrate diet. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 b. False ANSWER: False POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:11 AM DATE MODIFIED: 11/30/2023 12:12 AM 8. Gestational diabetes is considered a form of type 2 diabetes. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:12 AM DATE MODIFIED: 11/30/2023 12:13 AM 9. Celiac disease is the most frequently inherited disorder of amino-acid metabolism. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:13 AM DATE MODIFIED: 11/30/2023 12:14 AM 10. People suffering from celiac disease can eat products containing rye. a. True b. False ANSWER: False POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 REFERENCES: Celiac Disease QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:14 AM DATE MODIFIED: 11/30/2023 12:16 AM 11. Fertility disruption is associated with metabolic and hormonal changes. Which of the following changes is associated with infertility? a. low levels of insulin b. high levels of visceral fat c. acute inflammation d. antioxidant use e. body mass indices between 18.5 and 24.9 kg/m2 ANSWER: b POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:17 AM DATE MODIFIED: 11/30/2023 12:19 AM 12. Which of the following individuals are at risk of an increased incidence of a congenital abnormality in their newborn? a. a person with hyperglycemia during the last trimester of pregnancy b. a person with inadequate dietary fiber intake throughout the pregnancy c. a person with a sedentary lifestyle d. a person with regular consumption of fruits and vegetables e. hyperglycemia during the first two months of pregnancy ANSWER: e POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:20 AM DATE MODIFIED: 11/30/2023 12:30 AM 13. In women, elevated blood insulin levels reduce _____ and that prompts the ovaries to increase the production of _____.

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Chapter 3 a. luteinizing hormone; estrogen b. luteinizing hormone; progesterone c. sex hormone binding globulin; testosterone d. sex hormone binding globulin; estrogen e. gonadotropin-releasing hormone; progesterone ANSWER: c POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:34 AM DATE MODIFIED: 11/30/2023 12:35 AM 14. Which of the following hormones is produced by the pituitary gland and stimulates ovulation and the development of the corpus luteum? a. luteinizing hormone b. progesterone c. follicle stimulating hormone d. estrogen e. gonadotropin-releasing hormone ANSWER: a POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:36 AM DATE MODIFIED: 11/30/2023 12:42 AM 15. Which of the following pituitary hormones stimulates sperm production in males? a. luteinizing hormone b. progesterone c. follicle stimulating hormone d. testosterone e. gonadotropin-releasing hormone ANSWER: c POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:42 AM DATE MODIFIED: 11/30/2023 12:46 AM 16. Women with low BMIs may develop anovulation and functional hypothalamic amenorrhea due to impaired secretion of: a. luteinizing hormone. b. progesterone. c. follicle stimulating hormone. d. estrogen. e. gonadotropin-releasing hormone.

ANSWER: e POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:51 AM DATE MODIFIED: 11/30/2023 12:54 AM 17. Gonadotropin-releasing hormone stimulates the release of _____ from the pituitary gland. a. sperm b. progesterone c. testosterone d. estrogen e. luteinizing hormone and follicle stimulating hormone ANSWER: e POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:54 AM DATE MODIFIED: 11/30/2023 12:55 AM 18. Taylor is an obese female experiencing infertility and desiring weight loss. Which of the following approaches to weight loss should be considered first? a. initiation of weight loss medications Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 b. initiation of aerobic exercise c. initiation of strength training even when unenjoyable d. in vitro fertilization e. surgery ANSWER: b POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:56 AM DATE MODIFIED: 11/30/2023 12:57 AM 19. Excess visceral fat is related to: a. insulin resistance. b. increased sperm count. c. decreased testosterone production in females. d. increased testosterone production in males. e. decreased oxidative stress.

ANSWER: a POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:00 AM DATE MODIFIED: 11/30/2023 1:01 AM 20. Which of the following terms describes the absence of ovulation? a. metabolic syndrome b. infertility c. anovulation d. amenorrhea e. hirsutism ANSWER: c POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity Copyright Cengage Learning. Powered by Cognero.

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Chapter 3

KEYWORDS: DATE CREATED: DATE MODIFIED:

and underweight on fertility in women and men.

Bloom's: Remember 11/30/2023 1:02 AM 11/30/2023 1:04 AM

21. Which of the following statements is a key difference between anorexia nervosa and bulimia nervosa? a. Anorexia nervosa is associated with PCOS. b. Bulimia nervosa is associated with miscarriages. c. Bulimia nervosa is associated with preterm delivery. d. Anorexia nervosa is associated with hypothalamic amenorrhea. e. Anorexia nervosa is associated with extreme weight loss.

ANSWER: e POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:04 AM DATE MODIFIED: 11/30/2023 1:05 AM 22. Which of the following factors is least likely to facilitate bone development? a. vitamin D supplementation b. calcium supplementation c. adequate caloric intake d. physical activity-induced energy deficit e. rapid weight loss ANSWER: d POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:06 AM DATE MODIFIED: 11/30/2023 1:08 AM 23. A function of gonadotropin releasing hormone is: a. it stimulates the release of follicle stimulating hormone. b. it stimulates the production of testosterone in males. c. it stimulates estrogen secretion. d. it stimulates sperm production.

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Chapter 3 e. it suspends the release of luteinizing hormone.

ANSWER: a POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:08 AM DATE MODIFIED: 11/30/2023 1:11 AM 24. In women, loss of bone mineral accretion and an increase in osteoporosis risk is associated with inadequate: a. testosterone. b. estrogen. c. vitamin E. d. zinc. e. insulin.

ANSWER: b POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.2 - Identify two mechanisms by which a negative energy balance can influence fertility.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:11 AM DATE MODIFIED: 11/30/2023 1:12 AM 25. Which of the following statements correctly defines an autoimmune disease? a. It is a disease that produces malformations in an embryo or fetus. b. It is a disease that results in a failure of an organism to recognize its own constituent parts as “self.” c. It is a disease characterized by high blood glucose levels due to the body’s inability to use insulin normally. d. It is a disease characterized by abnormal sacs with membranous linings. e. It is a nervosa disease characterized by irritability, sadness, anxiety, and depression.

ANSWER: b POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:13 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 DATE MODIFIED:

11/30/2023 1:14 AM

26. Which of the following conditions is an example of an autoimmune disease? a. phenylketonuria b. type 1 diabetes c. type 2 diabetes d. celiac disease e. polycystic ovary syndrome ANSWER: b POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:15 AM DATE MODIFIED: 11/30/2023 1:17 AM 27. Which of the following diet strategies would be inappropriate to use to treat individuals with type 2 diabetes? a. weight loss if overweight b. regular fruit and vegetable consumption c. increasing intake of low-glycemic-index foods that are rich in fiber d. 150 minutes of physical activity per week e. regular intake of refined grains ANSWER: e POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:20 AM DATE MODIFIED: 11/30/2023 1:24 AM 28. Which of the following patterns of physical activity should be part of a diabetes care plan? a. only strength training b. strength training twice a week c. strength and aerobic exercise d. aerobic exercise thrice a week e. only aerobic exercise ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:24 AM DATE MODIFIED: 11/30/2023 1:27 AM 29. Which of the following terms applies to people with celiac disease? a. lipid sensitive b. insulin intolerant c. gluten intolerant d. gliadin sensitive e. potato sensitive ANSWER: d POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:27 AM DATE MODIFIED: 11/30/2023 1:29 AM 30. Which of the following statements about wheat intolerance syndrome is true? a. It is a precursor to celiac disease. b. Symptoms improve if rice is added to the diet. c. It was formerly called celiac disease. d. It is a gluten-related autoimmune disease. e. It does not involve intestinal lining damage.

ANSWER: e POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:29 AM DATE MODIFIED: 11/30/2023 1:31 AM 31. Which of the following symptoms is least likely to be associated with polycystic ovary syndrome (PCOS)? a. insulin resistance b. abnormal facial or body hair Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 c. infertility d. low testosterone levels e. obesity ANSWER: d POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:38 AM DATE MODIFIED: 11/30/2023 1:39 AM 32. Which Increase risk for heart disease and endometrial cancer of the following long-term health risks are associated with untreated PCOS? a. induce weight gain. b. regulate blood lipid levels. c. reverse infertility. d. prevent diabetes from developing.

ANSWER: a POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:46 AM DATE MODIFIED: 11/30/2023 1:48 AM 33. Which of the following clinical features is characteristic of phenylketonuria? a. adequate blood phenylalanine hydroxylase b. decreased blood phenylalanine levels c. elevated blood phenylalanine levels d. increased blood phenylalanine hydroxylase e. increased blood tyrosine levels ANSWER: c POINTS: 1 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

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Chapter 3 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 11/30/2023 1:49 AM 11/30/2023 1:50 AM

34. Which of the following statements about PCOS is true? a. It can be diagnosed easily by examining the symptoms of an individual. b. It is so named because the ovaries cause infertility. c. Infertility is primarily due to the absence of ovulation. d. It has no effects on menstrual cycles. e. It causes weight loss.

ANSWER: c POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:51 AM DATE MODIFIED: 11/30/2023 1:52 AM 35. Which of the following characteristics applies to androgens? a. They are produced only in the testes. b. They are produced only in the ovaries. c. They are derived only from carbohydrates. d. They may stimulate the development and functioning of male sex organs. e. They are a type of peptide hormone.

ANSWER: d POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:53 AM DATE MODIFIED: 11/30/2023 1:54 AM 36. Lack of the enzyme phenylalanine hydroxylase diminishes the conversion of _____ to _____. a. fatty acids; tyrosine b. glucose; phenylalanine c. phenylalanine; insulin d. phenylalanine; tyrosine e. tyrosine; phenylalanine Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 ANSWER: d POINTS: 1 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:54 AM DATE MODIFIED: 11/30/2023 1:56 AM 37. Women with PKU must avoid the essential amino acid phenylalanine and consume a diet low in protein because: a. they lack enough stomach acid (HCl) to break down dietary proteins, including phenylalanine. b. they are allergic to phenylalanine and other protein-rich foods. c. they lack the enzyme necessary to convert phenylalanine to tyrosine. d. phenylalanine and protein-rich foods cause acid to build up in blood. e. they are unable to incorporate phenylalanine into proteins, so it builds up in blood, potentially blocking blood vessels.

ANSWER: c POINTS: 1 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:59 AM DATE MODIFIED: 11/30/2023 2:00 AM 38. Which of the following food items would be acceptable in a PKU diet plan? a. pork b. wheat c. nuts d. lettuce e. dairy ANSWER: d POINTS: 1 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 2:01 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 DATE MODIFIED:

11/30/2023 2:03 AM

39. Two grains that people with celiac disease can safely consume are: a. corn and rice. b. oats and wheat. c. rye and rice. d. barley and oats. e. barley and rye.

ANSWER: a POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:52 AM DATE MODIFIED: 11/30/2023 2:54 AM 40. A deficiency of sex hormones and poor development and functioning of the reproductive system characterize: a. anemia. b. amenorrhea. c. hypogonadism. d. hirsutism. e. hypergonadism.

ANSWER: c POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.20.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:54 AM DATE MODIFIED: 11/30/2023 2:56 AM 41. Treatment of celiac disease focuses on a diet low in: a. sugar. b. gluten. c. fiber. d. excess vitamins. e. fats.

ANSWER: b POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:59 AM DATE MODIFIED: 11/30/2023 3:02 AM 42. Signs and symptoms of celiac disease would least likely include: a. anemia. b. osteoporosis. c. subfertility. d. bleeding gums. e. weight loss.

ANSWER: d POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:02 AM DATE MODIFIED: 11/30/2023 3:04 AM 43. The test for celiac disease: a. can be performed when an individual is on a gluten-free diet. b. must be undertaken when individuals are on their normal, non-gluten-free diet. c. tests for high levels of blood glucose. d. tests for insulin antibodies. e. cannot make use of genetic markers since the disease is not hereditary.

ANSWER: b POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:06 AM DATE MODIFIED: 11/30/2023 3:07 AM 44. Which of the following foods can be part of a healthy diet for an adult with celiac disease? a. slice of bread b. cupcakes c. corn d. breakfast cereal e. rye Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 ANSWER: c POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:08 AM DATE MODIFIED: 11/30/2023 3:14 AM 45. Which of the following foods is naturally gluten-free? a. quinoa b. deli meat c. hot dog d. salad dressing e. bouillon ANSWER: a POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:15 AM DATE MODIFIED: 11/30/2023 3:21 AM 46. Premenstrual syndrome (PMS) begins _____ and ends _____. a. in the follicular phase; with menses b. in the follicular phase; in the luteal phase c. in the luteal phase; in the follicular phase d. with menses; in the follicular phase e. in the luteal phase; with menses ANSWER: e POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:22 AM DATE MODIFIED: 11/30/2023 3:23 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 47. A severe form of PMS that occurs in about 5% of menstruating women is called: a. foggy mind. b. hirsutism. c. premenstrual dysphoric disorder. d. hypothalamic amenorrhea. e. bulimia nervosa.

ANSWER: c POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:26 AM DATE MODIFIED: 11/30/2023 3:27 AM 48. The treatment of PMS or PMDD symptoms includes all of the following remedies except: a. caffeine remedy. b. oral contraceptives. c. supplementation with B6. d. herbal remedies. e. supplementation with calcium.

ANSWER: a POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:28 AM DATE MODIFIED: 11/30/2023 3:33 AM 49. Zima has high levels of phenylalanine in her blood. An appropriate lunch for her low-phenylalanine diet would be: a. baked potato, white rice with eggs, and cranberry juice. b. chicken soup, low-protein crackers, and orange. c. vegetable soup, low-protein crackers, and apple. d. vegetable soup, high-protein supplements, and boiled eggs. e. chicken soup, boiled eggs, and fish.

ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 REFERENCES: Phenylketonuria (PKU) QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:34 AM DATE MODIFIED: 11/30/2023 3:36 AM 50. Which of the following symptoms is least likely to indicate premenstrual syndrome? a. excessive thirst b. anger c. abdominal bloating d. confusion e. anxiety ANSWER: a POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:38 AM DATE MODIFIED: 11/30/2023 3:39 AM

51. After a year of trying to conceive, a patient has not been able to do so; based on lab work and other relevant data the patient will likely be diagnosed with: Age: 35 Blood pressure: 130/90 mm Hg; Fasting blood glucose: 140 mg/dL; HDL cholesterol: 34 mg/dL; Blood triglycerides: 180 mg/dL; Waist circumference: 37″; Current weight: 145 lb; Height: 5′2.5″ a. type 2 diabetes. b. metabolic syndrome. c. celiac disease. d. hypothalamic amenorrhea. e. gestational diabetes.

ANSWER: b POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Analyze DATE CREATED: 11/30/2023 3:40 AM DATE MODIFIED: 11/30/2023 5:35 AM

52. After a year of trying to conceive, a patient has not been able to do so; Age: 35 Blood pressure: 130/90 mm Hg; Fasting blood glucose: 140 mg/dL; HDL cholesterol: 34 mg/dL; Blood triglycerides: 180 mg/dL; Waist circumference: 37″; Current weight: 145 lb; Height: 5′2.5″ Dietary modifications for the patient’s probable diagnosis would include: a. avoiding wheat, rye, oats, and barley. b. avoiding aspartame and artificial sweeteners. c. avoiding lean meats. d. a diet rich in whole vegetables. e. consuming 1000 mg calcium per day.

ANSWER: d POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:47 AM DATE MODIFIED: 11/30/2023 5:36 AM 53. Which of the following choices is a risk factor for developing gestational diabetes? a. following a low carbohydrate diet prior to pregnancy b. a family history of cardiovascular disease c. advanced maternal age d. alcohol abuse e. a previously healthy pregnancy ANSWER: c POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 DATE CREATED: DATE MODIFIED:

11/30/2023 3:52 AM 11/30/2023 3:54 AM

54. Which of the following conditions is unrelated to obesity? a. type 1 diabetes b. infertility c. type 2 diabetes d. polycystic ovary syndrome e. metabolic syndrome ANSWER: a POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:01 AM DATE MODIFIED: 11/30/2023 4:04 AM 55. Amenorrhea refers to the absence of: a. menstruation. b. insulin. c. glucagon. d. testosterone. e. gonadotropin releasing hormone.

ANSWER: a POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:05 AM DATE MODIFIED: 11/30/2023 4:11 AM 56. Which of the following statements accurately describes insulin resistance? a. Insulin resistance is commonly associated with being underweight. b. Insulin resistance is associated with a waist circumference of 30” in women. c. Insulin resistance is associated with a waist circumference of 35” in men. d. Insulin resistance is associated with visceral adiposity. e. Insulin resistance worsens with aerobic exercise.

ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:12 AM DATE MODIFIED: 11/30/2023 4:14 AM 57. Which of the following characteristics does not describe bulimia nervosa? a. recurrent episodes or rapid, uncontrolled eating of large amounts of food in a short period of time b. compensatory self-induced vomiting used to prevent weight gain c. excessive exercise used to prevent weight gain d. laxative abuse used to prevent weight gain e. excessive vitamin and mineral use to prevent weight gain.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:15 AM DATE MODIFIED: 11/30/2023 4:17 AM 58. Which of the following characteristics describes anorexia nervosa? a. maintenance of a healthy body weight b. poor body image c. rational fears of gaining weight d. rational fears of obesity e. excessive vitamin and mineral use to prevent weight gain ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:19 AM DATE MODIFIED: 11/30/2023 4:20 AM 59. Which of the following conditions is classified as a congenital abnormality? a. obesity b. celiac disease c. type 2 diabetes mellitus d. PCOS e. inborn error of metabolism ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:49 AM DATE MODIFIED: 11/30/2023 4:51 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 60. Exposures that produce malformations in embryos or fetuses are described as: a. congenital abnormalities. b. autoimmune diseases. c. teratogenic. d. inborn errors of metabolism. e. functional deficits.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:52 AM DATE MODIFIED: 11/30/2023 4:54 AM 61. Which of the following statements regarding the glycemic index is true? a. High glycemic index foods increase the risk of type 2 diabetes. b. High glycemic index foods decrease the risk of type 2 diabetes. c. High glycemic index foods are associated with lower fasting blood glucose levels. d. High glycemic index foods include whole grains, vegetables, and fruits. e. High glycemic index foods are encouraged in a well-balanced diet.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:55 AM DATE MODIFIED: 11/30/2023 4:57 AM 62. Which of the following forms of diabetes onset occurs during pregnancy? a. inborn error of diabetes mellitus b. congenital diabetes mellitus c. type 2 diabetes mellitus d. type 1 diabetes mellitus e. gestational diabetes ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 4:57 AM DATE MODIFIED: 11/30/2023 4:59 AM 63. Which of the following women is at an increased risk of gestational diabetes? a. a woman with a BMI of 25 kg/m2 b. an overweight woman c. a woman with a BMI of 23.9 kg/m2 Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 d. an underweight woman e. a woman with a BMI of 30 kg/m2 ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:00 AM DATE MODIFIED: 11/30/2023 5:01 AM 64. Which of the following statements about premenstrual dysphoric disorder (PMDD) is true? a. It occurs in over 10% of women. b. Some women experience a significant decrease in appetite. c. At least three symptoms must be present to confirm a diagnosis. d. It is associated with breast tenderness, depression, and headaches. e. Symptoms must be occurring daily to be characterizes as PMDD. ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:02 AM DATE MODIFIED: 11/30/2023 5:03 AM 65. A woman with type 2 diabetes wants to become pregnant. Discuss the dietary recommendations that will promote better pregnancy outcomes and normalize her blood sugar.

ANSWER: The main goals of the management of diabetes are blood glucose control, resolution of coexisting health problems, and health maintenance. The woman should follow a normal healthy dietary pattern, reducing intake of drinks with artificial sweeteners. Foods low in glycemic index and high in fiber should be included in her diet because they have been shown to be helpful for glucose control. Additionally, she should include brightly colored fruits and vegetables, whole grains and whole grain products, low-fat dairy products, poultry, fish, dried beans, and nuts and seeds in her diet.

POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:05 AM DATE MODIFIED: 11/30/2023 5:06 AM 66. Discuss how low-glycemic-index foods might help someone with diabetes manage their blood glucose levels. List several low-glycemic foods that would be appropriate for someone wishing to incorporate them into their diet.

ANSWER: Foods with high glycemic index tend to raise blood glucose and insulin levels more than do foods with low glycemic index, and high-glycemic-index foods lead to more episodes of Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 hyperglycemia (high blood glucose level) than do diets providing mainly low-glycemic-index carbohydrates. Because diabetes is characterized by abnormally high blood glucose levels, low-glycemic-index foods would be more helpful in normalizing blood glucose levels. Lowglycemic-index foods include corn, oranges, peaches, yogurt, milk, hummus, nuts, lean meats, oats, buckwheat, quinoa, almond milk, salmon, trout, olive oil, and long-grain rice.

POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:06 AM DATE MODIFIED: 11/30/2023 5:07 AM 67. Define metabolic syndrome and discuss the conditions associated with it.

ANSWER: Metabolic syndrome is a constellation of metabolic abnormalities that increase the risk of heart disease, hypertension, type 2 diabetes, and other disorders. Metabolic syndrome is characterized by insulin resistance, abdominal obesity, high blood pressure and triglycerides levels, low levels of HDL cholesterol, and impaired glucose tolerance.

POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:07 AM DATE MODIFIED: 11/30/2023 5:08 AM 68. Describe congenital malformations and inborn errors of metabolism. Cite one example of an inborn error of metabolism and describe the best nutrition-related intervention.

ANSWER: Congenital abnormality is a structural, functional, or metabolic abnormality present at birth.

It is also called congenital anomalies. Congenital abnormalities may be caused by environmental or genetic factors, or by a combination of the two. Structural abnormalities are generally referred to as congenital malformations, and metabolic abnormalities are referred to as inborn errors of metabolism. Phenylketonuria is an inherited error in phenylalanine metabolism that is most commonly caused by a deficiency of phenylalanine hydroxylase, which converts the essential amino acid phenylalanine to the nonessential amino acid tyrosine. Phenylketonuria can be successfully managed by a low-phenylalanine diet. High phenylalanine protein foods such as meat, fish, eggs, and wheat are excluded from the diet.

POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy Phenylketonuria (PKU) QUESTION TYPE: Subjective Short Answer Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria (PKU) is particularly important prior to pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:09 AM DATE MODIFIED: 11/30/2023 5:11 AM 69. Metta was recently diagnosed with polycystic ovary syndrome (PCOS). Describe some characteristics of the disease and the primary goal of PCOS treatment.

ANSWER: PCOS is a condition in females generally characterized by insulin resistance, high blood levels of insulin and triglycerides, low levels of HDL cholesterol, obesity, polycystic ovaries, ovulatory dysfunction, infertility, hirsutism, and acne. The preferred first-line treatment for women with PCOS is to increase insulin sensitivity through healthy dietary patterns, weight loss, and regular exercise.

POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:13 AM 70. Explain the relationship between testosterone and estradiol levels in obese men. Explain how changes in hormone levels affect male fertility.

ANSWER: Low testosterone and elevated estradiol levels are associated with male infertility. Fat tissue contains an enzyme (aromatase) that converts testosterone to estradiol, and this conversion may be abnormally high in people with high body fat. Consequently, obese men tend to have low testosterone and elevated estradiol levels. Increased blood levels of estradiol inhibit secretion of luteinizing hormone (LH) and follicle stimulating hormone (FSH) by the pituitary. Alterations in LH and FSH can lower testosterone synthesis. Low levels of testosterone decrease sperm production and promote infertility and subfertility.

POINTS: 1 REFERENCES: Weight Status and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 5:15 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 71. Describe the nutritional concerns that are often present in those with untreated celiac disease and the recommended treatment options to improve these nutritional concerns.

ANSWER: Vitamin and mineral deficiencies are common in untreated celiac disease, and these include deficiencies in folate, vitamin B12, vitamin A, vitamin D, vitamin E, vitamin K, iron, and calcium. Untreated celiac disease can also lead to lactose maldigestion and intolerance, weight loss, anemia, osteoporosis, subfertility, growth failure in children and adolescents, and irritable bowel disease. Treatment is initiated with a gluten-free diet. Many of these complications will self-correct with the gluten-free diet. In some circumstances, vitamin and mineral supplementation may be needed to treat the deficiency.

POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:15 AM DATE MODIFIED: 11/30/2023 5:18 AM 72. Explain the similarities and differences between type 1, type 2, and gestational diabetes.

ANSWER: Type 1 diabetes is a disease characterized by high blood glucose levels resulting from destruction of the insulin-producing cells of the pancreas. This type of diabetes is a carbohydrate intolerance resulting from destruction of insulin-producing cells of the pancreas. Individuals with type 1 diabetes require an external supply of insulin. Type 1 diabetes is considered an autoimmune disease. Type 2 diabetes is a disease characterized by high blood glucose levels due to the body's inability to use insulin normally or to produce enough insulin. Gestational diabetes has an initial onset during pregnancy and is classified as an intolerance to carbohydrate that increases the risk of type 2 diabetes.

POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:19 AM DATE MODIFIED: 11/30/2023 5:20 AM 73. Describe the effect of obesity and insulin resistance on the development of gestational and type 2 diabetes.

ANSWER: People with gestational diabetes or type 2 are generally obese and have insulin resistance.

Insulin resistance that develops with obesity partly originates from metabolic changes initiated in fat cells. High amounts of body fat are related to an increased release of fatty acids from fat cells into blood. High circulating levels of fatty acids stimulate the production of free radicals and other proinflammatory molecules and the development of oxidative stress and chronic inflammation. These and other changes are related to the development of insulin resistance in liver and muscle cells, excessive fat storage in the liver, and increased insulin Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 output by beta cells of the pancreas. Over time, insulin resistance can lead to the exhaustion of beta cells and decreased insulin production, elevated blood glucose levels, and the onset of type 2 diabetes.

POINTS: 1 REFERENCES: Diabetes Prior to Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 5:21 AM DATE MODIFIED: 11/30/2023 5:23 AM 74. List some common clinical signs associated with polycystic ovary syndrome (PCOS) and the criteria used for diagnosis.

ANSWER: Common clinical signs associated with PCOS include excess abdominal fat, overweight or obesity, insulin resistance, impaired glucose tolerance, abnormal blood levels of LDL- and HDL-cholesterol, and higher levels of triglycerides. Diagnosis requires two of the following three factors: hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

POINTS: 1 REFERENCES: Polycystic Ovary Syndrome and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.4 - Cite three key components of the nutritional management of polycystic ovary syndrome (PCOS).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:23 AM DATE MODIFIED: 11/30/2023 5:24 AM 75. What are the consequences of untreated celiac disease in men and women?

ANSWER: In males, untreated celiac disease is related to alterations in the actions of androgens, delayed sexual maturation, and hypogonadism. Hypogonadism is marked by a deficiency of sex hormones and poor development and functioning of the reproductive system. In females, untreated celiac disease is associated with amenorrhea, increased rates of miscarriage, fetal growth restriction, low birth-weight deliveries, and a short duration of lactation.

POINTS: 1 REFERENCES: Celiac Disease QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.6 - Describe three nutritional consequences of untreated celiac disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:24 AM DATE MODIFIED: 11/30/2023 5:25 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 3 76. What are some of the common psychological symptoms of premenstrual dysphoric disorder, and how does this differ from premenstrual syndrome?

ANSWER: Some of the common psychological symptoms of PMDD include angry outbursts, depression, irritability, confusion, anxiety, and social withdrawal. These severe symptoms can disrupt daily life and damage relationships.

POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.7 - Identify four common symptoms of premenstrual syndrome and the proposed effects of dietary supplements on the symptoms of premenopausal dysphoric disorder (PMDD).

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:25 AM DATE MODIFIED: 11/30/2023 5:26 AM 77. Destiny and Candice are in their late twenties, and both are overweight. Destiny runs half marathons and participates in an aerobics class, while Candice seldom exercises. If all other health related factors are statistically the same, who has a greater likelihood of conceiving a child without any complications?

ANSWER: Overweight females who engage in long-distance running, fast cycling, and other aerobic physical activities tend to experience improvements in reproductive hormone levels and increased fertility compared to overweight women who are sedentary. Thus, Destiny has a better chance of conceiving a child.

POINTS: 1 REFERENCES: Weight status and fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.1 - Compare the primary mechanisms that underlie the effects of obesity and underweight on fertility in women and men.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:26 AM DATE MODIFIED: 11/30/2023 5:27 AM 78. Describe phenylketonuria and the treatment for this condition.

ANSWER: PKU is an inherited error in phenylalanine metabolism that is most commonly caused by a deficiency of phenylalanine hydroxylase which converts the essential amino acid phenylalanine to the nonessential amino acid tyrosine. PKU can be successfully treated by a low-phenylalanine diet.

POINTS: 1 REFERENCES: Premenstrual Syndrome QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.5 - Summarize the major reasons why dietary control of Phenylketonuria Copyright Cengage Learning. Powered by Cognero.

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Chapter 3

KEYWORDS: DATE CREATED: DATE MODIFIED:

(PKU) is particularly important prior to pregnancy.

Bloom's: Understand 11/30/2023 5:27 AM 11/30/2023 5:28 AM

79. Describe the impact of eating disorders, such as anorexia nervosa and bulimia nervosa, on women's reproductive health.

ANSWER: Anorexia nervosa and bulimia nervosa are both related to the development of hypothalamic amenorrhea in some, but not all, women with these disorders. Women with these conditions are more likely to experience lower fertility, miscarry, experience preterm delivery, and deliver newborns that are low birthweight.

POINTS: 1 REFERENCES: Underweight and Fertility QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.3.3 - Illustrate two ways in which good blood glucose control during the periconceptional period can benefit fetal growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:28 AM DATE MODIFIED: 11/30/2023 5:29 AM

Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 1. Dietary protein is the preferred fuel source for fetal development. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:09 PM DATE MODIFIED: 11/30/2023 11:10 PM 2. Edema in pregnancy, when not accompanied by hypertension, generally reflects a healthy expansion of plasma volume. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:07 PM DATE MODIFIED: 11/30/2023 11:08 PM 3. Bioactive food components are constituents in foods or dietary supplements that are essential nutrients. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:10 PM DATE MODIFIED: 11/30/2023 11:12 PM 4. The rate of human growth and development is slower during gestation than at any time thereafter. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 ANSWER: False POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:12 PM DATE MODIFIED: 11/30/2023 11:13 PM 5. The highest rate of weight gain generally occurs during mid-pregnancy, prior to the time the fetus gains most of its weight. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Pregnancy Weight Gain QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.4 - Identify recommended weight gain ranges for women who enter pregnancy underweight, normal weight, overweight, and obese.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:14 PM DATE MODIFIED: 11/30/2023 11:15 PM 6. One of the functions of the placenta is hormone and enzyme production. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:15 PM DATE MODIFIED: 11/30/2023 11:16 PM 7. The neural tube develops into the brain and spinal cord during the first trimester of pregnancy. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:16 PM DATE MODIFIED: 11/30/2023 11:17 PM 8. Insulin-like growth factor-1 is the primary growth stimulator of the fetus. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:48 PM DATE MODIFIED: 11/30/2023 11:49 PM 9. The intake of iron supplements by women during their first trimester of pregnancy helps relieve nausea and vomiting. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Exercise and Pregnancy Outcome QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.12 - Assess three common health problems during pregnancy and the evidence on the effectiveness of dietary interventions for their treatment or amelioration.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:50 PM DATE MODIFIED: 11/30/2023 11:50 PM 10. Pregnancy weight-gain recommendations differ based on prepregnancy weight status. a. True b. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 REFERENCES: Pregnancy Weight Gain QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.4 - Identify recommended weight gain ranges for women who enter pregnancy underweight, normal weight, overweight, and obese.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:51 PM DATE MODIFIED: 11/30/2023 11:51 PM 11. Vitamin A deficiency is more common in developing countries compared to industrialized countries. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:51 PM DATE MODIFIED: 11/30/2023 11:52 PM 12. Plasma volume expansion is associated with reduced fetal growth. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.5 - Correlate three examples of relationships between nutritional status during pregnancy and long-term health outcomes in offspring.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:52 PM DATE MODIFIED: 11/30/2023 11:53 PM 13. Which of the following statements about term infants is true? a. It refers to those infants who die within a week after birth. b. It refers to those infants who die after one year of birth. c. It refers to those infants who die after twenty-eight days of birth. d. It refers to infants born before thirty-seven weeks of pregnancy. e. It refers to infants born between thirty-eight to forty weeks of pregnancy.

ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:53 PM DATE MODIFIED: 11/30/2023 11:55 PM 14. Which of the following issues is a multifaceted problem in the United States that is affected by access to quality health care, socioeconomic status, and medical interventions? a. preterm birth b. infant mortality c. teen pregnancy d. maternal mortality e. fetal death ANSWER: b POINTS: 1 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:55 PM DATE MODIFIED: 11/30/2023 11:56 PM 15. Which of the following physiological changes is seen in women during pregnancy? a. decreased basal metabolic rate in the second half of pregnancy b. increased sodium conservation c. decreased body temperature d. decreased risk of urinary tract infections e. increased blood pressure in the first half of pregnancy ANSWER: b POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:56 PM DATE MODIFIED: 11/30/2023 11:57 PM 16. The stages of development in chronological order are: Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 a. embryo, fetus, and neonate. b. fetus, embryo, and neonate. c. neonate, fetus, and embryo. d. embryo, neonate, and fetus. e. fetus, neonate, and embryo.

ANSWER: a POINTS: 1 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:03 AM DATE MODIFIED: 12/1/2023 12:09 AM 17. Which of the following statements describes a function of estrogen during pregnancy? a. It stimulates the growth of the endometrium. b. It may participate in the regulation of appetite and lipid metabolism. c. It helps maintain the implant. d. It increases lipid formation and storage. e. It helps maintain early pregnancy by stimulating the corpus luteum.

ANSWER: d POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:09 AM DATE MODIFIED: 12/1/2023 12:10 AM 18. Which of the following population-wide improvements has corresponded to greater reductions in infant mortality than have technological advances in medical care? a. industrial development b. vaccination c. safe and nutritious foods d. transportation e. pre- and post-pregnancy counseling ANSWER: c POINTS: 1 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:11 AM DATE MODIFIED: 12/1/2023 12:12 AM 19. Which of the following statements describes a normal change in physiology that occurs during pregnancy? a. Adipose tissue decreases in size. b. A decrease in glomerular filtration rate occurs. c. Serum cholesterol and triglyceride levels increase. d. Body temperature decreases. e. Blood and plasma volume decrease by 20%.

ANSWER: c POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:12 AM DATE MODIFIED: 12/1/2023 12:13 AM 20. Which of the following hormones contributes to appetite regulation and lipid metabolism? a. human placental lactogen b. leptin c. estrogen d. human chorionic gonadotropin e. progesterone ANSWER: b POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:14 AM DATE MODIFIED: 12/1/2023 12:16 AM 21. Which of the following placental hormones increases maternal insulin resistance in order to provide a continuous supply of glucose that is required for fetal growth? a. human chorionic somatotropin b. leptin Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 c. estrogen d. human placental lactogen e. human chorionic gonadotropin ANSWER: a POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:16 AM DATE MODIFIED: 12/1/2023 12:18 AM 22. The changes in maternal physiology affect all parts of the body. Which of the following changes is unlikely to occur in a woman's gastrointestinal tract during pregnancy? a. decreased gastric and intestinal transit time b. relaxed gastrointestinal tract muscle tone c. heartburn d. constipation e. nausea ANSWER: a POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:18 AM DATE MODIFIED: 12/1/2023 12:42 AM 23. Nutrient and gas exchange between the mother and the fetus occurs: a. in the pancreas. b. in the gastrointestinal tract. c. in the red blood cells. d. in the kidney. e. in the placenta.

ANSWER: e POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during Copyright Cengage Learning. Powered by Cognero.

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Chapter 4

KEYWORDS: DATE CREATED: DATE MODIFIED:

pregnancy that would be considered abnormal if they did not occur during pregnancy.

Bloom's: Remember 12/1/2023 12:43 AM 12/1/2023 12:45 AM

24. During hemodilution, the concentration of _____ in the blood decreases. a. HDL cholesterol b. vitamins and minerals c. triglycerides d. plasma e. LDL cholesterol ANSWER: b POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:46 AM DATE MODIFIED: 12/1/2023 12:48 AM 25. The primary purpose of increased body water composition is to: a. store the excess hormones produced during pregnancy. b. expand blood flow and nutrient transfer to the placenta and fetus. c. provide the mother with plenty of fluids. d. dilute the high concentration of nutrients in pregnant women. e. make room for growing organs.

ANSWER: b POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:49 AM DATE MODIFIED: 12/1/2023 12:51 AM 26. Which of the following placental hormones maintains the implant and stimulates the growth of the endometrium and its secretion of nutrients? a. human placental lactogen b. human chorionic somatotropin c. follicle-stimulating hormone d. progesterone Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 e. leptin ANSWER: d POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:52 AM DATE MODIFIED: 12/1/2023 12:53 AM 27. The preferred source of fuel for the fetus is: a. glucose. b. fatty acid. c. protein. d. cholesterol. e. fiber.

ANSWER: a POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:03 AM DATE MODIFIED: 12/1/2023 1:04 AM 28. Decreased conversion of glucose to glycogen and fat, lowered maternal utilization of glucose, and increased liver production of glucose help: a. ensure the mother does not gain excessive weight during the second half of pregnancy. b. ensure a constant supply of fat for maternal energy needs. c. ensure a constant supply of glucose for fetal growth and development. d. ensure that women do not expend too much energy on metabolism and have plenty of energy to support fetal growth. e. promote healthy weight gain in pregnant women.

ANSWER: c POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 DATE CREATED: DATE MODIFIED:

12/1/2023 1:09 AM 12/1/2023 1:11 AM

29. Which of the following statements regarding maternal fat metabolism during pregnancy is true? a. Lipid metabolism is altered to decrease maternal fat stores during pregnancy. b. Elevations in serum cholesterol are seen prior to an increase in plasma triglycerides. c. Plasma triglycerides and serum cholesterol levels decline during pregnancy. d. Plasma triglyceride levels triple in the first trimester of pregnancy. e. Increased cholesterol and triglyceride concentrations reach atherosclerotic levels by non-pregnancy definitions in the 3rd trimester of pregnancy.

ANSWER: e POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:12 AM DATE MODIFIED: 12/1/2023 1:13 AM 30. Which of the following statements related to maternal mineral metabolism is true? a. Maternal absorption of calcium increases. b. The rate of calcium mobilization from the bones decreases. c. Decreased aldosterone levels increases sodium retention. d. No changes to maternal mineral metabolism occur. e. A low-sodium diet is required to balance the increase in sodium retention.

ANSWER: a POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:14 AM DATE MODIFIED: 12/1/2023 1:16 AM 31. Which of the following substances cannot be transported across the placenta? a. water b. cholesterol c. oxygen d. ketones e. insulin Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 ANSWER: e POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:16 AM DATE MODIFIED: 12/1/2023 1:17 AM 32. The first organ to develop in humans is the: a. brain. b. kidney. c. intestines. d. stomach. e. lungs.

ANSWER: a POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:18 AM DATE MODIFIED: 12/1/2023 1:20 AM 33. An increase in the number of cells due to periods of critical growth is known as: a. hyperplasia. b. hypertrophy. c. differentiation. d. maturation. e. development.

ANSWER: a POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:20 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 DATE MODIFIED:

12/1/2023 1:23 AM

34. Which of the following terms describes an infant with a low weight for gestational age or length? a. spina bifida b. intrauterine growth retardation c. cerebral palsy d. dystocia e. rickets ANSWER: b POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:23 AM DATE MODIFIED: 12/1/2023 1:27 AM 35. A pregnant woman experienced a severe food shortage and lost weight near the end of her pregnancy. The infant born to this woman is most likely to be classified as: a. very small for gestational age (vSGA). b. disproportionately small for gestational age (dSGA). c. proportionately small for gestational age (pSGA). d. appropriate for gestational age (AGA). e. large for gestational age (LGA).

ANSWER: b POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 1:27 AM DATE MODIFIED: 12/1/2023 1:29 AM 36. Which of the following statements about the placenta is true? a. The placenta does not allow alcohol to pass through to the fetus. b. The placenta exposes the fetus to maternal red blood cells. c. The transfer of carbon dioxide and oxygen across the placenta is highly regulated. d. When nutrient supply is low, the placenta supplies the fetus with the required nutrients before fulfilling its own requirements.

Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 e. The placenta develops from embryonic tissue and is larger than the fetus for most of pregnancy.

ANSWER: e POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:33 AM DATE MODIFIED: 12/1/2023 1:39 AM 37. It is recommended that underweight women gain approximately _____ pounds during pregnancy. a. 5–10 b. 15–25 c. 30–35 d. 28–40 e. 35–45 ANSWER: d POINTS: 1 REFERENCES: Pregnancy Weight Gain QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.4 - Identify recommended weight gain ranges for women who enter pregnancy underweight, normal weight, overweight, and obese.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:40 AM DATE MODIFIED: 12/1/2023 1:45 AM 38. The recommended weight gain range for women having twins is _____ pounds. a. 30-40 b. 15–25 c. 25–35 d. 34–50 e. 25–54 ANSWER: e POINTS: 1 REFERENCES: Pregnancy Weight Gain QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.4 - Identify recommended weight gain ranges for women who enter pregnancy underweight, normal weight, overweight, and obese.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:46 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 DATE MODIFIED:

12/1/2023 1:48 AM

39. Which of the following statements describes a function of insulin-like growth factor-1 (IGF-1)? a. It promotes lipid deposition in the mother. b. It promotes uptake of nutrients by the fetus and inhibits fetal tissue breakdown. c. It stimulates the growth of the endometrium during pregnancy. d. It promotes uterine and breast duct development in pregnant women. e. It increases maternal insulin resistance to maintain glucose availability for fetal use.

ANSWER: b POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:49 AM DATE MODIFIED: 12/1/2023 1:59 AM 40. Exposure to the Dutch World War II famine during the second half of pregnancy led to _____ in adult offspring. a. high LDL and low HDL cholesterol b. high body weight c. infertility d. decreased glucose tolerance e. schizophrenia ANSWER: d POINTS: 1 REFERENCES: Nutrition and the Course and Outcome of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.5 - Correlate three examples of relationships between nutritional status during pregnancy and long-term health outcomes in offspring.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:59 AM DATE MODIFIED: 12/1/2023 2:00 AM 41. A high-quality pregnancy diet would least likely include: a. foods containing little or no salt. b. foods containing folic acid. c. nine cups of fluid every day. d. all essential nutrients at recommended levels. e. foods containing sufficient fiber.

ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:01 AM DATE MODIFIED: 12/1/2023 3:03 AM 42. The increased need for energy in pregnancy averages _____ kcal/day. a. 100 b. 200 c. 300 d. 500 e. 650 ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:04 AM DATE MODIFIED: 12/1/2023 3:05 AM 43. Artificial sugar intake during pregnancy is associated with which of the following features? a. fetal alcohol syndrome b. small for gestational age infants c. obese offspring by age seven d. fetal growth restriction e. preterm delivery ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:06 AM DATE MODIFIED: 12/1/2023 5:07 AM 44. A pregnant woman advised to increase her intake of the fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) should consume: Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 a. chicken or poultry. b. fish and seafood. c. nuts and seeds. d. fruits and vegetables. e. corn and wheat products.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:08 AM DATE MODIFIED: 12/1/2023 5:10 AM 45. Malformation of the fetal heart, lungs, and urinary tract are associated with inadequate intake of _____ during early pregnancy. a. vitamin D b. choline c. vitamin A d. EPA e. folate ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:10 AM DATE MODIFIED: 12/1/2023 5:11 AM 46. Which of the following statements regarding maternal calcium status is true? a. Calcium is not replaced when resuming a calcium-rich diet after pregnancy. b. Dietary calcium intake can be met by drinking two cups of milk daily. c. Calcium is released from the teeth to support fetal growth. d. Maternal urinary calcium excretion decreases. e. Maternal calcium absorption decreases.

ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:11 AM DATE MODIFIED: 12/1/2023 5:13 AM 47. Low levels of IGF-1 causes: a. a decrease in muscle and skeletal mass of the fetus. b. an increase in lipid breakdown by the mother. c. an increase in insulin resistance in the mother. d. a reduction in the intake of oxygen by the fetus. e. neural-tube defects in the fetus.

ANSWER: a POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:13 AM DATE MODIFIED: 12/1/2023 5:15 AM 48. Which of the following statements about cerebral palsy is true? a. It is the blockage or difficulty of delivery caused by the obstruction of the birth canal by the infant's shoulders. b. It is a group of disorders characterized by impaired muscle activity and coordination present at birth or developed during early childhood. c. It refers to the heritable changes in gene function that do not entail a change in DNA sequence. d. It refers to the number of previous deliveries experienced by a woman. e. It is a condition marked by low hemoglobin level and is characterized by the signs of iron deficiency plus paleness, exhaustion, and a rapid heart rate.

ANSWER: b POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:15 AM DATE MODIFIED: 12/1/2023 5:17 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 49. During pregnancy, which of the following nutrients should be monitored closely in non-vegetarians since food sources are predominately animal based? a. zinc, vitamin D, and iron b. vitamin B12, iron, zinc c. iron, zinc, vitamin A d. omega 3-fatty acids, vitamin B12, and vitamin D e. omega 3-fatty acids, zinc, vitamin B12 ANSWER: d POINTS: 1 REFERENCES: Healthy Dietary Patterns for Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.8 - Develop a one-day diet for pregnancy based on MyPlate.gov food intake recommendations for pregnancy.

KEYWORDS: Bloom’s: Understand DATE CREATED: 12/1/2023 5:20 AM DATE MODIFIED: 12/1/2023 5:25 AM 50. Which of the following statements describes the function of choline during pregnancy? a. It reduces inflammation, dilates blood vessels, and reduces blood clotting. b. It is required by the mother and fetus for thyroid function and fetal brain development. c. It can be converted to betaine that can serve as a source of methyl groups used to regulate gene function and neural-tube and brain development. d. It supports fetal growth, the addition of calcium to bone, and tooth and enamel formation. e. It is primarily required for fetal skeletal mineralization and maintenance of maternal bone health.

ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom’s: Understand DATE CREATED: 12/1/2023 5:25 AM DATE MODIFIED: 12/1/2023 5:26 AM 51. With the possible exception of _____, nutrient needs during pregnancy should be met by the consumption of a wellbalanced and adequate diet. a. zinc b. magnesium c. niacin d. iron e. potassium ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 REFERENCES: Healthy Dietary Patterns for Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.8 - Develop a one-day diet for pregnancy based on MyPlate.gov food intake recommendations for pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:26 AM DATE MODIFIED: 12/1/2023 5:32 AM 52. Pregnant women are more susceptible to the risks of foodborne illnesses because of increased levels of: a. progesterone. b. estrogen. c. follicle-stimulating hormone. d. lactogen. e. luteinizing hormone.

ANSWER: a POINTS: 1 REFERENCES: Food Safety During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.9 - Describe two reasons why pregnant women and their fetuses are particularly vulnerable to certain foodborne illnesses.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:33 AM DATE MODIFIED: 12/1/2023 5:34 AM 53. Which of the following statements about foodborne illnesses is correct? a. Listeria monocytogenes is a protozoan that can cause foodborne infections. b. Toxoplasmosis infection can be transferred from the mother to the fetus and impair fetal brain development. c. Toxoplasmosis infection is commonly associated with the ingestion of soft cheeses or unpasteurized milk. d. Toxoplasma gondii is a bacterium that can cause foodborne infections. e. The placenta protects the fetus from listeria foodborne infection in the mother.

ANSWER: b POINTS: 1 REFERENCES: Food Safety During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.9 - Describe two reasons why pregnant women and their fetuses are particularly vulnerable to certain foodborne illnesses.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:34 AM DATE MODIFIED: 12/1/2023 5:35 AM 54. Dietary assessment during pregnancy should cover: a. changes in dietary intake only.

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Chapter 4 b. usual dietary intake only. c. dietary supplement use only. d. weight-gain progress and changes in dietary intake. e. usual dietary intake, dietary supplement use, and weight-gain progress.

ANSWER: e POINTS: 1 REFERENCES: Assessment of Nutritional Status During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.10 - Identify the basic components of a nutritional assessment of pregnant women.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:36 AM DATE MODIFIED: 12/1/2023 5:37 AM 55. Which of the following statements regarding the treatment of constipation during pregnancy is not accurate? a. Constipation cannot be treated with diet or supplements during pregnancy. b. Increasing dietary fiber to 30 grams daily may improve constipation. c. Laxatives should be used during pregnancy. d. Fiber supplements with ample water may improve constipation. e. Decreasing dietary fiber content may improve constipation.

ANSWER: c POINTS: 1 REFERENCES: Healthy Dietary Patterns for Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.12 - Assess three common health problems during pregnancy and the evidence on the effectiveness of dietary interventions for their treatment or amelioration.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:37 AM DATE MODIFIED: 12/1/2023 5:38 AM 56. Normal-weight women who exercise regularly during pregnancy have: a. somewhat longer labor. b. increased risk of having low-birthweight infants. c. increased risk of pregnancy-induced hypertension. d. increased risk of low back pain. e. decreased risk of developing gestational diabetes.

ANSWER: e POINTS: 1 REFERENCES: Exercise and Pregnancy Outcome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.11 - Identify three health benefits to women of regular exercise during Copyright Cengage Learning. Powered by Cognero.

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Chapter 4

KEYWORDS: DATE CREATED: DATE MODIFIED:

pregnancy.

Bloom's: Understand 12/1/2023 6:42 AM 12/1/2023 6:44 AM

57. A pregnant woman should avoid _____ during her pregnancy. a. swimming b. scuba diving c. dancing d. cycling e. jogging ANSWER: b POINTS: 1 REFERENCES: Exercise and Pregnancy Outcome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.11 - Identify three health benefits to women of regular exercise during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 6:45 AM DATE MODIFIED: 12/1/2023 6:46 AM 58. Which of the following recommendations may help a woman experiencing heartburn during pregnancy? a. Consume one meal per day. b. Increase carbonated beverages. c. Lay down after eating a large meal. d. Decrease dietary fiber intake. e. Elevate the head of the bed during sleep.

ANSWER: e POINTS: 1 REFERENCES: Common Health Problems During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.12 - Assess three common health problems during pregnancy and the evidence on the effectiveness of dietary interventions for their treatment or amelioration.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 6:46 AM DATE MODIFIED: 12/1/2023 6:47 AM 59. Which of the following statements describes the role of iodine during pregnancy? a. It is required by the mother and fetus for thyroid function and fetal brain development. b. It helps in maintaining the body's water balance. c. It is required for fetal skeletal mineralization and maintenance of maternal bone health. d. It is required for developing the enamel in the fetus.

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Chapter 4 e. It plays an important role in reactions that are involved in cell differentiation.

ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:48 AM DATE MODIFIED: 12/1/2023 6:53 AM 60. Heartburn in pregnant women is likely caused by: a. larger food intake volumes. b. increased blood fluid volumes. c. weight gain. d. movement of the fetus in the uterus. e. the relaxation of the lower esophageal sphincter at the top of the stomach.

ANSWER: e POINTS: 1 REFERENCES: Common Health Problems During Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.4.12 - Assess three common health problems during pregnancy and the evidence on the effectiveness of dietary interventions for their treatment or amelioration.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:53 AM DATE MODIFIED: 12/1/2023 6:57 AM 61. Which of the following statements regarding listeria is true? a. Listeria can be prevented by reheating meat to 145° F. b. Listeria is less common in pregnancy compared to the general population. c. Listeria can lead to a large-for-gestational-age infant. d. Listeria is a sexually transmitted disease. e. Listeria is passed through the placenta to the fetus.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:57 AM DATE MODIFIED: 12/1/2023 6:58 AM 62. The concept that development can be modified by particular environmental conditions experienced by a fetus or infant is defined as: a. developmental plasticity Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 b. epigenetics c. parity d. differentiation e. growth ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:58 AM DATE MODIFIED: 12/1/2023 6:59 AM 63. Which of the following terms describes the number of pregnancies a woman has experienced? a. gravida b. parity c. birth number d. birth order e. par ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:59 AM DATE MODIFIED: 12/1/2023 7:00 AM 64. Which of the following terms describes the number of previous deliveries a woman has experienced? a. gravida b. parity c. birth number d. birth order e. par ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 7:00 AM DATE MODIFIED: 12/1/2023 7:01 AM 65. Which of the following statements regarding substrate intake and the placenta is true? a. Alcohol ingestion is blocked from entering the placenta to protect the fetus. b. Iron deficiency increases oxygen delivery to the placenta. c. Caffeine may cause constriction of placental blood vessels. d. Iron is transported across the placenta using facilitated diffusion and active transport. e. The fetus will fulfill its own needs before providing nutrients to the placenta.

ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 7:02 AM DATE MODIFIED: 12/1/2023 7:02 AM 66. A condition characterized by growth impairment, intellectual disabilities, and deafness caused by inadequate maternal intake of iodine during pregnancy is referred to as: a. toxoplasmosis. b. hyperemesis. c. anencephaly. d. hypothyroidism. e. pica.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 7:03 AM DATE MODIFIED: 12/1/2023 7:07 AM 67. The absence of a brain or spinal cord is referred to as: a. toxoplasmosis. b. spina bifida. c. anencephaly. d. hypothyroidism. e. Neural tube defect.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/3/2023 8:07 PM DATE MODIFIED: 12/3/2023 8:08 PM 68. Pica is associated with a deficiency in which of the following micronutrients? a. copper b. vitamin B12 c. vitamin D d. zinc e. iron ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/3/2023 8:10 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 DATE MODIFIED: 12/3/2023 8:11 PM 69. Which of the following parasitic infections impairs fetal brain development? a. toxoplasmosis b. spina bifida c. anencephaly d. hypothyroidism e. neural tube defect ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/3/2023 8:11 PM DATE MODIFIED: 12/3/2023 8:12 PM 70. Hyperemesis gravidarum is defined as severe: a. diarrhea. b. abdominal pain. c. bloating. d. nausea and vomiting. e. constipation.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/3/2023 8:12 PM DATE MODIFIED: 12/3/2023 8:14 PM 71. Explain why it may be necessary to increase folate levels during pregnancy. Why is folate important and what sources of folate can be added to a diet?

ANSWER: Inadequate folate intake has been linked to the development of congenital abnormalities and clinical complications of pregnancy. Specifically, inadequate availability of folate between twenty-one and twenty-seven days after conception can interrupt normal cell differentiation and cause neural-tube defects. It is recommended that women consume 600 mcg DFE of folate per day during pregnancy and include 400 mcg folic acid from fortified foods or supplements. The remaining 200 mcg DFE should be obtained from vegetables and fruits.

These nutrient-dense foods provide an average of 40 mcg of folate per serving. To reach the recommended folate intake levels, the woman may include folate-rich foods such as oranges, dried beans, and pineapple juice as well as fortified foods such as breakfast cereal, pasta, rice, and bread in her diet.

POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific Copyright Cengage Learning. Powered by Cognero.

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Chapter 4

KEYWORDS: DATE CREATED: DATE MODIFIED:

nutrients change due to pregnancy.

Bloom's: Apply 12/3/2023 8:15 PM 12/3/2023 8:15 PM

72. Explain the purpose of natality statistics, including the types of data of interest to natality statistics.

ANSWER: The status of reproductive outcomes in the United States and other economically developed countries is routinely assessed through examination of a particular set of vital statistics—data called natality statistics. Natality statistics summarize important information about the occurrence of pregnancy complications and harmful behaviors, in addition to infant mortality (death) and morbidity (illness) rates within a specific population. These data are used to identify problems in need of resolution and to identify progress in meeting national goals for improvement in the course and outcome of pregnancy.

POINTS: 1 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/3/2023 8:16 PM DATE MODIFIED: 12/3/2023 8:18 PM 73. Describe the etiology, presentation, and treatment of nausea and vomiting during pregnancy.

ANSWER: Nausea and vomiting is associated with hormone changes during pregnancy. Many women have an increase in nausea (70%) and vomiting (40%) usually beginning by five weeks and dissipates by twelve weeks. Nausea and vomiting are associated with a reduced risk of miscarriage. General recommendations for treatment include continue to gain weight, separate liquid and solid food intake, avoid odors and foods that trigger nausea, and select foods that are well tolerated.

POINTS: 1 REFERENCES: Physiology of Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.2 - Describe five physiological changes that normally occur during pregnancy that would be considered abnormal if they did not occur during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 8:18 PM DATE MODIFIED: 12/3/2023 8:20 PM 74. List any four of the 2030 health objectives for the nation related to pregnant women and infants.

ANSWER: The 2030 health objectives for the nation related to pregnant women and infants are the following: •

Reduce severe maternal complications identified during delivery hospitalizations.

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Chapter 4 • • • • • •

Reduce the rates of fetal deaths at twenty or more weeks.

Reduce the rate of maternal mortality.

Increase the proportion of pregnant women who get the Tdap vaccine during pregnancy.

Increase abstinence from cigarette smoking among pregnant women.

Reduce congenital syphilis.

Increase the proportion of women of childbearing age who get enough folic acid.

POINTS: 1 REFERENCES: The Status of Pregnancy Outcomes QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.1 - Identify three problem areas related to pregnancy outcomes in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:21 PM DATE MODIFIED: 12/3/2023 8:22 PM 75. Define critical periods during pregnancy and explain their importance in embryonic/fetal development.

ANSWER: Fetal growth and development proceed along genetically determined pathways in which cells are programmed to multiply, differentiate, and establish long-term functional levels during set time intervals. Such time intervals, known as critical periods, are most intense during the first two months after conception, when a majority of organs and tissues begin to form. On the whole, critical periods represent a "one-way street" because it is not possible to reverse directions and correct errors in growth or development that occurred during a previous critical period. Consequently, adverse effects of nutritional and other insults occurring during critical periods of growth and development persist throughout life.

POINTS: 1 REFERENCES: Embryonic and Fetal Growth and Development QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 8:22 PM DATE MODIFIED: 12/3/2023 8:24 PM 76. Provide two historical examples that indicate the fetal growth trajectory may be established early in pregnancy.

ANSWER: During the Dutch winter famine of 1943–1944, average birthweight declined by 372 g (13 oz), delivery of low-birthweight infants increased by 50%, and rates of infant deaths increased. Similarly, the siege of Sarajevo, which decreased food availability during 1993– 1994, led to reduced caloric and nutrient intakes during pregnancy and reduced maternal weight gain and newborn weights. In both situations, birthweight did not fully catch up in infants born to women exposed to famine early in pregnancy, even if they received enough food later in pregnancy. These results support the notion that the fetal growth trajectory may Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 be established early in pregnancy and that early nutritional deprivations limit fetal growth regardless of food intake later in pregnancy.

POINTS: 1 REFERENCES: Nutrition and the Course and Outcome of Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.5 - Correlate three examples of relationships between nutritional status during pregnancy and long-term health outcomes in offspring.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 8:24 PM DATE MODIFIED: 12/3/2023 8:25 PM 77. What is an appropriate response regarding the consumption of fish during pregnancy?

ANSWER: Fish provide key nutrients during pregnancy to support a child’s brain development. Fish contain omega-3s, iron, iodine, and choline. Choline supports the development of the baby’s spinal cord and the iron supports the baby’s immune system. Pregnant women should choose a variety of fish that are low in mercury. One serving is 4 ounces and pregnant women should eat two to three servings a week.

POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:25 PM DATE MODIFIED: 12/3/2023 8:26 PM 78. Describe the physiological demands that increase energy requirements during pregnancy.

ANSWER: Energy requirements during pregnancy increase mainly because of protein and fat tissue synthesis and the energy cost of maintaining an expanding amount of metabolically active tissues. Protein synthesis primarily occurs in fetal, placental, uterine, and breast tissues. Most of the fat synthesized during pregnancy is used to build up maternal fat stores. Expanded metabolic activity related to the increased work of the mother's cardiovascular, respiratory, and renal systems is responsible for much of the increase in energy needed for basal metabolism. The fetus accounts for about a third of the increased energy needs of pregnancy.

POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.6 - Provide five examples of how the need for energy and specific nutrients change due to pregnancy.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 4 DATE CREATED: DATE MODIFIED:

12/3/2023 8:27 PM 12/3/2023 8:28 PM

79. Explain the assessment of iron status in a pregnant woman.

ANSWER: Assessment of iron status involves clinical suspicion such as a history of multiple pregnancies and low-income status. Laboratory assessment includes a serum ferritin, which represents the current body stores of irons. The hemoglobin and hematicrit levels are essential to evaluate; however, low levels are common in pregnant women due to the high plasma volume expansion that occurs during pregnancy. The CDC has established cut-off points for hemoglobin to serve as standards for diagnosing iron-deficiency anemia. These cutoff values are as follows: Less than 11.0 g/dL in the first and third trimesters Less than 10.5 g/dL in the second trimester POINTS: 1 REFERENCES: Energy and Nutrient Needs During Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.3 - Correlate critical periods of growth and development and the potential consequences of inadequate energy and nutrient availability during these periods on future health status.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/3/2023 8:28 PM DATE MODIFIED: 12/3/2023 8:29 PM 80. Discuss the differences between Fit Moms and the WIC program.

ANSWER: WIC provides nutritional assessment, education and counseling, food supplements, and access to health services to over six million participants. WIC serves low-income pregnant, postpartum, and breastfeeding women, and children up to five years of age who are at nutritional risk. Supplemental food provided to women includes milk, yogurt, fresh vegetables, fruits, whole grain products, ready-to-eat cereals, dried beans, fruit juice, and cheese. Some programs offer vouchers for farmer's markets. Participation in WIC is related to reduced rates of iron-deficiency anemia in pregnancy, higher-birthweight infants, decreased low-birthweight infants, and lower rates of iron-deficiency anemia in women after delivery. However, in an attempt to reduce postpartum weight retention, Fit Moms was developed. This is an internet-based program designed to target postpartum weight loss. The program began in 2011 and included the delivery of instructional videos, online lessons, computerized feedback, text message interactions, and a web diary. Women that participated in this program consumed significantly fewer calories that the control group and these caloric deficits resulted in a greater weight loss and was a lower cost compared to traditional face-toface interventions.

POINTS: 1 REFERENCES: Model Nutrition Programs for Risk Reduction in Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.4.13 - Describe the nutrition services components of a model nutrition program during pregnancy.

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Chapter 4 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 12/3/2023 8:29 PM 12/3/2023 8:32 PM

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Chapter 5 1. The effects of gestational hypertension on the course and outcome of pregnancy are often benign. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/29/2023 11:51 PM DATE MODIFIED: 11/29/2023 11:52 PM 2. Healthy dietary patterns during pregnancy include foods that are low in added sugars and low in trans fats. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:09 AM DATE MODIFIED: 11/30/2023 12:10 AM 3. Women with eating disorders during pregnancy are at higher risk for spontaneous abortion, hypertension, anemia, and preterm labor. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Eating disorders in Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.5 - Identify two primary components of the nutritional care of women with eating disorders during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:10 AM DATE MODIFIED: 11/30/2023 12:11 AM 4. Routine salt restriction helps prevent and treat hypertension during pregnancy.

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Chapter 5 a. True b. False ANSWER: False POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:12 AM DATE MODIFIED: 11/30/2023 12:12 AM 5. The only cure for preeclampsia is delivery of the placenta. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:18 AM DATE MODIFIED: 11/30/2023 12:19 AM 6. An acceptable fasting blood glucose level ranges between 110-140 mg/dL. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:20 AM DATE MODIFIED: 11/30/2023 12:21 AM 7. Research indicates that all women with gestational diabetes in a previous pregnancy will develop it in a subsequent Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 pregnancy. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:21 AM DATE MODIFIED: 11/30/2023 12:22 AM 8. Because of higher needs, women with multifetal pregnancies should take nutrient supplements exceeding the Tolerable Upper Intake Levels. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:23 AM DATE MODIFIED: 11/30/2023 12:24 AM 9. Twins at highest risk of death and malformations have separate amniotic sacs but share the same placenta. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:26 AM DATE MODIFIED: 11/30/2023 12:26 AM 10. Rates of dizygotic twins vary among racial groups and by country.

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Chapter 5 a. True b. False ANSWER: True POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:29 AM DATE MODIFIED: 11/30/2023 12:30 AM 11. An unfavorable metabolic effect associated with excessive body fat is: a. decreased blood glucose levels. b. decreased blood concentration of insulin. c. the development of insulin resistance. d. high levels of HDL cholesterol. e. low levels of LDL cholesterol.

ANSWER: c POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:30 AM DATE MODIFIED: 11/30/2023 12:32 AM 12. Obesity is associated with an increased risk of: a. dumping syndrome. b. malabsorption of nutrients by the fetus. c. anemia. d. gestational diabetes and preterm delivery. e. delivering a low birthweight infant.

ANSWER: d POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE CREATED: DATE MODIFIED:

11/30/2023 12:32 AM 11/30/2023 12:34 AM

13. Which of the following statements about women who have bariatric surgery is true? a. Women lose weight rapidly after bariatric surgery due to limited food intake and malabsorption of nutrients. b. Women who have undergone bariatric surgery are not at risk of developing gestational diabetes. c. Women who have undergone bariatric surgery tend to gain weight soon after the surgery. d. The development of preeclampsia is more frequent in women who have undergone bariatric surgery than in women who are obese. e. Women undergo bariatric surgery to avoid conception thereafter.

ANSWER: a POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:35 AM DATE MODIFIED: 11/30/2023 12:36 AM 14. Which of the following statements is true of the 75-g glucose load for blood glucose testing? a. This test is evidence-based for diagnosing preeclampsia. b. This test is no longer utilized as a diagnostic test for obese women. c. This test is only used in women that become pregnant after a Roux-en Y gastric bypass. d. Many women post-bariatric surgery will experience dumping syndrome. e. This test is not an evidence-based test for diagnosing gestational diabetes.

ANSWER: d POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 12:37 AM DATE MODIFIED: 11/30/2023 12:39 AM 15. Dumping syndrome is a condition characterized by abnormally rapid emptying of the stomach and is seen in women who: a. have gestational diabetes. b. are at risk for developing preeclampsia. c. have undergone bariatric surgery. d. drink more than four alcoholic beverages per day. e. are carrying triplets.

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Chapter 5 ANSWER: c POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 12:39 AM DATE MODIFIED: 11/30/2023 12:41 AM 16. Which of the following systolic and diastolic parameters define hypertension? a. 120; 70 b. 140; 90 c. 120; 90 d. 140; 70 e. 160; 110 ANSWER: b POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:00 AM DATE MODIFIED: 11/30/2023 1:02 AM 17. An environmental exposure that decreases chronic inflammation and oxidative stress includes: a. frequent consumption of refined carbohydrates. b. physical activity. c. avoidance of olive oil and nuts. d. smoking. e. physical inactivity.

ANSWER: b POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:04 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE MODIFIED:

11/30/2023 1:05 AM

18. Gestational diabetes is an intolerance of which of the following nutrients? a. vitamin b. protein c. carbohydrate d. mineral e. fat ANSWER: c POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:06 AM DATE MODIFIED: 11/30/2023 1:07 AM 19. Which of the following symptoms is unlikely to be associated with preeclampsia? a. persistent headaches b. high urine output c. blurred vision d. abdominal pain e. low platelet count ANSWER: b POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:07 AM DATE MODIFIED: 11/30/2023 1:09 AM 20. Which of the following maternal organs is the most affected by small blood clots and reduced blood flow? a. the pancreas b. the lungs c. the heart d. the liver e. the appendix ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:09 AM DATE MODIFIED: 11/30/2023 1:10 AM 21. Ideally, when should dietary intervention for preeclampsia begin? a. prior to pregnancy b. two weeks prior to infant delivery c. prior to the twentieth week of pregnancy d. after the twentieth week of pregnancy e. after childbirth ANSWER: a POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:11 AM DATE MODIFIED: 11/30/2023 1:13 AM 22. Which of the following nutritional or physical activity recommendations is most likely to benefit women who are at risk for developing preeclampsia? a. intake of high-dosage iron supplements b. intake of five or more servings of fruits daily c. adequate intake of high-glycemic foods d. decreased fiber intake e. reducing body weight to a body mass index <18.5 kg/m2 ANSWER: b POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE CREATED: DATE MODIFIED:

11/30/2023 1:13 AM 11/30/2023 1:15 AM

23. Detection of seizure activity in eclampsia usually occurs: a. after delivery of the placenta. b. early in pregnancy. c. late in pregnancy. d. at conception. e. during the first twenty weeks.

ANSWER: c POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:16 AM DATE MODIFIED: 11/30/2023 1:17 AM 24. Which of the following dietary characteristics is linked to a decreased risk of preeclampsia? a. intake of red meats b. colorful fruits and vegetables c. salty foods d. sweet or sugary foods e. whole milk and yogurt ANSWER: b POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:20 AM DATE MODIFIED: 11/30/2023 1:22 AM 25. How many minutes of moderate-intensity physical activity is recommended daily for women at risk of preeclampsia? a. zero b. twenty c. thirty d. sixty e. ninety Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 ANSWER: c POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:25 AM DATE MODIFIED: 11/30/2023 1:26 AM 26. Hypertension that is first diagnosed during pregnancy AND does not resolve after pregnancy is classified as: a. posteclampsia. b. preeclampsia. c. gestational hypertension. d. eclampsia. e. chronic hypertension.

ANSWER: e POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 1:38 AM DATE MODIFIED: 11/30/2023 1:39 AM 27. The development of preeclampsia is associated with oxidative stress and a lack of: a. lipids. b. carbohydrates. c. oxidizing agents. d. antioxidants. e. minerals.

ANSWER: d POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE CREATED: DATE MODIFIED:

11/30/2023 1:40 AM 11/30/2023 1:41 AM

28. Chronic hypertension: a. occurs more often in Non-Hispanic Black Americans than in White Americans. b. is decreasing in incidence because of better medical prevention methods. c. is less common in women of older childbearing age. d. is usually treated with the same prescriptions in pregnant and nonpregnant women. e. increases the rate of fetal growth.

ANSWER: a POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:44 AM DATE MODIFIED: 11/30/2023 1:46 AM 29. Chronic inflammation and oxidative stress may be decreased by: a. high levels of body fat. b. frequent intake of processed meats. c. smoking. d. physical inactivity. e. regular intake of dried beans and nuts.

ANSWER: e POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:46 AM DATE MODIFIED: 11/30/2023 1:48 AM 30. A risk to the fetus associated with multifetal pregnancy is: a. intraventricular hemorrhage. b. spontaneous abortion. c. macrosomia. d. hyperbilirubinemia. e. high blood pressure.

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Chapter 5 ANSWER: a POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 1:48 AM DATE MODIFIED: 11/30/2023 1:49 AM 31. Which of the following statements is true of thromboxane? a. It inhibits platelet aggregation. b. It is a powerful vasodilator. c. It increases platelet aggregation. d. It helps reduce blood pressure. e. It is derived from n-3 fatty acids.

ANSWER: c POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:37 AM DATE MODIFIED: 11/30/2023 2:39 AM 32. Maintenance of normal blood glucose levels during pregnancy requires sufficient insulin production by _____ cells of the _____. a. alpha; pancreas b. beta; pancreas c. gamma; pancreas d. alpha; thyroid e. beta; thyroid ANSWER: b POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE CREATED: DATE MODIFIED:

11/30/2023 2:39 AM 11/30/2023 2:41 AM

33. What percentage of women with gestational diabetes will develop type 2 diabetes later in life? a. 3 b. <10 c. 10–15 d. 50 e. >75 ANSWER: c POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:42 AM DATE MODIFIED: 11/30/2023 2:43 AM 34. According to the American Diabetes Association, pregnant women without gestational diabetes should undergo a blood glucose test: a. between twenty-four and twenty-eight weeks of gestation. b. after the first trimester. c. between six and eight weeks of gestation. d. at seventeen weeks of gestation. e. Pregnant women without diabetes do not need to be screened.

ANSWER: a POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:43 AM DATE MODIFIED: 11/30/2023 2:45 AM 35. Newborn macrosomia is defined in several different ways, including birth weight of: a. 4,000–4,500 g. b. 2,000–2,500 g. c. 1,000–1,200 g. d. 500–1,000 g.

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Chapter 5 e. 750–1,500 g.

ANSWER: a POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 2:49 AM DATE MODIFIED: 11/30/2023 2:51 AM 36. The treatment for gestational diabetes that is aimed at normalizing blood glucose levels includes: a. intake of oral medications such as metformin without changing the diet. b. insulin injections or an insulin pump. c. intake of a low-calorie high-protein diet. d. developing a program for weight gain management, implementing dietary changes, and monitoring regular physical activity. e. intake of refined carbohydrates instead of whole grains and other nutrient-dense, minimally processed foods.

ANSWER: d POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:16 AM DATE MODIFIED: 11/30/2023 3:18 AM 37. Which of the following types of diabetes is potentially the most hazardous to the mother and fetus? a. type 1 diabetes b. type 2 diabetes c. gestational diabetes d. They are all equally hazardous. e. None of these are hazardous to both the mother and fetus.

ANSWER: a POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional Copyright Cengage Learning. Powered by Cognero.

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Chapter 5

KEYWORDS: DATE CREATED: DATE MODIFIED:

management of each type.

Bloom's: Remember 11/30/2023 3:20 AM 11/30/2023 3:21 AM

38. Which of the following statements describes a mechanism of action of Metformin (Glucophage)? a. It increases glucose production by the liver. b. It stimulates insulin secretion. c. It decreases insulin sensitivity. d. It increases tissue uptake of glucose. e. It stimulates ketone production.

ANSWER: d POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:22 AM DATE MODIFIED: 11/30/2023 3:23 AM 39. The primary outcome goal for pregnant women with type 2 diabetes is to: a. maintain blood glucose levels within the normal range. b. prevent the development of diabetes later in life. c. prevent excessive weight gain. d. maintain normal blood pressure. e. avoid the use of insulin during pregnancy.

ANSWER: a POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:23 AM DATE MODIFIED: 11/30/2023 3:24 AM 40. Which of the following statements related to carbohydrate consumption during pregnancy is true? a. Women with gestational diabetes commonly consume 65% of calories from carbohydrates. b. A minimum of 175 g/day is recommended by the Institute of Medicine. c. Women with gestational diabetes commonly consume 45% of calories from carbohydrates.

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Chapter 5 d. A minimum of 75 g/day is recommended by the Institute of Medicine. e. A minimum of 325 g/day is recommended by the Institute of Medicine.

ANSWER: c POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:25 AM DATE MODIFIED: 11/30/2023 3:26 AM 41. Assessment of urinary ketone levels is sometimes used in practice to estimate the adequacy of: a. insulin excretion. b. vitamin D intake. c. protein intake. d. calorie and carbohydrate intake. e. iron intake.

ANSWER: d POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 3:26 AM DATE MODIFIED: 11/30/2023 3:27 AM 42. Which of the following artificial organs has been developed and may become available for use in the future to manage type 1 diabetes? a. the bladder b. the pancreas c. the liver d. the kidneys e. the lungs ANSWER: b POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate Copyright Cengage Learning. Powered by Cognero.

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Chapter 5

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metabolism that occur during pregnancy and the key components of the nutritional management of each type.

Bloom's: Apply 11/30/2023 3:28 AM 11/30/2023 3:29 AM

43. The vanishing twin phenomenon refers to: a. more triplets and quadruplets being born than twins because of fertility drugs. b. the disappearance of embryos within thirteen weeks of conception. c. the decreasing percentage of dizygotic twins in favor of monozygotic twins. d. the emergence of an additional fetus in a pregnancy that began with only two fetuses. e. the decreasing percentage of twins in favor of singleton fetuses due to in vitro fertilization techniques.

ANSWER: b POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:33 AM DATE MODIFIED: 11/30/2023 3:36 AM 44. Which of the following situations is more likely in multifetal pregnancies compared to singleton pregnancies? a. Weight gain is lower compared to a singleton pregnancy. b. The prevalence of low birthweight is higher than a singleton pregnancy. c. The prevalence of macrosomia is higher than a singleton pregnancy. d. Maternal risk factors are lower compared to a singleton pregnancy. e. Mean gestational age is greater compared to a singleton pregnancy.

ANSWER: b POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:37 AM DATE MODIFIED: 11/30/2023 3:38 AM 45. The majority of twins born are: a. dizygotic. b. monozygotic. c. trizygotic. d. identical.

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Chapter 5 e. dizygotic and identical.

ANSWER: a POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:38 AM DATE MODIFIED: 11/30/2023 3:40 AM 46. Monozygotic twins are: a. always female. b. the same sex 50% of the time. c. always the same sex. d. always different sexes. e. the same sex 75% of the time.

ANSWER: c POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:40 AM DATE MODIFIED: 11/30/2023 3:41 AM 47. The mean birthweight of newborns from a twin pregnancy is _____ grams. a. 1800 b. 2000 c. 2400 d. 2600 e. 2800 ANSWER: c POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:42 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE MODIFIED:

11/30/2023 3:44 AM

48. A multifetal pregnancy is least likely to increase the risk for: a. preeclampsia. b. iron-deficiency anemia. c. preterm delivery. d. Cesarean delivery. e. maternal mortality.

ANSWER: e POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:44 AM DATE MODIFIED: 11/30/2023 3:46 AM 49. Several studies on weight gain and birth weight have shown that a weight gain of approximately _____ pounds corresponds to healthy-sized triplets. a. 25 b. 30 c. 40 d. 50 e. 60 ANSWER: d POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:47 AM DATE MODIFIED: 11/30/2023 3:49 AM 50. Theoretically, to achieve a 40-pound weight gain, women with twins would need to consume approximately _____ extra calories per day during pregnancy than do women with singleton pregnancies. a. 500 b. 250 c. 150 d. 5,000 e. 1,000 ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:49 AM DATE MODIFIED: 11/30/2023 3:50 AM 51. Assisted reproductive technology (ART) is: a. the treatment option available to support women who enter pregnancy with eating disorders. b. the treatment given to a woman to prevent the development of gestational diabetes. c. treatments that prevent a woman from conceiving thereafter. d. fertility treatments such as in vitro fertilization, artificial insemination, and hormone treatments. e. the disappearance of embryos within thirteen weeks of conception.

ANSWER: d POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:51 AM DATE MODIFIED: 11/30/2023 3:53 AM 52. Which of the following statements describes a best practice recommendation for nutrition during a multifetal pregnancy? a. Weight gain should be less than fifteen pounds. b. Micronutrient intake should be above the upper limits. c. Weight gain should be greater than sixty pounds. d. Daily food intake should be a minimum of 4500 calories a day. e. Micronutrient intake should be lower than the upper limits.

ANSWER: e POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.4 - Explain three differences in nutrient needs and cite two specific considerations for delivery of effective nutritional care for women with multifetal pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 3:53 AM DATE MODIFIED: 11/30/2023 3:54 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 53. Which of the following eating disorders is most commonly observed among pregnant American women? a. bulimia nervosa b. anorexia nervosa c. binge eating disorder d. emotional overeating e. Pregnant women cannot have eating disorders because women do not ovulate if they have an eating disorder.

ANSWER: a POINTS: 1 REFERENCES: Eating Disorders in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.5 - Identify two primary components of the nutritional care of women with eating disorders during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 3:55 AM DATE MODIFIED: 11/30/2023 3:56 AM 54. The recommended treatment for a pregnant woman with an eating disorder is to: a. remind her that all women with eating disorders have the same nutritional needs. b. refer her to an eating disorder clinic that uses a team approach to solving nutritional issues. c. weigh her daily and discuss changes in body fat. d. discourage her expression of anxiety and fear of weight gain. e. commit her to a psychiatric ward that helps women with eating disorders.

ANSWER: b POINTS: 1 REFERENCES: Eating Disorders in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.5 - Identify two primary components of the nutritional care of women with eating disorders during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:01 AM DATE MODIFIED: 11/30/2023 4:03 AM 55. The term used to refer to the phenomenon of pregnant women with eating disorders who fail to gain weight during pregnancy is: a. pregnancy fasting. b. pregnancy-related food deficit. c. pregulemia. d. pregorexia. e. pregnancy anorexia.

ANSWER: d POINTS: 1 REFERENCES: Eating Disorders in Pregnancy Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.5 - Identify two primary components of the nutritional care of women with eating disorders during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:03 AM DATE MODIFIED: 11/30/2023 4:05 AM 56. Inadequate food intake in pregnant women with eating disorders is indicated by the presence of _____ in the urine. a. ketones b. vitamins c. white blood cells d. thromboxane e. carbohydrates ANSWER: a POINTS: 1 REFERENCES: Eating Disorders in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.5 - Identify two primary components of the nutritional care of women with eating disorders during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:06 AM DATE MODIFIED: 11/30/2023 4:08 AM 57. The term fetal alcohol spectrum is now being used to describe: a. the range of effects alcohol has on fetal growth and development. b. the number of drinks a woman can safely consume while pregnant. c. a set of characteristics seen in children with alcoholic mothers. d. the period during pregnancy when it is safe for the mother to consume alcohol. e. the effects of alcohol on young children when they consume it.

ANSWER: a POINTS: 1 REFERENCES: Fetal Alcohol Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.6 - Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:08 AM DATE MODIFIED: 11/30/2023 4:10 AM 58. Abnormal facial features such as narrow openings between the upper and lower eyelids, a thin border on the upper edge of the lip, and the presence of a smooth ridge between the nose and lips are characteristics of infants: Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 a. with acute renal dysfunction. b. with neural tube birth defects. c. with fetal alcohol syndrome. d. whose mothers have gestational diabetes. e. whose mothers have eating disorders.

ANSWER: c POINTS: 1 REFERENCES: Fetal Alcohol Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.6 - Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:12 AM DATE MODIFIED: 11/30/2023 4:13 AM 59. Children with fetal alcohol syndrome have _____ impairments that result in behavioral and intellectual disabilities. a. central nervous system b. circulatory system c. respiratory system d. immune system e. insulin delivery ANSWER: a POINTS: 1 REFERENCES: Fetal Alcohol Spectrum Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.6 - Summarize the consequences of excess alcohol intake during pregnancy, and list four factors that affect relationship between alcohol intake and the outcome of pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:14 AM DATE MODIFIED: 11/30/2023 4:15 AM 60. Pregnant adolescents have a higher requirement for _____ than pregnant adults. a. iron b. folic acid c. vitamin A d. protein e. calcium ANSWER: e POINTS: 1 REFERENCES: Nutrition and Adolescent Pregnancy Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.5.7 - Distinguish three ways in which energy and nutrient needs differ between adults and adolescents during pregnancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:15 AM DATE MODIFIED: 11/30/2023 4:17 AM Laylah is a thirty-nine-year-old African American female in her second pregnancy. Her first pregnancy resulted in a healthy baby boy who weighed 9 lb 2 oz. Her prepregnancy information is as follows: BMI = 27; height = 5′5″; and weight = 160 lb (73 kg). Laylah is twenty-four weeks along in her second pregnancy. She has gained 20 lbs. and currently weighs 180 lb. (82 kg). Her diet history reveals an average calorie intake of 2300 calories per day. Two hours after her 75g glucose tolerance test is administered, her blood glucose is 155 mg/dL. 61. Laylah's BMI indicates that she was _____ while entering pregnancy. a. underweight b. at a normal weight c. overweight d. obese e. very obese ANSWER: c POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Answer questions 61-63 based on the following info LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 4:18 AM DATE MODIFIED: 11/30/2023 4:36 AM 62. Laylah's glucose tolerance test results indicate that she: a. has iron-deficiency anemia. b. has gestational diabetes. c. has borderline diabetes. d. has type 2 diabetes. e. has preeclampsia.

ANSWER: b POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Answer questions 61-63 based on the following info LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional Copyright Cengage Learning. Powered by Cognero.

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Chapter 5

KEYWORDS: DATE CREATED: DATE MODIFIED:

management of each type.

Bloom's: Apply 11/30/2023 4:37 AM 11/30/2023 4:43 AM

63. Which of the following recommendations would be a healthy next step for Laylah? a. Go home and continue to have routine doctor visits. b. Attempt to normalize blood glucose levels by following a healthy diet and by exercising regularly. c. Perform a 50-g glucose tolerance test while fasting. d. Begin a calorie-controlled diet and visit her doctor in two weeks to recheck her weight. e. Cut caloric intake to less than 1500 calories per day.

ANSWER: b POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Answer questions 61-63 based on the following info LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 4:59 AM DATE MODIFIED: 11/30/2023 5:01 AM 64. Which of the following terms describes the layer of cells lining the inside of blood vessels? a. skin b. epidermis c. endothelium d. epithelium e. dermis ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:02 AM DATE MODIFIED: 11/30/2023 5:03 AM 65. Which of the following definitions best describes prostacyclin? a. a protein associated with preeclampsia b. a molecule that promotes vasoconstriction c. a protein involved in DNA replication d. a potent inhibitor of platelet aggregation and a powerful vasodilator e. a catalyst for protein degradation ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:03 AM DATE MODIFIED: 11/30/2023 5:04 AM 66. Substances that increase platelet aggregation and constrict blood vessels, causing blood pressure to increase are referred to as: a. thromboxanes. b. prostacyclins. c. prostaglandins. d. macrosomia. e. catalysts.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:07 AM DATE MODIFIED: 11/30/2023 5:08 AM 67. Which of the following statements related to the presence of oxidative stress during pregnancy is true? a. High percent body fat decreases oxidative stress. b. A body mass index >24.9 decreases oxidative stress. c. Physical activity increases oxidative stress. d. Hypoglycemia reduces oxidative stress. e. Oxidative stress is related to the development of hypertensive disorders during pregnancy.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:10 AM DATE MODIFIED: 11/30/2023 5:11 AM 68. Which of the following is true related to preeclampsia during pregnancy? a. COVID-19 and gestational diabetes are associated with an increase in preeclampsia. b. Age at conception is not an indicator for developing preeclampsia. c. Mothers with multifetal pregnancies have a decreased risk of preeclampsia. d. High-dose iron supplements reduce the risk of preeclampsia. e. The symptoms associated with preeclampsia extend beyond one year after birth.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:11 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE MODIFIED: 11/30/2023 5:12 AM 69. Placenta abruption is associated with which of the following conditions during pregnancy? a. COVID-19 b. diabetes c. chronic hypertension d. fetal alcohol syndrome e. renal disease ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 5:13 AM 70. Preeclampsia, obesity, and presence of type 2 diabetes increase the risk of: a. neural tube defects b. renal disease c. chronic hypertension d. gestational diabetes e. respiratory distress ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 5:14 AM 71. Weakness, dizziness, flushing, nausea, and palpitation immediately after eating is associated with: a. gestational diabetes. b. type 2 diabetes. c. obesity. d. preeclampsia. e. dumping syndrome.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:14 AM DATE MODIFIED: 11/30/2023 5:15 AM 72. Metabolic byproducts of the breakdown of fatty acids are called: a. glycerol. b. carbohydrates.

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Chapter 5 c. antioxidants. d. ketones. e. foreign substances.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:15 AM DATE MODIFIED: 11/30/2023 5:16 AM 73. Which of the following statements regarding the dietary pattern of pregnant women with type 1 diabetes is true? a. The dietary pattern should be calorie restricted to promote a gradual weight loss. b. Snacking should be avoided to prevent recurrent hypoglycemia. c. A very low carbohydrate diet is appropriate for controlling blood glucose levels. d. There is no impact of diet on management of type 1 diabetes. e. There is a benefit for meeting dietary fiber requirements (25 to 36 grams/day).

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:17 AM DATE MODIFIED: 11/30/2023 5:18 AM 74. Which of the following terms describes when a baby's head is too large for the birth canal? a. encephalopathy b. low for gestational age c. fetal alcohol syndrome d. macrosomia e. cephalopelvic disproportion ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 5:19 AM DATE MODIFIED: 11/30/2023 5:20 AM 75. What is an appropriate response if asked about the impact of COVID-19 during pregnancy?

ANSWER: There is an overall lack of knowledge about the impact of COVID-19 on maternal and fetal outcomes. There does seem to be a relationship with COVID-19 and preterm delivery, preeclampsia, blood clot formation, and newborn deaths. Black and Hispanic populations experienced the greatest impact of COVID-19, including higher rates of maternal mortality.

POINTS: 1 REFERENCES: Eating Disorders in Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.7 - Distinguish three ways in which energy and nutrient needs differ between adults and adolescents during pregnancy.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:21 AM DATE MODIFIED: 11/30/2023 5:22 AM 76. Discuss the potential adverse outcomes for offspring and mothers with gestational diabetes.

ANSWER: Mothers with gestational diabetes have a higher risk of Caesarean delivery, shoulder dystocia, preeclampsia, type 2 diabetes, obesity later in life, and maternal death. Offspring of mothers with gestational diabetes have a higher risk of stillbirth, spontaneous abortion, congenital anomalies, macrosomia, neonatal death and increased risk of insulin resistance, type 2 diabetes, and high blood pressure.

POINTS: 1 REFERENCES: Diabetes in Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.3 - Connect the different, major types of disorders in carbohydrate metabolism that occur during pregnancy and the key components of the nutritional management of each type.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:22 AM DATE MODIFIED: 11/30/2023 5:23 AM 77. Explain how high levels of visceral fat can lead to increased disease risk.

ANSWER: Visceral fat lies beneath skin and muscles of the abdomen and around internal organs. It is much more metabolically active than subcutaneous fat (fat that lies beneath the skin) and is more strongly related to disease risk. Metabolic processes initiated by visceral fat produce chronic inflammation, free-radical generation, and oxidative stress. These disruptions promote the development of insulin resistance, elevated blood glucose, insulin, triglyceride concentrations, and increased blood pressure. These changes, in turn, increase the risk of gestational diabetes, hypertensive disorders, and other clinical conditions during pregnancy.

Normal-weight and overweight individuals with excessive visceral fat deposits are also at increased risk of metabolic abnormalities and diseases associated with them.

POINTS: 1 REFERENCES: Obesity and Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:23 AM DATE MODIFIED: 11/30/2023 5:24 AM 78. Name and describe the four types of hypertensive disorders associated with pregnancy.

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Chapter 5 ANSWER:

Chronic hypertension is present before pregnancy or diagnosed before twenty weeks of pregnancy. Hypertension is defined as blood pressure ≥140 mm Hg systolic or ≥90 mm Hg diastolic blood pressure. Hypertension first diagnosed during pregnancy that does not resolve after pregnancy is also classified as chronic hypertension. Gestational hypertension is a condition that exists when elevated blood pressure levels are detected for the first time after mid-pregnancy. It is not indicated by proteinuria. If blood pressure returns to normal within ten days postpartum, the condition is considered to be transient hypertension of pregnancy. If it remains elevated, then the woman is considered to have chronic hypertension.

Preeclampsia is a pregnancy-specific syndrome that usually occurs after twenty weeks' gestation (but that may occur earlier) in previously normotensive women. It is determined by increased blood pressure during pregnancy to ≥140 mm Hg systolic or ≥90 mm Hg diastolic.

The disease is highly suspected when increased blood pressure is accompanied by headache, blurred vision, abdominal pain, low platelet count, and abnormal liver enzyme values.

Eclampsia is the diagnostic term used when a woman with preeclampsia experiences seizures late in pregnancy that cannot be attributed to another cause.

POINTS: 1 REFERENCES: Hypertensive Disorders of Pregnancy QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:24 AM DATE MODIFIED: 11/30/2023 5:26 AM 79. Describe preeclampsia and discuss outcomes related to the existence of preeclampsia during pregnancy.

ANSWER: Preeclampsia is a syndrome characterized by oxidative stress, inadequate antioxidant defenses, inflammation, and endothelial dysfunction. Platelet aggregation and blood coagulation due to deficits in prostacyclin relative to thromboxane are features. Additionally, blood vessel spasms and constriction, restricted blood flow, increased blood pressure, insulin resistance, adverse maternal immune system responses to the placenta and elevated blood levels of triglycerides, free fatty acids, and cholesterol are all characteristics of preeclampsia.

Women with preeclampsia during pregnancy are at an increased risk of early delivery by Caesarean delivery, acute renal dysfunction, placental abruption, and maternal death. These women are also at an increased risk of developing gestational diabetes, hypertension, and type 2 diabetes later in life.

POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.2 - Distinguish the different types of hypertensive disorders that occur during pregnancy and connect two components of nutrition care recommended for women with each type.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:26 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 5 DATE MODIFIED:

11/30/2023 5:28 AM

80. Choose one body mass index classification and discuss the prevalence of pregnancy outcomes related to prepregnancy weight status.

ANSWER: Pregnancy outcomes that are associated with prepregnancy weight status include delivery of preterm infants, development of gestational diabetes, hypertensive disorder, preexisting diabetes, and preeclampsia. In women who are underweight prior to becoming pregnancy, have a 9.2-11.6% prevalence of delivering a preterm infant. Although the risk is lower compared to all other body mass index classifications, there is also an increased risk of preeclampsia, hypertensive disorders, and gestational diabetes.

POINTS: 1 REFERENCES: Multifetal Pregnancies QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.5.1 - Cite three specific examples of nutrition-related recommendations intended for women who enter pregnancy with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:29 AM DATE MODIFIED: 11/30/2023 5:29 AM

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Chapter 6 1. The composition of human milk can change over the course of a single day. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:23 PM DATE MODIFIED: 11/30/2023 11:25 PM 2. Because human infants grow at a relatively slow rate, the mineral content of human milk is higher than that of cow's milk and the milk of other animals that grow faster. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 11:58 PM DATE MODIFIED: 11/30/2023 11:59 PM 3. In pregnancy, the oxytocin hormones assist in preparing the mother's body for breastfeeding. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 11:59 PM DATE MODIFIED: 12/1/2023 12:00 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 4. Breastfeeding women who follow a vegetarian diet tend to get plenty of protein as long as their energy intakes are adequate. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:00 AM DATE MODIFIED: 12/1/2023 12:01 AM 5. Breastfeeding has been found to be just as effective as other methods of birth control, such as birth control pills. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:02 AM DATE MODIFIED: 12/1/2023 12:03 AM 6. Breastfeeding can lead to a more rapid involution of the uterus. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:10 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE MODIFIED:

12/1/2023 12:25 AM

7. Premature delivery increases the risk of a low milk supply. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:25 AM DATE MODIFIED: 12/1/2023 12:26 AM 8. Letdown occurs when the infant suckles the breast. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:27 AM DATE MODIFIED: 12/1/2023 12:27 AM 9. The size of a woman's breast determines the amount of milk production. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Breast Milk Supply and Demand QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.4 - Generate an education plan for new mothers that includes the answers to common questions about milk supply, including what is typical milk production, what is the relationship between infant demand and maternal supply, and the influence of the size of the breast, feeding frequency, pumping, and breast surgeries on milk production.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE CREATED: DATE MODIFIED:

12/1/2023 12:28 AM 12/1/2023 12:29 AM

10. Infants appear to be interested in their mother's milk when flavors are new to them. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:32 AM DATE MODIFIED: 12/1/2023 12:32 AM 11. Stress, sleep and sexual intercourse stimulate the production of which of the following hormones? a. prolactin b. testosterone c. prolactin-inhibiting factor d. progesterone e. parathyroid hormone ANSWER: a POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:33 AM DATE MODIFIED: 12/1/2023 12:35 AM 12. The cyclic release of the two hormones _____ and _____ governs breast development during puberty. a. prolactin; oxytocin b. progesterone; estrogen c. prolactin; estrogen d. progesterone; oxytocin e. testosterone; progesterone ANSWER: b POINTS: 1 REFERENCES: Lactation Physiology Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:38 AM DATE MODIFIED: 12/1/2023 12:40 AM 13. Which of the following stages of lactogenesis begins at sixteen weeks of pregnancy and extends through the first few days postpartum? a. lactogenesis I b. lactogenesis II c. lactogenesis III d. lactogenesis IV e. lactogenesis V ANSWER: a POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 12:41 AM DATE MODIFIED: 12/1/2023 12:42 AM 14. Which of the following hormones is responsible for the tingling sensation and sharp shooting pain that occurs as the milk ducts contract? a. oxytocin b. prolactin c. estrogen d. progesterone e. lactogen ANSWER: a POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:43 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE MODIFIED:

12/1/2023 12:44 AM

15. Transport of macromolecules across the interior of a cell is referred to as: a. facilitated diffusion. b. passive diffusion. c. exocytosis. d. transcytosis. e. active transport.

ANSWER: d POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:45 AM DATE MODIFIED: 12/1/2023 12:47 AM 16. Lactose is a component of milk that is made in the _____ cells. a. glia b. myoepithelial c. secretory d. endothelial e. epithelial ANSWER: c POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:47 AM DATE MODIFIED: 12/1/2023 12:48 AM 17. Milk fat comes from: a. proteins from the mother's blood. b. new milk sugars produced in the breast. c. triglycerides produced by the placenta. d. triglycerides produced by the placenta and new fatty acids produced in the breast. e. triglycerides from the mother's blood and new fatty acids produced in the breast.

ANSWER: e Copyright Cengage Learning. Powered by Cognero.

Page 6

Chapter 6 POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:49 AM DATE MODIFIED: 12/1/2023 12:51 AM 18. Which of the following stimuli would be least likely to trigger the letdown reflex? a. release of oxytocin due to suckling b. hearing a baby cry c. sexual arousal d. release of prolactin-inhibiting factor from the hypothalamus e. thinking about nursing ANSWER: d POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 12:52 AM DATE MODIFIED: 12/1/2023 12:53 AM 19. Lactogenesis occurs in three stages. Which of the following stages begins at two to eight days post-partum and is marked by increased blood flow to the mammary gland and a decrease in maternal progesterone levels? a. mammogenesis b. lactogenesis stage I c. lactogenesis stage II d. galactopoiesis e. lactogenesis stage III ANSWER: c POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE CREATED: DATE MODIFIED:

12/1/2023 1:16 AM 12/1/2023 1:17 AM

20. Which of the following statements regarding cholesterol is true? a. Cholesterol is not an essential nutrient. b. Cholesterol should be minimized to prevent heart disease. c. Changes in maternal diet impact the cholesterol concentration in human milk. d. Breastfed infants have higher intakes of cholesterol compared to human milk substitute. e. Breastfed infants have higher cholesterol levels throughout adulthood.

ANSWER: d POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:18 AM DATE MODIFIED: 12/1/2023 1:19 AM 21. Colostrum is higher in _____ and lower in _____ than mature milk. a. protein; water b. fat; protein c. water; protein d. carbohydrate and fat; protein e. protein; carbohydrate and fat ANSWER: e POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 1:35 AM DATE MODIFIED: 12/1/2023 1:36 AM 22. Which of the following nutrients is greater in whole cow’s milk as compared to human milk? a. vitamin C b. fat c. protein d. vitamin A e. fiber Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 ANSWER: c POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:43 AM DATE MODIFIED: 12/1/2023 1:44 AM 23. The dominant carbohydrate in human milk is: a. galactose. b. glucose. c. lactose. d. sucrose. e. maltose.

ANSWER: c POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:49 AM DATE MODIFIED: 12/1/2023 1:50 AM 24. Which of the following statements describes the benefits of breast milk being isotonic? a. Infants will need supplemental hydration. b. Infants will not need supplemental hydration. c. Nutrients within breast milk are less bioavailable. d. We do not understand the benefits of breast milk being isotonic. e. Infants will only need supplemental hydration in hot and dry weather.

ANSWER: b POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE CREATED: DATE MODIFIED:

12/1/2023 1:51 AM 12/1/2023 1:52 AM

25. Which of the following nutrients is present in a greater quantity in colostrum than in mature milk? a. protein b. lactose c. vitamin D d. phosphorus e. vitamin B2 ANSWER: a POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:52 AM DATE MODIFIED: 12/1/2023 1:55 AM 26. Which of the following components of human milk prevents the binding of pathogenic microorganisms to the surface receptors of their target cell, thereby preventing infection? a. nucleic acids b. oligosaccharides c. whey proteins d. DHA e. cholesterol ANSWER: b POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:55 AM DATE MODIFIED: 12/1/2023 1:56 AM 27. The level of _____ in human milk can be altered by the mother's diet. a. manganese b. molybdenum c. nickel d. selenium Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 e. fluoride ANSWER: e POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 1:56 AM DATE MODIFIED: 12/1/2023 1:58 AM 28. Chloe is a twenty-seven-year-old breastfeeding mother who is trying to lose weight. Her OB/GYN has suggested that she should go on a very low-fat diet (≤15% of calories) to lose weight. Which of the following statements describes how her dietary changes and weight loss will affect the fat composition of her breast milk? a. It will not change the fat composition at all. b. Her breast milk will contain more long-chain fatty acids. c. Her breast milk will contain more saturated fatty acids. d. Her breast milk will contain more medium-chain fatty acids. e. Her breast milk will contain more cholesterol.

ANSWER: d POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 1:58 AM DATE MODIFIED: 12/1/2023 1:59 AM 29. The hormone responsible for alveolar development and milk secretion is: a. prolactin. b. oxytocin. c. estrogen. d. progesterone. e. human placental lactogen.

ANSWER: a POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and Copyright Cengage Learning. Powered by Cognero.

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Chapter 6

KEYWORDS: DATE CREATED: DATE MODIFIED:

their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

Bloom's: Remember 12/1/2023 2:02 AM 12/1/2023 2:03 AM

30. Which of the following benefits is least likely to occur as a result of breastfeeding? a. minimized postpartum blood loss b. return of uterus to nonpregnant size c. decreased risk of breast and ovarian cancer in young nursing mothers d. increased self-confidence in mothers e. increased fertility ANSWER: e POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 2:03 AM DATE MODIFIED: 12/1/2023 2:05 AM 31. One of the nutritional benefits of breastfeeding is that: a. human milk contains few protein-bound minerals, making it more digestible for the infant. b. the balance of nutrients in human milk matches requirements needed for the growth of infants. c. infants need no additional fluids other than water when breastfeeding. d. human milk provides very low amounts of lipids. e. the high protein content in human milk provides immature kidneys with nitrogen.

ANSWER: b POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:44 AM DATE MODIFIED: 12/1/2023 3:46 AM 32. Breast milk is isosmotic, which means breast milk: a. contains milk proteins. b. has an ion concentration similar to plasma.

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Chapter 6 c. has the same ion concentration as human milk substitutes. d. has a greater ion concentration than human milk substitutes. e. contains high amounts of minerals.

ANSWER: b POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:46 AM DATE MODIFIED: 12/1/2023 3:48 AM 33. Which of the following components of human milk remains a liquid and is more easily digestible? a. immunoglobulins b. vitamin D c. whey protein d. casein e. mucin ANSWER: c POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:49 AM DATE MODIFIED: 12/1/2023 3:50 AM 34. The predominant secretory immunoglobin in human milk is: a. sIgA. b. sIgE. c. sIgG. d. sIgM. e. sIgD. ANSWER: a POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:58 AM DATE MODIFIED: 12/1/2023 3:59 AM 35. Which of the following components of human milk is responsible for the phagocytosis of bacteria and the production of complement proteins? a. whey proteins b. epithelial cells c. macrophages d. B-lymphocytes e. immunoglobins ANSWER: c POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:00 AM DATE MODIFIED: 12/1/2023 4:01 AM 36. Breastfeeding to any duration and to any extent reduces the risk of: a. vitamin D deficiency. b. phenylketonuria. c. adult obesity. d. sudden infant death syndrome (SIDS). e. weight gain in the mother.

ANSWER: d POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:01 AM DATE MODIFIED: 12/1/2023 4:02 AM 37. Which of the following statements regarding the benefits of breastfeeding is true?

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Chapter 6 a. Breastfed infants are not at risk for micronutrient deficiencies. b. Human milk matches human infant requirements for growth and development. c. Human milk requires additional water to meet infant fluid requirements. d. Breastfed infants do not receive cholesterol in breastmilk. e. The minerals in breastmilk are protein bound which decreases their availability to the infant.

ANSWER: b POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:03 AM DATE MODIFIED: 12/1/2023 4:04 AM 38. Which of the following statements correctly describes milk production? a. The amount of milk produced is the same regardless of the number of infants being nursed. b. Milk production is triggered only when the breast is empty of milk. c. Women with smaller breasts have a reduced capacity for milk production. d. Milk production is highest in the days following birth and decreases thereafter. e. Milk production is triggered by the removal of milk from the breast.

ANSWER: e POINTS: 1 REFERENCES: Breast Milk Supply and Demand QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.4 - Generate an education plan for new mothers that includes the answers to common questions about milk supply, including what is typical milk production, what is the relationship between infant demand and maternal supply, and the influence of the size of the breast, feeding frequency, pumping, and breast surgeries on milk production.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:06 AM DATE MODIFIED: 12/1/2023 4:07 AM 39. A woman with small breasts is concerned that she will not produce enough milk. Which of the following statements is an appropriate response related to this concern? a. Inadequate food intake by the mother decreases the quantity of milk, not the quality. b. A woman with small breasts can produce the same amount of milk as a woman with large breasts. c. Eating a diet rich in refined grains would best support adequate milk production. d. Drinking more water and milk products would make up for the smaller breast tissue. e. If she chooses to breastfeed, she must also use a human milk supplement to ensure her infant receives enough milk.

ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 POINTS: 1 REFERENCES: Breast Milk Supply and Demand QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.4 - Generate an education plan for new mothers that includes the answers to common questions about milk supply, including what is typical milk production, what is the relationship between infant demand and maternal supply, and the influence of the size of the breast, feeding frequency, pumping, and breast surgeries on milk production.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 4:08 AM DATE MODIFIED: 12/1/2023 4:09 AM 40. Women who pump milk: a. are only able to pump one breast at a time. b. may increase prolactin expression by hand pumping rather than electric pumping. c. require three pumping sessions per day on average to stimulate adequate milk production. d. are encouraged to pump early and often to obtain an adequate milk supply. e. are less likely to experience insufficient milk production than women who breastfeed.

ANSWER: d POINTS: 1 REFERENCES: Breast Milk Supply and Demand QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.4 - Generate an education plan for new mothers that includes the answers to common questions about milk supply, including what is typical milk production, what is the relationship between infant demand and maternal supply, and the influence of the size of the breast, feeding frequency, pumping, and breast surgeries on milk production.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:10 AM DATE MODIFIED: 12/1/2023 4:12 AM 41. To avoid damage to the ductal system, which of the following incisions would you recommend for a woman undergoing breast reduction surgery? a. an incision around the lower part of the breast b. an incision in the middle of the breast c. an incision around the nipple (periareolar incision) d. an incision around the lower part of the breast and around the nipple e. an incision between the breasts ANSWER: a POINTS: 1 REFERENCES: Breast Milk Supply and Demand QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.4 - Generate an education plan for new mothers that includes the answers to common questions about milk supply, including what is typical milk production, what is Copyright Cengage Learning. Powered by Cognero.

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Chapter 6

KEYWORDS: DATE CREATED: DATE MODIFIED:

the relationship between infant demand and maternal supply, and the influence of the size of the breast, feeding frequency, pumping, and breast surgeries on milk production.

Bloom's: Understand 12/1/2023 4:14 AM 12/1/2023 4:20 AM

42. Which of the following hormones is responsible for the ejection of milk from myoepithelial cells? a. prolactin b. oxytocin c. human placental lactogen d. progesterone e. estrogen ANSWER: b POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:20 AM DATE MODIFIED: 12/1/2023 4:22 AM 43. Latching on refers to the: a. infant grasping the mother's breast with her hand before beginning to suckle. b. mother holding her nipple in her hand to increase the production of milk. c. smacking and slurping sound made by an infant while feeding. d. absorption of minerals present in the human milk during digestion. e. process of helping the infant attach onto the breast for an optimal feeding position.

ANSWER: e POINTS: 1 REFERENCES: The Breastfeeding Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.5 - Describe maternal steps to prepare the breast, and the basic position of the infant at the breast.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:22 AM DATE MODIFIED: 12/1/2023 4:24 AM 44. The mother should hear _____ sounds when the infant is breastfeeding and in the proper position. a. swallowing b. coughing c. smacking Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 d. clicking e. little or no ANSWER: a POINTS: 1 REFERENCES: The Breastfeeding Process QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.5 - Describe maternal steps to prepare the breast, and the basic position of the infant at the breast.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:25 AM DATE MODIFIED: 12/1/2023 4:26 AM 45. Which of the following reflexes helps an infant to position themselves to breastfeed? a. gagging reflex and rooting reflex b. oral search reflex and rooting reflex c. oral search reflex and feeding reflex d. gagging reflex and feeding reflex e. feeding reflex and rooting reflex ANSWER: b POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:48 AM DATE MODIFIED: 12/1/2023 4:49 AM 46. Infants bringing their hands to their mouth, sucking on their hands, and moving their head from side to side are all signs related to: a. the infant being full. b. the infant being hungry. c. infant colic. d. indigestion. e. breastmilk intolerance.

ANSWER: b POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

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Chapter 6 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 12/1/2023 4:50 AM 12/1/2023 4:52 AM

47. An infant should be allowed to nurse at one breast of their mother as long as they want so that: a. they get more foremilk. b. they get both foremilk and hindmilk. c. they do not drink too much milk. d. the formation of excess gas is prevented. e. the mother can store more milk in the second breast for later feedings.

ANSWER: b POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:53 AM DATE MODIFIED: 12/1/2023 4:55 AM 48. Which of the following statements about acinus is true? a. It is a hormone that stimulates lactogenesis. b. It is a hormone that is necessary for milk production. c. It is a circular structure in the mammary gland. d. It is a small sac that is lined by milk-secreting cells. e. It is made up of fibrous and fatty tissues present in the breast.

ANSWER: d POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development and function.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:01 AM DATE MODIFIED: 12/1/2023 5:03 AM 49. Hindmilk has a _____ content than foremilk. a. lower calorie and higher lactose b. higher lactose and higher fat c. higher fat and higher calorie d. higher calorie and higher lactose e. lower fat and higher calorie Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 ANSWER: c POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:04 AM DATE MODIFIED: 12/1/2023 5:05 AM 50. Which of the following types of cells manage monovalent ion secretion to maintain the isosmotic composition of human milk? a. alveolar cells b. epithelial cells c. white blood cells d. myoepithelial cells e. adipose cells ANSWER: a POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:06 AM DATE MODIFIED: 12/1/2023 5:08 AM 51. Exclusively breastfed infants should receive _____ supplements. a. vitamin K b. fluoride c. iron d. fluoride and vitamin D e. vitamin D ANSWER: e POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:08 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 DATE MODIFIED:

12/1/2023 5:09 AM

52. Which of the following mineral deficiencies can cause dermatitis or intractable diaper rash in infants? a. manganese b. iron c. selenium d. calcium e. zinc ANSWER: e POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:10 AM DATE MODIFIED: 12/1/2023 5:11 AM 53. Which of the following statements correctly describes maternal energy balance and milk composition? a. Protein-calorie malnutrition usually compromises the composition of milk. b. Milk production stops whenever there is a negative calorie balance. c. Milk production can occur regardless of the calorie balance of the mother. d. Protein-calorie malnutrition results in an energy deficit that reduces the volume of milk. e. A high-fat diet greatly changes the protein and carbohydrate content of milk compared with a normal diet.

ANSWER: d POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom’s: Understand DATE CREATED: 12/1/2023 5:11 AM DATE MODIFIED: 12/1/2023 5:12 AM 54. Which of the following statements related to vitamin and mineral supplementation in lactating women is true? a. There is no research evaluating the need for supplementation in lactating women. b. Supplementation of water-soluble vitamins is necessary. c. Well-nourished breastfeeding women need supplementation. d. Supplementation of fat-soluble vitamins in necessary. e. Well-nourished breastfeeding women do not need supplementation.

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Chapter 6 ANSWER: e POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:12 AM DATE MODIFIED: 12/1/2023 5:13 AM 55. Healthy People 2030 has breastfeeding objectives focusing on: a. decreasing the proportion of breastfed infants at one year. b. increasing the proportion of exclusively breastfed infants at eighteen months. c. increasing the proportion of infants who are breastfed at eighteen months. d. increasing the proportion of exclusively breastfed infants at six months. e. increasing the proportion of exclusively breastfed infants at one year.

ANSWER: d POINTS: 1 REFERENCES: Optimal Duration, Influential Factors, and U.S. Goals for Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.9 - Summarize factors known to be associated with higher and lower rates of breastfeeding, and the gap between current rates and the Breastfeeding Goals for the United States.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:14 AM DATE MODIFIED: 12/1/2023 5:16 AM 56. Which of the following vitamin contents in human milk is least influenced by maternal diet? a. vitamin C b. niacin c. folate d. vitamin B6 e. vitamin B12 ANSWER: c POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

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Chapter 6 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/1/2023 5:30 AM 12/1/2023 5:32 AM

57. Jada is a breastfeeding mother. She does not have exposure to sunlight. Her doctor warned that her infant may develop hypocalcemia or rickets. The nutrient that is deficient in her breast milk is: a. vitamin D. b. iron. c. calcium. d. vitamin K. e. cholesterol.

ANSWER: a POINTS: 1 REFERENCES: Human Milk Composition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.2 - Identify similarities and differences in nutrient levels between colostrum and mature human milk, and between mature human milk, whole cow's milk, and human milk substitutes (infant formula).

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:32 AM DATE MODIFIED: 12/1/2023 5:37 AM 58. Which of the following choices is an iron carrier protein in human milk that provides immunological benefits? a. casein b. immunoglobulin c. isozyme d. lactoferrin e. myoglobin ANSWER: d POINTS: 1 REFERENCES: Benefits of Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.3 - Summarize the benefits of breastfeeding/chestfeeding for mothers and their babies in a manner that could be included in breastfeeding education for expecting mothers, their partners, and family members.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:39 AM DATE MODIFIED: 12/1/2023 5:40 AM 59. Which of the following agencies or organizations monitors maternity practices and policies related to breastfeeding support in hospitals and birthing centers with the Maternity Practices in Infant Nutrition and Care survey? a. U.S. Surgeon General b. Health Resources and Services Administration Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 c. UCLA Center for Healthier Children d. Centers for Disease Control and Prevention e. Wellstart International ANSWER: d POINTS: 1 REFERENCES: Optimal Duration, Influential Factors, and U.S. Goals for Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.9 - Summarize factors known to be associated with higher and lower rates of breastfeeding, and the gap between current rates and the Breastfeeding Goals for the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:41 AM DATE MODIFIED: 12/1/2023 5:43 AM 60. With regard to onsite childcare, current federal law: a. prohibits a woman from being fired if she breastfeeds while on a break. b. protects a woman's right to breastfeed anywhere on federal property where she is authorized to be. c. prohibits a woman from being fired if she breastfeeds while at lunch. d. provides tax credits to employers who provide lactation services. e. establishes minimum standards for breast pump safety.

ANSWER: b POINTS: 1 REFERENCES: Breastfeeding Promotion, Facilitation, and Support QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.10 - Identify at least two breastfeeding promotion programs that have demonstrated effectiveness at increasing breastfeeding initiation and duration.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:44 AM DATE MODIFIED: 12/1/2023 5:47 AM 61. Which of the following foods is a bioavailable source of vitamin B12 for breastfeeding women who consume no animal products? a. apples b. squash c. fortified soy products d. coffee e. corn ANSWER: c POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:47 AM DATE MODIFIED: 12/1/2023 5:53 AM 62. Which of the following statements is part of the policy established by UNICEF regarding the marketing of breast milk substitutes? a. Breast milk substitutes should not be advertised. b. Breast milk substitutes should not have food labels. c. Free samples of breast milk substitutes should be provided to breastfeeding mothers. d. Promotion of products is important through health care facilities. e. Companies' sales representatives must advise mothers about the products.

ANSWER: a POINTS: 1 REFERENCES: Breastfeeding Promotion, Facilitation, and Support QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.6.9 - Summarize factors known to be associated with higher and lower rates of breastfeeding, and the gap between current rates and the Breastfeeding Goals for the United States.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:53 AM DATE MODIFIED: 12/1/2023 5:55 AM A young woman comes to your office for a lactation consultation complaining that her six-week-old baby has colic and slow weight gain. Her baby requires at least seven diaper changes each day and suffers from diarrhea. She tells you that she allows the baby to nurse equally on each breast. She is desperate for help and asks your advice on what to do. A 24hour diet history provides the following information about her eating habits: Breakfast: Lunch: Dinner: Snacks:

toast, milk, strawberries, and almond slivers; sometimes she has an omelet cheese sandwich, leafy green salad, and melon with a glass of milk fish or chicken, steamed vegetables, baked potato or polenta, fruit salad, and milk changes daily, but she likes nuts and seeds because these are easy to eat when nursing

63. What would the best advice be for this woman? a. Allow your baby to nurse on one breast until it is completely empty. b. Increase your intake of fats; this will increase fat content in the milk and help the baby gain weight. c. Stop nursing immediately and use an infant formula so your baby starts growing. d. Use supplemental infant formula after each feeding because the baby is not getting enough to eat. e. Increase your intake of nuts because the baby is not receiving enough protein.

ANSWER: a POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 HAS VARIABLES: False PREFACE NAME: Use the following information for questions 63-65: LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:56 AM DATE MODIFIED: 12/1/2023 5:58 AM 64. Which of the following statements describes what is likely happening to this baby and causing the diarrhea? a. The baby is not latched on properly. b. The mother is not producing enough breast milk. c. The baby is getting too much foremilk and not enough hindmilk. d. The baby has a poor suckle. e. The baby is lactose intolerant.

ANSWER: c POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions 63-65: LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 5:59 AM DATE MODIFIED: 12/1/2023 6:01 AM 65. After looking at her diet, which of the following changes could you suggest to help with the baby's colic? a. Eliminate all fruit except canned fruit and include nuts. b. Eliminate only nuts, not dairy products. c. Eliminate dairy products, not nuts. d. Eliminate nuts and dairy products. e. Eliminate all fruit except canned fruit, nuts, and dairy products.

ANSWER: d POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions 63-65: LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/1/2023 6:01 AM DATE MODIFIED: 12/1/2023 6:03 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 66. The function of the mammary gland is to: a. provide the structure to the gland. b. provide the source of milk for the offspring. c. secrete milk components into the ducts. d. eliminate pathogens that enter the body. e. provide immune support for the mother and fetus.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:08 AM DATE MODIFIED: 12/1/2023 6:08 AM 67. Which of the following hormones is secreted by the pituitary gland and causes milk letdown? a. oxytocin b. prolactin c. human growth hormone d. progesterone e. estrogen ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:09 AM DATE MODIFIED: 12/1/2023 6:09 AM 68. The round or oblong-shaped cavities in the breast are referred to as the: a. lobes. b. nipple. c. alveoli. d. areola. e. duct.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:10 AM DATE MODIFIED: 12/1/2023 6:13 AM 69. Which of the following cells are in the milk gland and are responsible for secreting milk components into the ducts? a. endothelial cells b. mammary cells c. ductal cells Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 d. secretory cells e. myoepithelial cells ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:15 AM DATE MODIFIED: 12/1/2023 6:16 AM 70. Which of the following cells are specialized cells that line the alveoli and contract to assist the secretion of milk into the duct? a. endothelial cells b. mammary cells c. ductal cells d. secretory cells e. myoepithelial cells ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:17 AM DATE MODIFIED: 12/1/2023 6:18 AM 71. Lactogenesis is a term that describes: a. ductal growth. b. protein synthesis. c. mammary growth. d. milk production. e. the letdown that causes milk to be ejected into the ducts.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:18 AM DATE MODIFIED: 12/1/2023 6:20 AM 72. The thick, often yellow, fluid produced during lactogenesis II is referred to as: a. human milk. b. foremilk. c. colostrum. d. hindmilk. e. cow’s milk.

ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:21 AM DATE MODIFIED: 12/1/2023 6:23 AM 73. Which of the following proteins is the primary protein in colostrum? a. secretory immunoglobulin A b. secretory immunoglobulin B c. secretory immunoglobulin E d. secretory immunoglobulin G e. secretory immunoglobulin M ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:23 AM DATE MODIFIED: 12/1/2023 6:24 AM 74. Which of the following substances refers to the milk at the beginning of the feeding that contains lower amounts of human milk fat? a. human milk b. foremilk c. colostrum d. hindmilk e. cow’s milk ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:25 AM DATE MODIFIED: 12/1/2023 6:25 AM 75. The milk present at the end of a feeding that contains a higher amount of human milk fat is referred to as: a. human milk. b. foremilk. c. colostrum. d. hindmilk. e. cow’s milk.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:26 AM DATE MODIFIED: 12/1/2023 6:26 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 76. Which of the following types of protein remains soluble in water after casein is precipitated from milk by acid or enzymes? a. mucin b. immunoglobulins c. whey d. no proteins are soluble e. albumin ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 6:37 AM DATE MODIFIED: 12/1/2023 6:38 AM 77. Identify three reflexes of healthy-term infants. Discuss how these reflexes help infants nourish themselves.

ANSWER: The gag reflex is the reflex that prevents taking food and fluids into the lungs. This reflex is developed by twenty-eight weeks' gestation. These reflexes allow term infants to suck and swallow in a coordinated pattern that protects the airways. The oral search reflex is described as the infant opening their mouth wide in proximity to the breast while thrusting the tongue forward. The rooting reflex results in the infant turning to the side when stimulated on the side of the upper or lower lip. Infants come forward, open their mouths, and extend the tongue when the center of either the upper or lower lip is stimulated. The oral search reflex and rooting reflex help the infant position themselves for breastfeeding.

POINTS: 1 REFERENCES: The Breastfeeding Infant QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.6.6 - Describe infant behaviors that indicate readiness to feed, and vitamin supplement recommendations for breastfeeding infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:38 AM DATE MODIFIED: 12/1/2023 6:39 AM 78. Describe how infant suckling leads to milk secretion from the mammary glands.

ANSWER: The letdown reflex stimulates milk release from the breast. The stimuli from the infant suckling are passed through nerves to the hypothalamus, which responds by promoting oxytocin release from the posterior pituitary gland. The oxytocin causes contraction of the myoepithelial cells surrounding the secretory cells. As a result, milk is released through the ducts, making it available to the infant.

POINTS: 1 REFERENCES: Lactation Physiology QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.6.1 - Describe the development, the structure, and the functional components of the mammary gland. Describe the key hormonal influences on development Copyright Cengage Learning. Powered by Cognero.

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Chapter 6

KEYWORDS: DATE CREATED: DATE MODIFIED:

and function.

Bloom's: Understand 12/1/2023 6:45 AM 12/1/2023 6:47 AM

79. Define the relationship between maternal energy balance and milk composition.

ANSWER: As maternal energy intake declines, so does the volume of milk production. Protein energy malnutrition will result in a reduced volume but will usually not compromise the composition of the milk. Animal studies reveal that consumption of 60% of usual intake results in a significant reduction of milk, yet 80% of usual intake does not impact milk supply. Due to ethical limitations, studying energy deficit on milk composition in humans is not possible.

POINTS: 1 REFERENCES: Maternal Diet QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.6.7 - First, identify the professional and government sources of nutrient recommendations for healthy women for diet and supplements. Second, list common nutrition diagnoses for breastfeeding women, coupled with nutrition intervention and appropriate parameters for monitoring.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:47 AM DATE MODIFIED: 12/1/2023 6:48 AM 80. Describe how the WIC program supports breastfeeding.

ANSWER: In 1989, Congress mandated (Public Law 101–147) that a specific portion of each state's WIC budget allocation be used exclusively for the promotion and support of breastfeeding.

This law authorized the use of WIC administrative funds to purchase breastfeeding aids such as breast pumps. Through this legislation, each state has a breastfeeding coordinator and a plan to coordinate operations with local agency programs for breastfeeding promotion. The WIC has always supported breastfeeding, but in 1995, it began to reposition breastfeeding as a way for a family to establish a special relationship with their child from the very onset of their life using a social marketing campaign called Best Start. The campaign slogan, ''Loving Support Makes Breastfeeding Work,'' capitalizes on the concept that everyone is important to breastfeeding success—family, friends, doctors, and the community. Campaign materials and a counseling program were developed to help mothers work through individual barriers and constraints to breastfeeding. The key messages are (1) helping women feel comfortable with breastfeeding, (2) tips on how breastfeeding can work around a busy schedule, and (3) the involvement of family and friends to make breastfeeding a success.

Since 1997, the Loving Support Makes Breastfeeding Work campaign has expanded to seventy-two state agencies, Indian tribal organizations, and territories participating at various levels.

POINTS: 1 REFERENCES: Public Food and Nutrition Programs Model Breastfeeding Promotion Programs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic Copyright Cengage Learning. Powered by Cognero.

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Chapter 6 LEARNING OBJECTIVES: NTLC.BRWN.24.6.8 - Identify at least two breastfeeding promotion programs that have demonstrated effectiveness at increasing breastfeeding initiation and duration.

NTLC.BRWN.24.6.9 - Summarize factors known to be associated with higher and lower rates of breastfeeding, and the gap between current rates and the Breastfeeding Goals for the United States.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 6:49 AM DATE MODIFIED: 12/1/2023 6:51 AM

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Chapter 7 1. The Rush Mothers' Milk Club program uses a team approach to feeding very low-birthweight infants their own mothers' milk. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Model Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.12 - Analyze one of the model programs for breastfeeding promotion in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 4:18 AM DATE MODIFIED: 12/6/2023 4:19 AM 2. Breast pain or nipple pain is experienced by over 90% of lactating women during breastfeeding. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 4:30 AM DATE MODIFIED: 12/6/2023 4:30 AM 3. A woman with flat or inverted nipples will be unable to establish a correct latch. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 4:40 AM DATE MODIFIED: 12/6/2023 4:41 AM 4. Human immunodeficiency virus can be transmitted from the mother to the infant through breastfeeding. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 4:47 AM DATE MODIFIED: 12/6/2023 4:47 AM 5. Stress, alcohol, and distractions all inhibit oxytocin release. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 4:49 AM DATE MODIFIED: 12/6/2023 4:49 AM 6. The BPPOP mission was to improve the ability of AAP members to support new mothers and their breastfeeding infants. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Model Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.12 - Analyze one of the model programs for breastfeeding promotion in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 4:51 AM DATE MODIFIED: 12/6/2023 5:01 AM 7. A nursing mom should avoid chocolate because this may cause colic, diarrhea, and constipation in the baby. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Infant Allergies QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 5:03 AM DATE MODIFIED: 12/6/2023 5:03 AM 8. Medicinal herbs are regulated as dietary supplements and are tested for safety and efficacy. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 5:04 AM DATE MODIFIED: 12/6/2023 5:04 AM 9. Skin-to-skin contact between the mother and a premature infant in the neonatal intensive-care unit should be encouraged. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Human Milk and Preterm Infants QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.9 - List three benefits of human breast milk for premature infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 5:05 AM DATE MODIFIED: 12/6/2023 5:05 AM 10. The level of alcohol in breast milk matches the maternal plasma alcohol levels. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 DATE CREATED: DATE MODIFIED:

12/6/2023 5:06 AM 12/6/2023 5:06 AM

11. Fenugreek has been found to be an herbal galactogogue that facilitates milk letdown and rectifies milk insufficiency. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 5:08 AM DATE MODIFIED: 12/6/2023 5:09 AM 12. Infants who are diagnosed with galactosemia should not be breastfed. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Medical Contraindications to Breastfeeding QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.10 - Demonstrate knowledge of medical contraindications to breastfeeding/chestfeeding.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 5:33 AM DATE MODIFIED: 12/6/2023 5:34 AM 13. The highest-calorie portion of milk is usually produced during the first ten minutes of pumping. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Model Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.12 - Analyze one of the model programs for breastfeeding promotion in the United States.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 5:35 AM DATE MODIFIED: 12/6/2023 5:35 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 14. Which of the following situations is least likely to cause persistent nipple pain? a. poor latch b. improper positioning of the baby on the breast c. infection d. pumping with incorrect flange size e. washing breasts daily with warm water ANSWER: e POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 5:36 AM DATE MODIFIED: 12/6/2023 5:37 AM 15. Which of the following statements regarding hyperlactation is true? a. It is a localized blockage of milk resulting from milk stasis. b. It is a condition in which breast milk contains excess quantities of alcohol or other drugs. c. It occurs when the milk volume produced by the mother exceeds the intake of the baby. d. It is an inflammation of the breast. e. It occurs when the milk volume produced by the mother is insufficient for the infant.

ANSWER: c POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 5:38 AM DATE MODIFIED: 12/6/2023 5:38 AM 16. A tactic to promote letdown is to: a. increase the number of caffeinated beverages. b. try different nursing positions. c. decrease water consumption for a few weeks. d. take the baby outside for a walk. e. arrange for some social activities.

ANSWER: b POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 12/6/2023 6:28 AM 12/6/2023 6:28 AM

17. A woman experiencing letdown failure may be prescribed a(n) _____ nasal spray. a. oxytocin b. estrogen c. prolactin d. lactogen e. progesterone ANSWER: a POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 6:36 AM DATE MODIFIED: 12/6/2023 6:37 AM 18. The condition characterized by milk streaming from the breast as feeding begins is called: a. mastitis. b. hyperactive letdown. c. hyperlactation. d. engorgement. e. letdown failure.

ANSWER: b POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 6:38 AM DATE MODIFIED: 12/6/2023 6:42 AM 19. Which of the following statements regarding a plugged duct is true? a. Applying cabbage leaves to the breast can relieve a plugged duct. b. Completely emptying the breast can relieve a plugged duct. c. Touching or massaging the breast can worsen plugged ducts. d. Extra vitamin D can prevent plugged ducts. e. Regular alcohol consumption can relieve plugged ducts.

ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 6:43 AM DATE MODIFIED: 12/6/2023 6:48 AM 20. Treatment for engorgement would most likely include: a. expressing milk until breasts are no longer hard. b. taking a hot bath. c. taking an antibiotic. d. removing common allergens from the diet. e. taking one tablespoon of lecithin per day.

ANSWER: a POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 6:55 AM DATE MODIFIED: 12/6/2023 6:56 AM 21. A new mother was away from her infant longer than planned and could not nurse her baby until she returned six hours later. Which of the following problems is she most likely to experience? a. a breast infection b. engorgement c. plugged ducts d. sore nipples e. mastitis ANSWER: b POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 3:41 AM DATE MODIFIED: 12/7/2023 3:42 AM 22. Symptoms of mastitis and plugged ducts are similar; however, mastitis is accompanied by: a. migraines. b. fever and flu-like symptoms.

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Chapter 7 c. weight loss. d. nausea. e. weight gain.

ANSWER: b POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 3:46 AM DATE MODIFIED: 12/7/2023 3:47 AM 23. Which of the following choices is a cause of low milk supply? a. excessive breastfeeding b. excessive pumping c. inefficient emptying of the breast caused by a poor latch d. complete emptying of the breast e. small breast size ANSWER: c POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 3:59 AM DATE MODIFIED: 12/7/2023 4:00 AM 24. Which of the following substances is known to inhibit lactation? a. oxytocin b. progesterone c. estrogen d. metoclopramide e. domperidone ANSWER: c POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:02 AM DATE MODIFIED: 12/7/2023 4:03 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 25. The ultimate test of drug safety for an infant is the _____ and any side effects on the infant. a. infant's age b. duration of dosing c. measurement of the infant's plasma drug concentration d. drug's exposure index e. infant's feeding pattern ANSWER: c POINTS: 1 REFERENCES: Maternal Medications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.2 - Associate positive and negative impacts of maternal medications on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 4:04 AM DATE MODIFIED: 12/7/2023 4:06 AM 26. Which of the following contraceptive methods does the World Health Organization advise women to avoid in the first six weeks postpartum? a. condoms b. progestin-only oral contraceptives c. abstinence from sex d. progestin-only implants e. combined oral contraceptives ANSWER: e POINTS: 1 REFERENCES: Maternal Medications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.2 - Associate positive and negative impacts of maternal medications on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:09 AM DATE MODIFIED: 12/7/2023 4:10 AM 27. The recommendation by Lawrence and Lawrence for the use of herbal teas by nursing women is to choose: a. teas using only herbs for essence. b. teas containing herbs with active principles. c. teas prepared with medicinal herbs. d. teas that have traditional uses dating back thousands of years. e. their tea of preference because all types of tea are safe.

ANSWER: a POINTS: 1 REFERENCES: Herbal Remedies Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:19 AM DATE MODIFIED: 12/7/2023 4:22 AM 28. Which of the following statements regarding St. John's wort is true? a. It is used to provide artificial flavor in maple syrup and in teas. b. It is used to increase capacity for mental work and physical activity. c. It is widely used as a mood stabilizer and as an antidepressant. d. It is reported to have estrogen-like effects in some women. e. It increases prolactin levels, which cause an increase in breast milk supply.

ANSWER: c POINTS: 1 REFERENCES: Herbal Remedies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 4:24 AM DATE MODIFIED: 12/7/2023 4:30 AM 29. Which of the following statements regarding the use of herbs during pregnancy and lactation is true? a. Under FDA rule, herbs are tested for safety, but not efficacy. b. Most herbs are safe for use during lactation. c. Most herbs are safe for use during pregnancy. d. Peppermint, parsley, and sage are safe for use during pregnancy and lactation. e. Under FDA rule, herbs are tested for efficacy, but not safety.

ANSWER: d POINTS: 1 REFERENCES: Herbal Remedies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 4:31 AM DATE MODIFIED: 12/7/2023 4:35 AM 30. Which of the following substances is an active ingredient in marijuana? a. domperidone b. delta-9-tetrahydrocannabinol c. coumarin d. pseudoephedrine Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 e. metoclopramide ANSWER: b POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:39 AM DATE MODIFIED: 12/7/2023 4:40 AM 31. A lactating person suffers from constipation. Which of the following herbal teas can be safely and effectively used by a person who is lactating in order to reduce symptoms of constipation? a. rose hips tea b. peppermint tea c. raspberry tea d. chicory tea e. orange spice tea ANSWER: d POINTS: 1 REFERENCES: Herbal Remedies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 4:41 AM DATE MODIFIED: 12/7/2023 4:41 AM 32. A breastfeeding mother asks you if alcohol can be eliminated from her breast milk by pumping immediately after drinking a few glasses of wine. What would you tell her? a. Yes; in fact, discarding your breast milk is a good thing to do if you would like to drink while breastfeeding. b. Yes; pumping will help, but you need to pump for the next twenty-four hours and discard any milk that you collect. c. No; your breast milk will still contain alcohol; you will need to wait one hour per alcoholic beverage and then pump the milk and discard it to be safe. d. No; the alcohol will still be in the breast milk and will clear from the milk as soon as it clears from the bloodstream: roughly two to three hours per drink for a 120-pound woman. e. No; alcohol cannot be removed from breast milk; if she wishes to breastfeed, she must stop consuming alcohol.

ANSWER: d POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 4:43 AM DATE MODIFIED: 12/7/2023 4:44 AM 33. Alcohol decreases milk letdown by: a. increasing oxytocin levels. b. decreasing oxytocin levels. c. increasing prolactin levels. d. decreasing prolactin. e. decreasing testosterone levels.

ANSWER: b POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 4:46 AM DATE MODIFIED: 12/7/2023 4:47 AM 34. Your friend had a baby three months ago and is anxious to go out with her friends. She is still breastfeeding but would like to have a few drinks. What would you suggest to your friend? a. It is okay to drink alcohol while nursing because alcohol actually helps babies sleep. b. It is okay to drink alcohol while nursing because alcohol increases breast milk production. c. Pump the milk immediately after drinking alcohol, and it will be eliminated from the body. d. Pump milk before going out and use that until the alcohol has been cleared from the system. e. She should drink only beer because babies can tolerate it.

ANSWER: d POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 4:49 AM DATE MODIFIED: 12/7/2023 4:50 AM 35. Which of the following substances has been identified by the American Academy of Pediatrics as a substance that is contraindicated during lactation? a. alcohol b. caffeine Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 c. THC d. nicotine e. fructose ANSWER: c POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:51 AM DATE MODIFIED: 12/7/2023 4:51 AM 36. Breastfeeding women should avoid eating swordfish, shark, and tuna because they have high _____ levels. a. mercury b. iron c. folate d. calcium e. nitrogen ANSWER: a POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 4:52 AM DATE MODIFIED: 12/7/2023 4:53 AM 37. Which of the following statements regarding opioids is true? a. They are a group of synthetic medications that help promote milk production. b. They are a group of herbal galactogogues. c. They are a group of pain-relieving medications. d. They are a group of medications that help women who suffer from letdown failure. e. They are a group of medications that prevent the transmission of HIV from the mother to the fetus.

ANSWER: c POINTS: 1 REFERENCES: Alcohol and Other Drugs and Exposures QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.4 - Describe the impact of marijuana on mother's/lactating persons’ breast milk.

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Chapter 7 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/7/2023 4:54 AM 12/7/2023 4:55 AM

38. In the United States, the most frequent cause of hospital readmission during the first two weeks of life is: a. hyperbilirubinemia. b. diabetes. c. Rh sensitization. d. hemolytic disease. e. kernicterus.

ANSWER: a POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 5:06 AM DATE MODIFIED: 12/7/2023 5:08 AM 39. A breastfeeding mother suspects that her infant is experiencing a food intolerance. Which of the following recommendations would be least beneficial for identifying the culprit? a. Keep a food journal. b. Monitor infant symptoms occurring within twenty-four hours of consumption. c. Eliminate foods causing immediate symptoms in an infant. d. Reintroduce all potential culprits within twenty-four hours. e. Monitor for full recovery within two weeks of eliminating the culprit from the diet.

ANSWER: d POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 5:17 AM DATE MODIFIED: 12/7/2023 5:18 AM 40. Management of early jaundice is best achieved by: a. early and frequent breastfeeding. b. IV water feedings. c. increased formula feedings. d. dextrose feedings as a supplement to nursing. e. breastfeeding supplemented with formula feedings.

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Chapter 7 ANSWER: a POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 5:19 AM DATE MODIFIED: 12/7/2023 5:52 AM 41. Which of the following factors is the least likely to contribute to the development of infant food allergy? a. genetics b. duration of breastfeeding c. air pollution d. maternal smoking exposure e. maternal peanut exposure ANSWER: e POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 5:55 AM DATE MODIFIED: 12/7/2023 5:56 AM 42. Suboptimal breastfeeding can lead to jaundice because it can: a. increase the intestinal absorption of bilirubin. b. lead to increased passage of meconium. c. cause a decrease in bilirubin concentration. d. decrease the hepatic circulation of bilirubin. e. increase fecal weight.

ANSWER: a POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 5:57 AM DATE MODIFIED: 12/7/2023 5:58 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 43. The main obstacle in nursing multiples is typically: a. insufficient nutrients in the milk. b. sleep deprivation. c. milk production capacity. d. time and fatigue. e. fatigue and milk production.

ANSWER: d POINTS: 1 REFERENCES: Breastfeeding Multiples QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.6 - Identify ways health professionals can help the mother of multiples face the challenges of breastfeeding/chestfeeding.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 5:58 AM DATE MODIFIED: 12/7/2023 5:59 AM 44. Mothers of multiples should: a. feed formula to all their infants because their milk supply will not be enough to feed more than one infant. b. drink high amounts of water to increase their milk supply. c. eat food high in fats to ensure their milk has enough fat to nourish all their infants. d. obtain their nutrients from a well-balanced diet to ensure their milk can adequately nourish all their infants. e. take vitamin and mineral supplements to ensure their milk has adequate amounts to meet all of their infants' nutritional needs.

ANSWER: d POINTS: 1 REFERENCES: Breastfeeding Multiples QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.6 - Identify ways health professionals can help the mother of multiples face the challenges of breastfeeding/chestfeeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:01 AM DATE MODIFIED: 12/7/2023 6:02 AM 45. A food allergy is an immunologic response, typically immunoglobulin _____ mediated, to a specific food protein. a. A b. D c. E d. G e. M ANSWER: c POINTS: 1 REFERENCES: Infant Allergies Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:03 AM DATE MODIFIED: 12/7/2023 6:04 AM 46. Which of the following food items is least likely to be considered a common pediatric food allergen? a. wheat b. eggs c. tree nuts d. fish e. garlic ANSWER: e POINTS: 1 REFERENCES: Infant Allergies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:05 AM DATE MODIFIED: 12/7/2023 6:06 AM 47. Which of the following statements correctly describes food allergy or food intolerance? a. Food intolerance is mediated by the immune system. b. A food allergy involves an adverse reaction to food mediated by metabolism or digestion but not the immune system. c. A food allergy is mediated by high levels of immunoglobin A, which can be transferred from the mother to the infant through breastfeeding. d. Food intolerance occurs only with nuts or nut products. e. A food allergy is an exaggerated immunologic response.

ANSWER: e POINTS: 1 REFERENCES: Infant Allergies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:08 AM DATE MODIFIED: 12/7/2023 6:09 AM 48. Which of the following foods is least likely to cause colic in breastfed infants? a. onions b. carrots Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 c. turnips d. beans e. prunes ANSWER: b POINTS: 1 REFERENCES: Infant Allergies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:24 AM DATE MODIFIED: 12/7/2023 6:24 AM 49. Which of the following statements related to the use of St. John's wort is true? a. Minimal risk has been identified with the source of purchase. b. Intake does not impair cytochrome P450 metabolic activity. c. Intake increases maternal prolactin levels. d. Minimal findings of drug-nutrient interactions have been identified. e. Large doses can reduce milk supply.

ANSWER: e POINTS: 1 REFERENCES: Herbal Remedies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.3 - List two examples of herbal galactogogues used during lactation.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:25 AM DATE MODIFIED: 12/7/2023 6:26 AM 50. A lactating woman experiences localized pain in a red, hot, swollen area on the right breast and has a tender lump. She also experiences fever and flu-like symptoms. Which of the following conditions is she suffering from? a. plugged ducts b. breast abscess c. engorgement d. mastitis e. sore nipples ANSWER: b POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 6:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 DATE MODIFIED:

12/7/2023 6:28 AM

51. In most cases, symptoms of an infant's adverse reaction to an offending food will improve after the food has been removed from the mother's diet for: a. 3 to 5 days. b. 5 to 7 days. c. 2 to 3 weeks. d. a month. e. 5 to 6 weeks.

ANSWER: b POINTS: 1 REFERENCES: Infant Allergies QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.7 - Distinguish between food allergy and food intolerance.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 6:30 AM DATE MODIFIED: 12/7/2023 6:31 AM 52. Late-preterm infants have subtle immaturities that places the infant at risk for: a. increased weight gain. b. hyperglycemia. c. hypoglycemia. d. an increase in glycogen stores. e. an increase in fat stores.

ANSWER: c POINTS: 1 REFERENCES: Late-Preterm Infants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.8 - Identify at least three factors that contribute to increased readmission rates for late-preterm infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:31 AM DATE MODIFIED: 12/7/2023 6:32 AM 53. The composition of milk from mothers who deliver preterm infants is higher in which of the following nutrients compared to the milk of mothers who deliver full-term infants? a. protein and energy b. lactose c. lactose and protein d. energy e. protein ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 REFERENCES: Human Milk and Preterm Infants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.9 - List three benefits of human breast milk for premature infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:33 AM DATE MODIFIED: 12/7/2023 6:34 AM 54. The energy content of breast milk in women who deliver preterm infants is _____ kcal/100 mL. a. 15-25 b. 30-37 c. 40-48 d. 58-70 e. 72-120 ANSWER: d POINTS: 1 REFERENCES: Human Milk and Preterm Infants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.9 - List three benefits of human breast milk for premature infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:35 AM DATE MODIFIED: 12/7/2023 6:36 AM 55. Breastfeeding should be strictly avoided if the mother: a. smokes cigarettes daily. b. is consuming antihistamines. c. consumes more than three cups of coffee per day. d. is infected with HIV. e. is suffering from mastitis.

ANSWER: d POINTS: 1 REFERENCES: Medical Contraindications to Breastfeeding QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.10 - Demonstrate knowledge of medical contraindications to breastfeeding/chestfeeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:37 AM DATE MODIFIED: 12/7/2023 6:38 AM 56. Untreated or severe hyperbilirubinemia can lead to: a. short-term anemia. b. permanent kidney failure.

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Chapter 7 c. permanent neurological damage. d. short-term respiratory insufficiency. e. permanent respiratory failure.

ANSWER: c POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:38 AM DATE MODIFIED: 12/7/2023 6:39 AM 57. To achieve breast milk banking production goals, mothers should be pumping _____ ounces by days 5-8 postdelivery. a. 8-10 ounces b. 1.5-2.5 ounces c. 2.5-4 ounces d. 20-25 ounces e. 5-7 ounces ANSWER: b POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:40 AM DATE MODIFIED: 12/7/2023 6:42 AM 58. A full milk supply is considered _____ ounces per day. a. 5-8 b. 10-15 c. 15-25 d. 25-35 e. 40-50 ANSWER: d POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 DATE CREATED: DATE MODIFIED:

12/7/2023 6:43 AM 12/7/2023 6:44 AM

59. Freshly expressed breast milk left at room temperature can be considered safe for a baby for up to _____ hours. a. 1-3 b. 2-4 c. 3-5 d. 4-6 e. 4-8 ANSWER: e POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:44 AM DATE MODIFIED: 12/7/2023 6:45 AM 60. Breast milk that has been expressed and stored in a freezer compartment of a refrigerator with separate doors can be kept safely for: a. 5-7 days. b. 2 weeks. c. 3 weeks. d. 3-6 months. e. 6-12 months.

ANSWER: d POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 6:47 AM DATE MODIFIED: 12/7/2023 6:48 AM 61. Which of the following factors is least likely to be considered a cause for the scarcity of human milk banks in North America? a. the availability of wet nurses as an alternative to banked milk b. a resurgence of tuberculosis c. HIV d. risks related to donors who might use drugs e. increasing demand ANSWER: a Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:49 AM DATE MODIFIED: 12/7/2023 6:49 AM 62. How soon after delivery should a mother who is pumping breastmilk start the pumping process? a. immediately post-delivery b. 1 to 2 days post-delivery c. within 6 hours of delivery d. 2 to 3 days post-delivery e. within 2 hours of delivery ANSWER: c POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 6:52 AM DATE MODIFIED: 12/7/2023 6:53 AM 63. An inflammation of the breast is called: a. clogged ducts. b. mastitis. c. engorgement. d. hyperactive letdown. e. a milk blister.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 6:54 AM DATE MODIFIED: 12/7/2023 6:55 AM 64. The term that describes when a breast becomes overfilled with milk is called: a. clogged ducts. b. mastitis. c. engorgement. d. hyperactive letdown. e. a milk blister.

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Chapter 7 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 6:57 AM DATE MODIFIED: 12/7/2023 6:57 AM 65. A localized blockage of milk resulting from milk stasis is referred to as: a. clogged ducts. b. mastitis. c. engorgement. d. hyperactive letdown. e. a milk blister.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 6:57 AM DATE MODIFIED: 12/7/2023 6:58 AM 66. Which of the following methods should be considered for use with chronic plugged ducts to help reduce discomfort and swelling in the breasts? a. antifungals b. antibiotics c. discontinuation of breast feeding d. cabbage leaves e. lecithin ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 6:58 AM DATE MODIFIED: 12/7/2023 6:59 AM 67. Breast milk streaming too quickly from the breast at the onset of feeding is referred to as: a. clogged ducts. b. mastitis. c. engorgement. d. hyperactive letdown. e. a milk blister.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 DATE CREATED: 12/7/2023 7:00 AM DATE MODIFIED: 12/7/2023 7:01 AM 68. Which of the following methods should be considered to help reduce discomfort and swelling in the breasts associated with engorgement? a. antifungals b. antibiotics c. discontinuation of breast feeding d. cabbage leaves e. lecithin ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:01 AM DATE MODIFIED: 12/7/2023 7:01 AM 69. A medicine or herbal substance taken with the belief that it will increase milk supply is referred to as: a. a galactogogue. b. an antibiotic. c. a milk enhancer. d. a toxin. e. radioactive.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:02 AM DATE MODIFIED: 12/7/2023 7:02 AM 70. A common medication used as a galactogogue is called: a. domperidone. b. metoclopramide. c. antibiotics. d. pseudoephedrine. e. lactase.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:03 AM DATE MODIFIED: 12/7/2023 7:03 AM 71. Which of the following statements regarding fenugreek is true? a. Risk of allergy to fenugreek is low in those with a peanut allergy.

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Chapter 7 b. There have been no reported adverse events in breastfeeding mothers taking fenugreek. c. It is the most commonly used herbal galactagogue. d. It is commonly found in combination with echinacea. e. There have been no reported adverse events in breastfed babies of mothers taking fenugreek.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:03 AM DATE MODIFIED: 12/7/2023 7:05 AM 72. Which of the following statements regarding echinacea is true? a. It is thought to increase the severity of cold-like symptoms. b. There is insufficient data on its entry into breastmilk. c. Usage is recommended during breastfeeding. d. The tincture formulation is alcohol-free. e. Usage is appropriate during pregnancy.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:05 AM DATE MODIFIED: 12/7/2023 7:06 AM 73. An elevation of bilirubin in the serum is referred to as: a. kernicterus. b. ankyloglossia. c. liver failure. d. bilirubin encephalopathy. e. hyperbilirubinemia.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 7:08 AM DATE MODIFIED: 12/7/2023 7:33 AM 74. Describe the purpose of milk banks and how they select women to provide milk.

ANSWER: Human milk banks provide human milk to infants who cannot be breastfed by their mothers.

Premature and sick infants are most likely to receive banked milk. A woman can donate milk once or on a continuing basis if her supply exceeds the demands of her infant. Human milk donors are chosen by their health profile. Women are carefully screened before they can donate extra milk to milk banks. Milk banks that belong to the HMBANA require telephone screening, a written health and lifestyle history, and verification of the health of the mother and baby by the health care provider of each. Blood samples are tested for hepatitis B, Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 hepatitis C, HIV, human T-cell leukemia-lymphoma virus (HTLV), and syphilis by the milk bank. Women are not accepted if they are acutely ill, have had a blood transfusion or an organ transplant within a year, drink more than two ounces of liquor daily, regularly use medications or megavitamins, smoke, or use street drugs. Additionally, women who eat no animal products must take vitamin supplements with B12 to be eligible to donate.

POINTS: 1 REFERENCES: Human Milk Collection and Storage QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.11 - List three guidelines for storage of human milk for home use.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:34 AM DATE MODIFIED: 12/7/2023 7:34 AM 75. A woman with low milk supply visits her physician. She believes that she needs to switch from breastfeeding to feeding her infant with human milk supplement. What should the doctor explain to her about the causes of low milk supply, and what should be recommended to increase the woman's milk supply?

ANSWER: Low milk supply is usually caused by the mother not breastfeeding or pumping often enough or inefficient emptying of the breast caused by a poor latch or incorrect flange size while pumping. Stress may also contribute to low milk supply. The mother should be advised to nurse or pump using a hospital-grade electric breast pump every two to three hours during the day and once at night. If the baby is not nursing effectively, the mother may need to pump after breastfeeding to improve her supply. She should also make sure her diet is adequate and her fluid intake is appropriate. Additionally, she should be encouraged to adopt resting and relaxation techniques.

POINTS: 1 REFERENCES: Common Breastfeeding Conditions QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.1 - List at least five common breastfeeding/chestfeeding conditions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 7:35 AM DATE MODIFIED: 12/7/2023 7:35 AM 76. Discuss the prevention and treatment of severe jaundice as outlined by the American Academy of Pediatrics.

ANSWER: The American Academy of Pediatrics (AAP) guidelines for the management of hyperbilirubinemia in healthy term newborns include a detailed algorithm for the management of jaundice in the newborn nursery and guidelines for initiating phototherapy.

These guidelines recommend continued and frequent breastfeeding (at least 8-12 times per day) and there are recommendations against routine supplementation of nondehydrated breastfed infants with water or dextrose water. Phototherapy involves placing the newborn under special fluorescent lights that, like sunlight, assist in removing jaundice from the skin.

The light is absorbed by the bilirubin, changing it to a water-soluble product, which can then be eliminated without having to be conjugated by the liver. The benefits of early and frequent breastfeeding in the first days of life for prevention of hyperbilirubinemia through maintaining hydration and stimulating the passage of stool are well documented. The passage Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 of stool in the newborn is important because there are 450 mg of bilirubin in the intestinal tract meconium of the average newborn. To avoid reabsorption of bilirubin from the gut into the serum, passing meconium in the stool is critical.

POINTS: 1 REFERENCES: Neonatal Jaundice and Kernicterus QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.5 - Explain causes of hyperbilirubinemia and ways to prevent kernicterus.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:36 AM DATE MODIFIED: 12/7/2023 7:37 AM 77. The mother of a late-preterm infant visits her physician because she is concerned she does not have adequate milk supply. How does her infant affect her milk supply, and what is the recommended course of action to help increase her supply of milk?

ANSWER: Milk production relies on adequate suckling stimulation. Late-preterm infants may not be able to stimulate the breast enough to produce an adequate milk supply. If an infant is not sucking vigorously or the suckling ability is weak, mothers of late-preterm infants should pump after each feeding attempt, or at least every three hours, to build the milk supply. A specific feeding plan, including the plan to wake a sleepy infant every two to four hours, is recommended to avoid the late-preterm breastfeeding cascade. Mothers and their late-preterm infants should have a feeding assessment by a trained lactation professional who can provide intervention for positioning, potential suck problems, and other breastfeeding issues.

Weighing an infant before and after feedings may be useful to determine milk transfer.

POINTS: 1 REFERENCES: Late-Preterm Infants QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.8 - Identify at least three factors that contribute to increased readmission rates for late-preterm infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 7:38 AM DATE MODIFIED: 12/7/2023 7:38 AM 78. Your friend is considering feeding her preterm infant formula rather than breastfeeding the infant because she is a working mom and believes that feeding the infant formula would be more convenient and supply sufficient nutrients. If she asks you about the nutritional, health, and developmental benefits of breastfeeding preterm infants, what information would be helpful to share?

ANSWER: The nutritional benefits of breastfeeding preterm infants include ease of protein digestion, fat absorption, and improved lactose digestion. The known health and developmental benefits include better visual acuity, greater motor and mental development at 1.5 years of age, greater verbal intelligence quotient at 7-8 years of age, and a lower incidence of serious infectious disease, including necrotizing enterocolitis and sepsis, even among infants who also receive some human milk substitutes. Nosocomial infection rates may also be decreased by as much as 50% in premature infants who receive at least 50% of their daily feedings from Copyright Cengage Learning. Powered by Cognero.

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Chapter 7 the mother's milk.

POINTS: 1 REFERENCES: Human Milk and Preterm Infants QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.9 - List three benefits of human breast milk for premature infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 7:39 AM DATE MODIFIED: 12/7/2023 7:40 AM 79. Describe at least five medical contraindications to breastfeeding/chestfeeding.

ANSWER: 1) An infant diagnosed with galactosemia should not be breastfed. 2) An infant whose mother has been infected with HIV, 3) is taking antiretroviral medications, untreated and active tuberculosis, 4) is infected with human T-cell lymphotropic virus type 1 or type II, 5) is using illicit drugs, 6) is prescribed cancer chemotherapy, or 7) is undergoing radiation therapy.

POINTS: 1 REFERENCES: Medical Contraindications to Breastfeeding QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.10 - Demonstrate knowledge of medical contraindications to breastfeeding/chestfeeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:41 AM DATE MODIFIED: 12/7/2023 7:41 AM 80. List at least four major program components of the Rush Mothers' Milk Club.

ANSWER: Major program components include (1) providing information for mothers to make an informed decision, (2) providing access to a hospital-grade electric breast pump, (3) providing skin-to-skin care and suckling at the empty breast as practice for the newborn, (4) babies feeding at the breast as soon as they are able to suck and swallow effectively, and (5) nursery staff helping the mother prepare for breastfeeding after discharge.

POINTS: 1 REFERENCES: Model Programs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.7.12 - Analyze one of the model programs for breastfeeding promotion in the United States.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:42 AM DATE MODIFIED: 12/7/2023 7:43 AM

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Chapter 8 1. The energy needs of infants per kilogram of body weight increase over the course of the lifespan. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 7:44 PM DATE MODIFIED: 12/6/2023 7:45 PM 2. Organs and organ systems developed in utero continue to increase in size and complexity during infancy. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 7:46 PM DATE MODIFIED: 12/6/2023 7:47 PM 3. Infant mortality is one of the key indicators of the overall health of a nation. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 8:52 PM DATE MODIFIED: 12/6/2023 8:52 PM 4. Restriction of dietary fat is recommended during infancy. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 ANSWER: False POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 8:53 PM DATE MODIFIED: 12/6/2023 8:54 PM 5. Fat contributes approximately half of the calories in breast milk. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 8:54 PM DATE MODIFIED: 12/6/2023 8:55 PM 6. The DHA content in breast milk is lower in vegetarian mothers than non-vegetarian mothers. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 9:06 PM DATE MODIFIED: 12/6/2023 9:07 PM 7. Young infants have iron levels that reflect their mother's health during late pregnancy and delivery. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 9:07 PM DATE MODIFIED: 12/6/2023 9:08 PM 8. The amounts of baby food packaged in jars, plastic containers, and pouches are determined by age-appropriate serving sizes for infants. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 9:09 PM DATE MODIFIED: 12/6/2023 9:10 PM 9. Gastrointestinal infections may temporarily cause lactose intolerance. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 9:10 PM DATE MODIFIED: 12/6/2023 9:11 PM 10. Healthy infants may have brief periods when their weight gain is slower or more rapid than at other times. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.3 - Describe how to assess adequate growth in infants.

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Chapter 8 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/6/2023 9:11 PM 12/6/2023 9:12 PM

11. Which of the following gestational classifications refers to an infant born at thirty-eight weeks gestation? a. term b. preterm c. very preterm d. extremely preterm e. very, extremely preterm ANSWER: a POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 9:19 PM DATE MODIFIED: 12/6/2023 9:20 PM 12. An infant weighing 1400 g would be considered a(n) _____-birthweight infant. a. high b. normal c. low d. very low e. extremely low ANSWER: d POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 10:55 PM DATE MODIFIED: 12/6/2023 10:56 PM 13. Full-term infants are born after _____ weeks gestation. a. 36 b. 37 c. 38 d. 39 e. 40 Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 ANSWER: b POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 10:57 PM DATE MODIFIED: 12/6/2023 10:59 PM 14. A part of Medicaid and provides routine checkups for low-income families is: a. the Early Periodic Screening, Diagnostic, and Treatment program. b. the Women, Infants, and Children program. c. Bright Futures. d. Early Head Start. e. Zero to Three.

ANSWER: a POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:04 PM DATE MODIFIED: 12/6/2023 11:06 PM 15. Infant mortality rate refers to the number of infant deaths for every _____ live births. a. 25 b. 50 c. 100 d. 1000 e. 10,000 ANSWER: d POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:35 PM DATE MODIFIED: 12/8/2023 1:22 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 16. Measurements for weight, length, or head circumference below which of the following percentiles indicate that an infant is small for gestational age (SGA)? a. 5th b. 20th c. 25th d. 15th e. 10th ANSWER: e POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:37 PM DATE MODIFIED: 12/8/2023 1:22 AM 17. Which of the following reflexes would help a baby cling to the mother? a. rooting b. withdrawal c. moro d. babinski e. palmar ANSWER: c POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:38 PM DATE MODIFIED: 12/6/2023 11:40 PM 18. The development of an infant's muscle control and coordination begins with head control and ends with: a. upper arm development and sitting. b. lower leg coordination and walking. c. trunk development and sitting. d. upper arm coordination and standing. e. finger and hand coordination and grasping.

ANSWER: b POINTS: 1 REFERENCES: Assessing Newborn Health Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:40 PM DATE MODIFIED: 12/6/2023 11:41 PM 19. Which of the following reflexes would help an infant breastfeed? a. moro and sucking b. babinski and withdrawal c. rooting and withdrawal d. rooting and sucking e. rooting, sucking, and withdrawal ANSWER: d POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:42 PM DATE MODIFIED: 12/6/2023 11:43 PM 20. An infant who was born at twenty-seven weeks gestation and weighs <1000 grams is classified as: a. preterm and extremely low birth weight. b. extremely preterm and low birth weight. c. extremely preterm and extremely low birth weight. d. preterm and very low birth weight. e. late preterm and very low birth weight.

ANSWER: c POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:43 PM DATE MODIFIED: 12/6/2023 11:45 PM 21. The _____ reflex happens when the sole of a baby's foot is stroked, and their toes fan out. a. stepping b. rooting Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 c. moro d. palmar e. babinski ANSWER: e POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/6/2023 11:45 PM DATE MODIFIED: 12/6/2023 11:46 PM 22. Which of the following conditions affecting infants is least likely to indicate the immaturity of the gastrointestinal tract? a. colic b. gastroesophageal reflux (GER) c. unexplained diarrhea d. constipation e. hypothyroidism ANSWER: e POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:58 PM DATE MODIFIED: 12/6/2023 11:59 PM 23. The 2020-2025 Dietary Guidelines for Americans released key recommendations for infants. Which of the following statements represents one of these key recommendations? a. Feed infants calcium-fortified formula during the first six months of life when human milk is unavailable. b. For the first twelve months of life, exclusively feed infants human milk. c. Feed infants calcium-fortified formula during the first year of life when human milk is unavailable. d. For the first six months of life, exclusively feed infants human milk. e. For the first three months of life, exclusively feed infants human milk.

ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:59 PM DATE MODIFIED: 12/7/2023 12:02 AM 24. The average caloric need of infants in the first six months of life is based on growth rate, body weight, and: a. allergies to certain foods. b. supplement intakes. c. physical activity. d. urine output. e. obesity status of the mother.

ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:03 AM DATE MODIFIED: 12/7/2023 12:05 AM 25. Based on average caloric intake needs, a four-month-old infant who weighs 5.5 kg would require approximately _____ total calories/day. a. 594 b. 440 c. 539 d. 660 e. 137 ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 12:07 AM DATE MODIFIED: 12/7/2023 12:08 AM 26. A nine-month-old infant who weighs 8.3 kg needs approximately _____ calories/day. a. 664 b. 700 c. 813 Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 d. 896 e. 996 ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 12:09 AM DATE MODIFIED: 12/7/2023 12:10 AM 27. Which of the following factors does not account for the number of calories an infant needs? a. weight b. length c. sleep/wake cycle d. growth rate e. physical activity ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:13 AM DATE MODIFIED: 12/7/2023 12:14 AM 28. How many grams of protein should a seven-month-old infant weighing 9.1 kg consume to meet the recommended protein intake? a. 4.5 b. 9.1 c. 11 d. 13.5 e. 14 ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

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Chapter 8 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/7/2023 12:16 AM 12/7/2023 12:17 AM

29. A father reports mixing his full-term infant’s formula to 16 kcals per ounce. Which of the following statements regarding this mixing practice is true? a. The infant is likely exceeding protein needs due to inappropriate mixing. b. This mixing practice is only appropriate for a preterm infant. c. Mixing was appropriate, and therefore all nutrient intake should be sufficient. d. Mixing instructions are based on infant need, and this infant has a higher caloric need compared to premature infants. e. The infant is likely not meeting protein needs due to inappropriate mixing.

ANSWER: e POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:17 AM DATE MODIFIED: 12/7/2023 12:19 AM 30. The two essential fatty acids required in an infant's diet are alpha-linolenic acid and: a. short chain fatty acids. b. palmitic acid. c. palmitoleic acid. d. linoleic acid. e. amino acids.

ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:20 AM DATE MODIFIED: 12/7/2023 12:21 AM 31. A major fatty acid in brain and retinal phospholipids is: a. stearic acid. b. alpha-linolenic acid. c. arachidonic acid. d. linoleic acid.

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Chapter 8 e. docosahexaenoic acid.

ANSWER: e POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:21 AM DATE MODIFIED: 12/7/2023 12:23 AM 32. The process of breaking down body protein to generate energy is known as: a. catabolism. b. aerobic metabolism. c. anabolism. d. assimilation. e. anaerobic metabolism.

ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:23 AM DATE MODIFIED: 12/7/2023 12:25 AM 33. The most common chronic disease of childhood is: a. celiac disease. b. dental caries. c. respiratory infection. d. ear infection. e. fluid imbalances.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:25 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 DATE MODIFIED:

12/7/2023 12:27 AM

34. Which of the following minerals contributes significantly to the prevention and reduction of dental caries? a. sodium b. iron c. fluoride d. vitamin D e. vitamin A ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:33 AM DATE MODIFIED: 12/7/2023 12:35 AM 35. Which of the following statements regarding sodium is true? a. High sodium foods should be encouraged for infants and young toddlers. b. Young infants sweat more than older children, and therefore lose more sodium. c. Sodium is a major component of intracellular fluids. d. Infant formula contains added sodium to match the amount in breastmilk. e. The adequate intake of sodium for infants zero to six months of age is 370 mg.

ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:41 AM DATE MODIFIED: 12/7/2023 12:43 AM 36. Which of the following minerals is a major component of extracellular fluid and an important regulator of fluid balance? a. fluoride b. vitamin D c. sodium d. iron e. calcium ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:44 AM DATE MODIFIED: 12/7/2023 12:45 AM 37. The movement of the stomach contents backward into the esophagus due to stomach muscle contractions is: a. gastroesophageal reflux. b. root reflex. c. diarrhea. d. colic. e. celiac disease.

ANSWER: a POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:46 AM DATE MODIFIED: 12/7/2023 12:47 AM 38. If an infant has consistently low-fat intake, which of the following nutrients is at risk of deficiency? a. iron b. vitamin A c. calcium d. vitamin B12 e. fluoride ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:50 AM DATE MODIFIED: 12/7/2023 12:51 AM 39. As blood lead levels increase: Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 a. only blood calcium levels decrease. b. only blood iron levels decrease. c. blood calcium and iron levels decrease. d. blood calcium levels also increase. e. both blood calcium and iron levels increase.

ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:51 AM DATE MODIFIED: 12/7/2023 12:53 AM 40. The DRI for fluoride in infants seven to twelve months of age is: a. 0.01 g b. 0.1 g c. 0.1 mg d. 1 mg e. 0.5 mg ANSWER: e POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:54 AM DATE MODIFIED: 12/7/2023 12:55 AM 41. If an infant is exclusively breastfed and not exposed to adequate amounts of sunlight, they would need a(n) _____ supplement. a. calcium b. fluoride c. iron d. vitamin D e. sodium ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:55 AM DATE MODIFIED: 12/7/2023 12:56 AM 42. The Adequate Intake (AI) for fat is _____ g for infants from seven to twelve months of age. a. 50 b. 30 c. 40 d. 31 e. 20 ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:05 AM DATE MODIFIED: 12/7/2023 1:06 AM 43. One tip for avoiding measurement errors when assessing infant growth is to: a. make sure the head is above the headboard. b. set the scale to a fraction below zero before starting. c. weigh the infant nude or wearing a dry diaper. d. make sure the hips and knees are bent. e. measure the heel with the toes extending from the foot board.

ANSWER: c POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.3 - Describe how to assess adequate growth in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 1:07 AM DATE MODIFIED: 12/7/2023 1:08 AM 44. Weaning an infant too soon may result in a plateau in weight secondary to: a. a decline in height. b. a decline in head circumference. c. decreased oral-motor skills.

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Chapter 8 d. an immaturity of the gut. e. a decrease in total energy intake.

ANSWER: e POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 1:10 AM DATE MODIFIED: 12/7/2023 1:11 AM 45. The 2006 WHO growth charts are based on longitudinal and cross-sectional data of: a. preterm and full-term infants. b. low-birthweight and normal-birthweight infants. c. healthy breastfed infants. d. formula-fed infants. e. infants fed equal amounts of formula and breast milk.

ANSWER: c POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.3 - Describe how to assess adequate growth in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:11 AM DATE MODIFIED: 12/7/2023 1:13 AM 46. The AAP and the Academy of Nutrition and Dietetics (AND) recommend that optimal nutrition for infants be provided by exclusive breastfeeding through the first _____ months of life. a. 3 b. 5 c. 6 d. 8 e. 12 ANSWER: c POINTS: 1 REFERENCES: Feeding in Early Infancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.4 - Discuss how feeding and food choices that parents make for their infants can affect later health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:13 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 DATE MODIFIED:

12/7/2023 1:15 AM

47. Routine formulas for pre-term infants provide _____ kcal/ounce when prepared as directed. a. 10 b. 12 to 1 c. 15 to 17 d. 18 to 20 e. 22 to 24 ANSWER: d POINTS: 1 REFERENCES: Feeding in Early Infancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.4 - Discuss how feeding and food choices that parents make for their infants can affect later health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:15 AM DATE MODIFIED: 12/7/2023 1:17 AM 48. The manufacture of infant formula in the United States is closely regulated by the: a. Academy of Nutrition and Dietetics. b. Centers for Disease Control and Prevention. c. American Academy of Pediatrics. d. Food and Drug Administration. e. World Health Organization.

ANSWER: d POINTS: 1 REFERENCES: Feeding in Early Infancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.4 - Discuss how feeding and food choices that parents make for their infants can affect later health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:17 AM DATE MODIFIED: 12/7/2023 1:18 AM 49. Which of the following types of infant formula is compatible with extreme protein hypersensitivity? a. soy-based b. cow milk-based c. extensively hydrolyzed protein d. amino acid-based e. partially hydrolyzed protein ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 REFERENCES: Feeding in Early Infancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.4 - Discuss how feeding and food choices that parents make for their infants can affect later health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:19 AM DATE MODIFIED: 12/7/2023 1:21 AM 50. A child suffering from galactosemia should be given a(n) _____ formula. a. standard cow milk-based b. soy-based c. partially hydrolyzed protein d. amino acid-based e. extensively hydrolyzed protein ANSWER: b POINTS: 1 REFERENCES: Feeding in Early Infancy QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.4 - Discuss how feeding and food choices that parents make for their infants can affect later health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:21 AM DATE MODIFIED: 12/7/2023 1:22 AM 51. Which of the following functions is an essential role of vitamin D? a. regulator of fluid balance b. energy metabolism c. prevention of anemia d. maintenance of calcium and phosphorus homeostasis e. blood clotting ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:23 AM DATE MODIFIED: 12/7/2023 1:24 AM 52. The Adequate Intake for calcium for infants from birth to six months of age is: a. 90.

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Chapter 8 b. 300. c. 230. d. 200. e. 180.

ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:24 AM DATE MODIFIED: 12/7/2023 1:25 AM 53. The American Academy of Pediatric Dentistry recommends that an infant be weaned from the bottle between _____ months. a. 3 and 8 b. 8 and 10 c. 7 and 12 d. 12 and 18 e. 22 and 26 ANSWER: d POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:26 AM DATE MODIFIED: 12/7/2023 1:28 AM 54. Changes in the frequency, size, consistency, or ease of passing stool is called: a. diarrhea. b. constipation. c. colic. d. GER. e. IUGR. ANSWER: b POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and Copyright Cengage Learning. Powered by Cognero.

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Chapter 8

KEYWORDS: DATE CREATED: DATE MODIFIED:

development.

Bloom's: Remember 12/7/2023 1:28 AM 12/7/2023 1:30 AM

55. Which of the following foods can increase the risk of choking in an infant? a. al dente vegetables b. multigrain crackers c. cooked instant oatmeal d. mashed sweet potatoes e. cooked, skinless pear ANSWER: a POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 1:30 AM DATE MODIFIED: 12/7/2023 1:31 AM 56. A two-month-old, exclusively breastfed infant who has not begun eating other foods should receive a _____ supplement. a. multivitamin and mineral b. vitamin B12 c. calcium d. iron e. vitamin A ANSWER: d POINTS: 1 REFERENCES: Nutrition Guidance QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.6 - Describe how families and caregivers can access nutrition guidance for infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:32 AM DATE MODIFIED: 12/7/2023 1:33 AM 57. Methods of relieving colic include: a. leaving the baby in loosely fitting clothing. b. bathing or otherwise calming the infant. c. moving the baby into a flat position for feeding.

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Chapter 8 d. increasing the variety of protein sources in the mother’s diet. e. increasing the mother's intake of cow's milk if the infant is breastfed.

ANSWER: b POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:33 AM DATE MODIFIED: 12/7/2023 1:34 AM 58. An infant with a suspected protein intolerance may be: a. fed a soy formula because plant proteins are tolerated well. b. fed a specialized hydrolyzed protein formula. c. breastfed only because breast milk offers the best nutrition for infants. d. put on IV fluids with a fat replacement. e. fed cow's milk formula because it is low in proteins.

ANSWER: b POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:51 AM DATE MODIFIED: 12/7/2023 1:52 AM 59. Lactose intolerance is: a. a milk protein allergy. b. less common in infants than adults. c. caused by excessive production of the enzyme lactase. d. caused by an inability of the body to produce lactose. e. overcome by feeding infants formulas high in lactose to build their tolerance.

ANSWER: b POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 DATE CREATED: DATE MODIFIED:

12/7/2023 1:55 AM 12/7/2023 1:56 AM

60. Which of the following conditions is unlikely to be screened for shortly after birth? a. phenylketonuria b. food allergy c. hearing loss d. sickle cell disease e. cystic fibrosis ANSWER: b POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.8.8 - Cite examples of nutritional interventions that can reduce risk for nutrition and health problems in infancy.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:57 AM DATE MODIFIED: 12/7/2023 1:58 AM 61. Which of the following statements related to large for gestational age (LGA) infants is true? a. SGA infants have measurements that fall above the 85th percentile. b. SGA infants have measurements that fall below the 30th percentile. c. SGA infants have measurements that fall above the 95th percentile. d. SGA infants have measurements that fall below the 25th percentile. e. SGA infants have measurements that fall above the 90th percentile.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:02 AM DATE MODIFIED: 12/8/2023 1:25 AM 62. Which of the following statements related to small for gestational age (SGA) infants is true? a. SGA infants have measurements that fall below the 20th percentile. b. SGA infants have measurements that fall below the 30th percentile. c. SGA infants have measurements that fall above the 10th percentile. d. SGA infants have measurements that fall below the 10th percentile. e. SGA infants have measurements that fall above the 20th percentile.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:03 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 DATE MODIFIED: 12/7/2023 2:04 AM 63. An infant is observed turning their head toward the touched cheek and opening their mouth. Which of the following reflexes is this describing? a. suckle b. babble c. palmer d. rooting e. moro ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:04 AM DATE MODIFIED: 12/7/2023 2:05 AM 64. Intrauterine growth restriction is defined as: a. macrosomia. b. congenital defect. c. fetal undergrowth. d. fetal overgrowth. e. inborn error in metabolism.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:05 AM DATE MODIFIED: 12/7/2023 2:06 AM 65. Which of the following statements related to infant mortality is true? a. Infant mortality is defined as death that occurs within the first year of life. b. Infant mortality is declining rapidly in the last several years in the United States. c. The leading causes of infant mortality are related to preeclampsia and gestational diabetes. d. Infant mortality is associated with a higher proportion of babies weighing over 2500 grams. e. The United States has a higher rate of infant mortality compared to the average for the Organization for Economic Co-operation and Development.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:07 AM DATE MODIFIED: 12/7/2023 2:07 AM 66. An infant is observed moving their tongue forward and backward. Which of the following reflexes is this describing? a. suckle Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 b. babble c. palmer d. rooting e. moro ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:08 AM DATE MODIFIED: 12/7/2023 2:08 AM 67. An automatic (unlearned) response triggered by a specific stimulus is described as: a. an autonomic function. b. a response rate. c. a reflex. d. a reflux. e. a mechanism of action.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:08 AM DATE MODIFIED: 12/7/2023 2:09 AM 68. Which of the following terms refers to measuring the number of particles in a solution? a. osmolarity b. growth rate c. sugar d. pressure gradient e. dilutant ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:09 AM DATE MODIFIED: 12/7/2023 2:10 AM 69. A mother visits her pediatrician and is describing a sudden onset of irritability, fussiness, or crying in her infant. What is the mother most likely describing? a. infant fracture b. food allergy c. phenylketonuria d. colic e. lactose intolerance Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:10 AM DATE MODIFIED: 12/7/2023 2:11 AM 70. A rare genetic condition of carbohydrate metabolism is referred to as: a. an allergy. b. galactosemia. c. phenylketonuria. d. colic. e. lactose intolerance.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/7/2023 2:11 AM DATE MODIFIED: 12/7/2023 2:12 AM 71. Describe three of the United States 2030 Healthy People Objectives related to infants.

ANSWER: There are five objectives related to infants. These include: 1. Reduce the rate of infant deaths; 2. Reduce preterm births; 3. Increase the proportion of infants who are put to sleep on their backs; 4. Increase the proportion of infants who are breastfed exclusively through age six months; 5. Increase the proportion of infants who are breastfed at one year.

POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.3 - Describe how to assess adequate growth in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 2:12 AM DATE MODIFIED: 12/7/2023 2:13 AM 72. How does the digestive system develop in infants?

ANSWER: A healthy digestive system is necessary to support adequate nutrition. It takes up to six months for the infant gastrointestinal tract to mature, and the time required is variable among infants. During the third trimester, the fetus swallows amniotic fluid, and this stimulates the lining of the intestine to grow and mature. At birth, the healthy newborn's digestive system is sufficiently mature to digest fats, protein, and simple sugars and to absorb fats and amino acids. Although healthy newborns do not have the same levels of digestive enzymes or rate of gastric emptying as older infants, the gut is functional at birth. After birth and through early infancy, the coordination of peristalsis within the gastrointestinal tract improves. Infants may have conditions that reflect the immaturity of the gut. Such conditions do not usually interfere with the ability of the intestinal villi to absorb nutrients, and typically do not hinder growth.

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Chapter 8 POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:13 AM DATE MODIFIED: 12/7/2023 2:14 AM 73. Identify and describe two major reflexes found in newborns.

ANSWER: Babinski: Baby’s toes fan out when the sole of the foot is stroked from health to toe. Blink: Baby’s eyes close in response to bright light or loud noise. Palmer: Baby grasps an object placed in the palm of their hand. Sucking: Baby sucks when an object is placed in mouth.

POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:14 AM DATE MODIFIED: 12/7/2023 2:15 AM 74. Compare and contrast baby-led weaning to conventional adult-led weaning practices. When should the introduction of weaning occur?

ANSWER: Baby-led weaning is an alternative method to introducing solid foods to an infant and is used to replace conventional strategies where the adult feeds the infant. In baby-led weaning, the adult provides safe foods to the infant, but the infant learns to feed themselves. According to the World Health Organization, regardless of the feeding strategy, introduction to solid foods should begin at six months of age, as this is when babies can sit on their own and safely swallow foods.

POINTS: 1 REFERENCES: Nutrition Guidance QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 2:16 AM DATE MODIFIED: 12/7/2023 2:17 AM 75. What are some of the recommendations for introducing supplementary foods to infants?

ANSWER: 1. Time the first spoon-feeding experiences for when the baby is not overly tired or Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 hungry but active and alert.

2. Use a small spoon with a shallow bowl. The temperature of the spoon needs to be considered if it readily conducts heat or cold.

3. Allow the baby time to open their mouth and extend the tongue toward the food. If the baby cannot extend the tongue farther out than the lower lip, the baby is not yet ready for spoon-feeding.

4. Place the bowl of the spoon on the tongue with slight downward pressure toward the front of the mouth. Touching the back of the tongue may elicit a gag response.

5. The spoon should be almost level. It is not a good practice to scrape the food off the spoon with the baby’s gums. The baby’s chin should be slightly downward to protect the airway.

6. The pace of the feeding should be based on the infant’s ability to swallow the food.

Rushing will increase the risk of choking or an unpleasant feeding experience.

7. First meals may be small in volume—only five or six baby spoons—and last about ten minutes, based on the baby’s interest.

POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:17 AM DATE MODIFIED: 12/7/2023 2:19 AM 76. Why is choking a particular worry when feeding infants? List a few foods that should be avoided, as they increase the risk of choking in infants.

ANSWER: Some foods present a choking risk for infants because their chewing skills are emerging and not well developed. Coarse or inappropriate food textures can obstruct the infant's airway because voluntary coughing and clearing of the throat are skills not yet learned. The AAP Policy Statement on choking in children recommends that young children be supervised when eating, and that they not be laid down with food or a bottle in their mouths. Foods associated with choking in infants include fruits, vegetables, biscuits, cookies, and crackers.

POINTS: 1 REFERENCES: Development of Infant Feeding Skills QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.5 - Identify infant developmental milestones related to feeding.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:19 AM DATE MODIFIED: 12/7/2023 2:20 AM 77. A mother visits a physician because she is concerned that her three-month-old infant has severe eczema, and she is worried about the potential for a peanut allergy. What should the physician recommend for the prevention of peanut allergy?

ANSWER: In infants with severe eczema, egg allergy, or both, the physician should recommend specific Copyright Cengage Learning. Powered by Cognero.

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Chapter 8 IgE measurement and/or a skin prick test. Based on the results of this test, the physician will be able to inform the mother if the infant should be introduced to a peanut-containing food or if these foods should be withheld.

POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 2:20 AM DATE MODIFIED: 12/7/2023 2:22 AM 78. List at least four factors associated with intrauterine growth retardation (IUGR).

ANSWER: IUGR may be associated with genetic factors, congenital anomalies, infection, multiple gestation, maternal nutrition, environmental toxins, placental factors, and maternal vascular disease such as diabetes, chronic hypertension, advanced maternal age, and morbid obesity.

POINTS: 1 REFERENCES: Assessing Newborn Health QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.1 - List factors that are associated with increased risk for health and developmental problems in infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 2:22 AM DATE MODIFIED: 12/7/2023 2:23 AM 79. Describe the factors that contribute to the wide range of infant energy needs.

ANSWER: Infancy results in the highest energy needs per kilogram of body weight compared to any other time point in life. The wide range of calories (80 to 120 kcals per kg per day) is related to various body weights, growth rates, sleep/wake cycles, body temperature, and climate. The average energy needs for the first six months of life is approximately 108 kcals/kg/day.

POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.2 - Describe guidelines and tools that can be used to determine appropriate energy and nutrient needs of infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:24 AM DATE MODIFIED: 12/7/2023 2:25 AM 80. Describe the developmental and long-term risks associated with iron deficiency in infants.

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Chapter 8 ANSWER:

Both iron-deficiency anemia (IDA) and iron deficiency without anemia (ID) during infancy are of major significance because of their relationship with neurodevelopment and behavior.

Research in infants who have long-term and severe iron-deficiency anemia suggests inadequate iron contributes to long-term learning delays from its role in central nervous system development. Iron deficiency is associated with poor cognitive, motor, and socioemotional development in infancy, and in later childhood with poor cognition and school achievement.

POINTS: 1 REFERENCES: Common Nutritional Issues and Concerns QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.8.7 - Identify how nutrition problems may affect infant health and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 2:25 AM DATE MODIFIED: 12/7/2023 2:26 AM

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Chapter 9 1. Multiple gestation is associated with intrauterine growth retardation. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 10:55 PM DATE MODIFIED: 12/6/2023 10:59 PM 2. The body composition of preterm infants is the same as that of full-term infants. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 10:59 PM DATE MODIFIED: 12/6/2023 11:00 PM 3. A growth rate of 10 to 15 g/kg is needed for preterm infants up to 2000 g. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:00 PM DATE MODIFIED: 12/6/2023 11:00 PM 4. Intrauterine growth always predicts postnatal growth in infants. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 ANSWER: False POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:01 PM DATE MODIFIED: 12/6/2023 11:02 PM 5. An infant born at thirty-five weeks gestation has a higher incidence of temperature instability. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:02 PM DATE MODIFIED: 12/6/2023 11:03 PM 6. Breast milk is unlikely to be recommended for a preterm infant. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:04 PM DATE MODIFIED: 12/6/2023 11:05 PM 7. Preterm infants have high metabolic rates. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:06 PM DATE MODIFIED: 12/6/2023 11:08 PM 8. Nutrient and energy requirements for high-risk infants with health conditions are based on the recommendations for healthy infants. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:09 PM DATE MODIFIED: 12/6/2023 11:09 PM 9. An infant who is unable to swallow should be given parenteral feedings. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 11:10 PM DATE MODIFIED: 12/6/2023 11:11 PM 10. The presence of an excess of bilirubin in the blood is called hypobilirubinemia. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 11:11 PM DATE MODIFIED: 12/6/2023 11:13 PM 11. Corrected age is the same as chronological age for preterm infants. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:10 AM DATE MODIFIED: 12/7/2023 12:15 AM 12. In-depth nutrition assessments make sure that nutrition is not limiting an infant's growth and development. Which infant would be least likely to require these assessments? a. an infant born between 37 and 42 weeks of gestation b. an infant born between 34 and 36.5 weeks of gestation c. an infant born with consequences of abnormal development during pregnancy d. an infant at risk for chronic health problems e. an infant born before 34 weeks of gestation ANSWER: a POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 12:16 AM DATE MODIFIED: 12/7/2023 12:24 AM 13. What is the postmenstrual age of a twelve-week-old infant born at thirty weeks? a. 20 weeks b. 2 years c. 1 year d. 10 weeks e. 42 weeks Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 ANSWER: e POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 12:25 AM DATE MODIFIED: 12/7/2023 12:26 AM 14. Which of the following procedures of feeding requires a tube passing through the nose and into the stomach? a. intravenous b. jejunostomy c. gastrostomy d. nasogastric e. orogastric ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:44 AM DATE MODIFIED: 12/7/2023 1:50 AM 15. Phenylketonuria is an inherited error in: a. fat metabolism. b. carbohydrate metabolism. c. protein metabolism. d. bone formation. e. fatty acid accumulation.

ANSWER: c POINTS: 1 REFERENCES: Infants with Congenital Anomalies and Chronic Illness QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:50 AM DATE MODIFIED: 12/7/2023 1:52 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 16. Low-birthweight infants weigh, at maximum, _____ at birth. a. 500 g b. 1000 g c. 1500 g d. 2000 g e. 2500 g ANSWER: e POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:52 AM DATE MODIFIED: 12/7/2023 1:54 AM 17. Infants with congenital heart disease often need energy intakes _____ for age. a. above the EER b. below the EER c. equal to the EER d. above the DRI e. below the DRI ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 1:54 AM DATE MODIFIED: 12/7/2023 1:56 AM 18. Which of the following statements about fat is inaccurate? a. Low-fat diets are rarely recommended for infants. b. Fats are easier for preterm infants to absorb. c. Compared to children and adults, infants need a higher percentage of their daily calories from fat. d. Medium-chain triglycerides do not require bile for digestion. e. Fat provides 45-55% of the energy content in human milk.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 1:56 AM DATE MODIFIED: 12/7/2023 1:58 AM 19. Which of the following nutrients is essential for preterm infants? a. selenium b. carbohydrate c. vitamin B12 d. vitamin B6 e. protein ANSWER: POINTS: REFERENCES:

e 1 Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 1:58 AM DATE MODIFIED: 12/7/2023 1:59 AM 20. Malik is nine-months old. He weighs 11.4 kg. How much protein per day does Malik require? a. 6 grams/day b. 11 grams/day c. 14 grams/day d. 17 grams/day e. 23 grams/day ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 2:00 AM DATE MODIFIED: 12/7/2023 2:02 AM 21. A preterm infant with _____ will require more energy than a full term, healthy infant.

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Chapter 9 a. spina bifida b. cleft palate c. Down syndrome d. breathing difficulties e. PKU ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:52 PM DATE MODIFIED: 12/7/2023 7:55 PM 22. Which of the following choices results in a disruption of the delivery of nutrients and is a potential nutrition problem in infants with special needs? a. altered structure of the mouth, oral cavity, or gastrointestinal tract b. matched interactions between infant cues and the caregiver c. maintenance of adequate positioning for feeding d. no changes in energy expenditure during feedings e. shortened duration of feedings ANSWER: a POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:56 PM DATE MODIFIED: 12/7/2023 7:58 PM 23. Which of the following statements regarding corrected age is true? a. It is also called adjusted age. b. It is always greater than the actual age. c. It is used for term infants. d. It is calculated by adding the infant's gestational age at birth and the duration of a full-term pregnancy. e. It is always equal to the actual age.

ANSWER: a POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:59 PM DATE MODIFIED: 12/7/2023 8:00 PM 24. A routine source of fat in preterm infant formula is: a. long-chain triglycerides. b. medium-chain triglycerides. c. short-chain triglycerides. d. trans fatty acids. e. vegetable oil.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:00 PM DATE MODIFIED: 12/7/2023 8:02 PM 25. To meet the high nutritional needs of preterm infants, a key nutrient in human milk fortifiers is: a. iron. b. vitamin D. c. fat. d. vitamin A. e. protein.

ANSWER: e POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:02 PM DATE MODIFIED: 12/7/2023 8:03 PM 26. Which of the following statements about Fenton preterm infant growth charts is true?

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Chapter 9 a. They are based on a sample size of 100 infants. b. They are gender neutral. c. They provide only nutrition recommendations for preterm infants. d. They are reflective of the longitudinal postnatal growth achieved by preterm infants. e. They reflect cross-sectional birth data.

ANSWER: e POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:03 PM DATE MODIFIED: 12/7/2023 8:05 PM 27. An infant with spina bifida or Down syndrome requires: a. more calories than a healthy full-term infant. b. fewer calories than a healthy full-term infant. c. the same amount of calories as a healthy full-term infant. d. more calories than a preterm infant. e. the same amount of calories as an adult.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:05 PM DATE MODIFIED: 12/7/2023 8:06 PM 28. According to the American Academy of Pediatrics, which of the following nutrients is recommended at least 2mg/kg/day for preterm, exclusively breastfed infants? a. vitamin B12 b. vitamin C c. iron d. folic acid e. phenylalanine ANSWER: POINTS: REFERENCES:

c 1 Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs

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Chapter 9 and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:07 PM DATE MODIFIED: 12/7/2023 8:07 PM 29. Infants with cystic fibrosis are at greatest risk for deficiencies of: a. vitamin A and vitamin D. b. vitamin E and vitamin D. c. vitamin K and vitamin D. d. vitamins A, D, E and K. e. vitamin E and vitamin K. ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs of Preterm Infants and Infants with Special Health-care Needs and/or Developmental Delay QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.2 - Compare the energy and nutrition needs of preterm infants, infants with special health-care needs, and healthy full-term infants.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:08 PM DATE MODIFIED: 12/7/2023 8:12 PM 30. Fenton preterm infant growth charts are: a. gender specific. b. outdated. c. used exclusively in the United States. d. reflective of longitudinal postnatal growth. e. used exclusively in European countries.

ANSWER: a POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:16 PM DATE MODIFIED: 12/7/2023 8:19 PM 31. The human brain grows most rapidly during: Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 a. the first year. b. the second year. c. the fifth year. d. puberty. e. adulthood.

ANSWER: a POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:19 PM DATE MODIFIED: 12/7/2023 8:20 PM 32. What is the corrected age for an eight-month-old infant born preterm (30 weeks)? a. 5 months b. 5.5 months c. 6 months d. 6.5 months e. 8 months ANSWER: b POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 8:21 PM DATE MODIFIED: 12/7/2023 8:23 PM 33. Accretion of body fat occurs: a. mainly in preterm infants. b. rapidly in preterm infants. c. throughout the period of gestation. d. during the second trimester. e. during the third trimester.

ANSWER: e POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:23 PM DATE MODIFIED: 12/7/2023 8:26 PM 34. According to the fetal-origin hypothesis, which of the following statements is true? a. There is no connection between cognitive function and growth during critical periods during infancy. b. What happens in early life during critical periods can impact the development of conditions later in life. c. Iron status at conception impacts the development of conditions later in life. d. Medical treatments will always improve the rate of early growth. e. Preterm birth has no impact on the development of conditions later in life.

ANSWER: b POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:26 PM DATE MODIFIED: 12/7/2023 8:28 PM 35. Infants with intrauterine growth retardation are at increased risk for metabolic disturbances related to the metabolism of: a. carbohydrates only. b. proteins. c. fatty acids and proteins. d. fatty acids and glucose. e. fatty acids, proteins, and glucose.

ANSWER: d POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:28 PM DATE MODIFIED: 12/7/2023 8:41 PM 36. Later development of hypertension, hypercholesterolemia, coronary heart disease, impaired glucose tolerance, and diabetes has been associated with birthweight below the _____ percentile. a. 10th b. 15th Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 c. 20th d. 30th e. 37th ANSWER: a POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:49 PM DATE MODIFIED: 12/7/2023 8:51 PM 37. A nine-month-old infant born at thirty-four weeks gestation has a corrected age of: a. 9 months. b. 5.5 months. c. 6 months. d. 7.5 months. e. 8.5 months.

ANSWER: d POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:51 PM DATE MODIFIED: 12/7/2023 8:52 PM 38. Which of the following factors is least likely to be a reason for slower growth rates among infants that have the lung condition bronchopulmonary dysplasia (BPD)? a. higher nutritional requirements b. increased muscle mass c. changes in endocrine systems d. changes in pulmonary systems e. interactions between endocrine and pulmonary systems ANSWER: b POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special Copyright Cengage Learning. Powered by Cognero.

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Chapter 9

KEYWORDS: DATE CREATED: DATE MODIFIED:

health needs is tracked and interpreted.

Bloom's: Understand 12/7/2023 8:58 PM 12/7/2023 8:59 PM

39. Which of the following statements regarding enteral and/or parenteral feedings is true? a. Use of infant formula is an example of parenteral feeding. b. Breastfeeding is an example of parenteral feeding. c. Enteral feeding delivers nutrients directly to the digestive system, while parenteral feeding delivers nutrients directly into the bloodstream. d. Parenteral feeding delivers nutrients directly to the digestive system, while enteral feeding delivers nutrients directly into the bloodstream. e. Transport of nutrients across the placenta is an example of enteral feeding.

ANSWER: c POINTS: 1 REFERENCES: Nutrition for Infants with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:59 PM DATE MODIFIED: 12/7/2023 9:01 PM 40. An example of a genetic condition that can be picked up by newborn screening before illness presents is: a. type 2 diabetes. b. failure to thrive. c. cystic fibrosis. d. myopia. e. lactose intolerance.

ANSWER: c POINTS: 1 REFERENCES: Infants with Congenital Anomalies and Chronic Illness QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.6 - Identify appropriate nutrition intervention strategies for infants with slow linear growth or weight gain.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:01 PM DATE MODIFIED: 12/7/2023 9:02 PM 41. Which of the following nutrition concerns is least likely to be associated with infants who have Down syndrome? a. feeding difficulties b. high rate of motor development c. gastrointestinal problems Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 d. slow growth velocity e. excessive energy intake ANSWER: b POINTS: 1 REFERENCES: Nutrition for Infants with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 9:02 PM DATE MODIFIED: 12/7/2023 9:03 PM 42. Provision of adequate energy and nutrients to a very preterm infant directly into the bloodstream requires _____, followed by slow transition to _____. a. breastfeeding; parenteral feeding b. gavage feeding; breastfeeding c. enteral nutrition support; parenteral feeding d. parenteral nutrition support; enteral feeding e. parenteral feeding; breastfeeding ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 9:04 PM DATE MODIFIED: 12/7/2023 9:09 PM 43. If provision of energy is inadequate, which of the following stores do preterm infants use to meet their glucose needs? a. fat and carbohydrate stores in tissue b. protein and mineral stores in muscle c. carbohydrate stores in muscle d. fat stores and protein in tissue and muscle e. protein and carbohydrate stores in tissue and muscle ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

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Chapter 9 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 12/7/2023 10:19 PM 12/7/2023 10:20 PM

44. Which of the following feeding choices is recommended for preterm infants? a. fortified formula to meet their nutritional needs b. breast milk from a donor bank c. preterm breast milk from the mother d. a combination of preterm breast milk from the mother and fortified formula e. a combination of breast milk from a donor bank and fortified formula ANSWER: c POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 10:21 PM DATE MODIFIED: 12/7/2023 10:30 PM 45. Term human milk is typically _____ than preterm breast milk. a. higher in fat b. lower in fat c. higher in protein d. lower in protein e. higher in carbohydrate ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 10:52 PM DATE MODIFIED: 12/7/2023 10:59 PM 46. Enteral feeding includes: a. only breastfeeding and gastrostomy feedings. b. only gastrostomy and bottle feedings. c. only breastfeeding and gavage feedings. d. gavage, gastrostomy, and jejunostomy feedings. e. gavage, gastrostomy, jejunostomy, and parenteral feedings.

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Chapter 9 ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:00 PM DATE MODIFIED: 12/7/2023 11:03 PM 47. A gavage feeding is one that provides: a. nutrition directly through the central vein and includes amino acids, dextrose, and a lipid emulsion. b. nutrition through a tube inserted directly into the stomach or small intestine. c. nutrition through tube feedings originating from the mouth to the stomach or from the nose to the stomach. d. oral nutrition that has been pureed thoroughly so that the infant does not choke. e. nutrition through an oral syringe.

ANSWER: c POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:03 PM DATE MODIFIED: 12/7/2023 11:05 PM 48. When enteral nutrition is expected to be needed long term, generally over three months, the _____ feeding method is most often used. a. gavage b. gavage or gastrostomy c. parenteral or jejunostomy d. gavage or jejunostomy e. gastrostomy or jejunostomy ANSWER: e POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:05 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 DATE MODIFIED:

12/7/2023 11:06 PM

49. Which of the following statements regarding food safety for preterm infants is true? a. Formula powder is sterile and is recommended when nutritionally appropriate. b. Hospitals limit the duration of hang time of continuous feeds to four hours. c. Hospital policies require that tube feeding assemblies be changed every hour to limit contamination. d. Liquid concentrates and ready-to-feed formulas are not sterile and are therefore not recommended. e. Preterm babies are less susceptible to food-borne infections.

ANSWER: b POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:07 PM DATE MODIFIED: 12/7/2023 11:13 PM 50. The energy content of preterm and term breast milk is comparable at _____ kcal per oz. a. 5 b. 10 c. 20 d. 25 e. 30 ANSWER: c POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:16 PM DATE MODIFIED: 12/7/2023 11:18 PM 51. Preterm infant formula is associated with an increased risk of: a. phenylketonuria. b. late-onset sepsis. c. viral infections. d. obesity. e. diabetes.

ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:21 PM DATE MODIFIED: 12/7/2023 11:24 PM 52. Which of the following choices has a protective effect on the incidence of necrotizing enterocolitis? a. fiber supplementation b. higher intakes of breastmilk c. higher intakes of infant formula d. use of vitamin supplementation e. antibiotic use ANSWER: b POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:24 PM DATE MODIFIED: 12/7/2023 11:26 PM 53. Which of the following statements regarding term infants is true? a. They have higher incidence of temperature instability than late preterm infants. b. They are always born with chronic illness. c. They are born between 34- and 36-weeks gestation. d. They are born at or after 37-weeks gestation. e. They have higher incidence of hypoglycemia than late preterm infants.

ANSWER: d POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:26 PM DATE MODIFIED: 12/7/2023 11:28 PM 54. Several factors explain why a preterm baby may be hard to feed. An exception is: a. lethargy.

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Chapter 9 b. abdominal distension. c. altered breathing and heart rate. d. disorganized feeding. e. high tolerance of volume.

ANSWER: e POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:28 PM DATE MODIFIED: 12/7/2023 11:30 PM 55. One sign of feeding problems in high-risk infants younger than six months is: a. a brief duration of feeding. b. too tight a seal on the mother's nipple. c. a rhythmic sucking pattern. d. absence of coughing after the feeding. e. choking during the feeding.

ANSWER: e POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.4 - Identify nutrition problems that are more frequently identified in preterm infants and infants with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:30 PM DATE MODIFIED: 12/7/2023 11:32 PM 56. Which of the following feeding regimens indicates that the baby is being fed using parenteral feedings? a. a baby getting nutrients delivered through an orogastric feeding tube b. a baby getting nutrients delivered using a gavage feeding protocol c. a baby getting nutrients delivered through a jejunostomy feeding tube d. a baby getting nutrients delivered directly into the bloodstream e. a baby getting nutrients delivered through a gastrostomy feeding tube ANSWER: d POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for Copyright Cengage Learning. Powered by Cognero.

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Chapter 9

KEYWORDS: DATE CREATED: DATE MODIFIED:

infants with special health-care needs and chronic illness.

Bloom's: Understand 12/7/2023 11:32 PM 12/7/2023 11:36 PM

57. Since 1998, which of the following food products has the U.S. Food and Drug Administration required to be fortified with folic acid in order to reduce the risk of neural tube defects? a. eggs b. breakfast cereal c. cheese d. milk e. ground beef ANSWER: b POINTS: 1 REFERENCES: Infants with Congenital Anomalies and Chronic Illness QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9. 6 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:37 PM DATE MODIFIED: 12/7/2023 11:41 PM 58. The addition of folic acid as a supplement to grains and flours has helped reduce the incidence of: a. spina bifida. b. galactosemia. c. diaphragmatic hernia. d. tracheoesophageal atresia. e. cleft palate.

ANSWER: a POINTS: 1 REFERENCES: Infants with Congenital Anomalies and Chronic Illness QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.6 - Identify appropriate nutrition intervention strategies for infants with slow linear growth or weight gain.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:41 PM DATE MODIFIED: 12/7/2023 11:45 PM 59. Which of the following interventions to ensure adequate growth and development of infants would be least helpful? a. assessing growth less frequently b. monitoring the infant's intake of all liquids and foods to ensure enough is being consumed c. changing the frequency and volume of feedings as needed d. increasing the nutrient density of foods or fluids Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 e. adjusting nutrition goals to the infant's development abilities ANSWER: a POINTS: 1 REFERENCES: Nutrition Interventions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.6 - Identify appropriate nutrition intervention strategies for infants with slow linear growth or weight gain.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:45 PM DATE MODIFIED: 12/7/2023 11:47 PM 60. Which of the following programs provides financial support and access to health insurance to families of infants with disabling conditions if the family meets income eligibility guidelines? a. WIC b. Early Head Start c. the National Council on Pediatric Affairs (NCPA) d. Individuals with Disabilities Education Act (IDEA) programs e. the Supplemental Social Insurance program ANSWER: e POINTS: 1 REFERENCES: Nutrition Services QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.9.7 - Describe how families of high-risk infants and infants with special health-care needs access nutrition resources and services in their communities.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:47 PM DATE MODIFIED: 12/7/2023 11:50 PM Case Study: Jasmine, an infant born at thirty-one weeks, weighs 1100 g (2.4 lb.) and is identified as small for gestational age (SGA). Her head circumference is 27 cm (< 5th percentile). Her mother is not interested in breastfeeding. A dietitian evaluates Jasmine and establishes appropriate growth and development goals for weight, length, head circumference, and body fat stores. A high-calorie formula is also initiated.

61. What will be the corrected age of Jasmine when she will be three months old? a. 2 months b. 4 months c. 3 weeks d. 1 month e. 6 months ANSWER: c POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 HAS VARIABLES: False PREFACE NAME: Multiple-choice questions 61-65 use the case study LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 11:51 PM DATE MODIFIED: 12/7/2023 11:53 PM 62. Which of the following daily weight gain goals would the dietitian set for the first three months? a. 15-20 g/day b. 20-30 g/day c. 25-35 g/day d. 40-50 g/day e. 80 g/day ANSWER: b POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Multiple-choice questions 61-65 use the case study LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 12:14 AM DATE MODIFIED: 12/8/2023 12:17 AM 63. Following discharge from the hospital, Jasmine shows signs of fatigue during feeding. The dietitian then recommends a higher calorie formula. How many calories/ounces would the new formula most likely contain? a. 20 b. 22 c. 24 d. 30 e. 35 ANSWER: c POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Multiple-choice questions 61-65 use the case study LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 12:18 AM DATE MODIFIED: 12/8/2023 12:19 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 64. What would be the appropriate resource to measure Jasmine's growth velocity? a. a growth chart specifically made for preterm births b. a growth chart made for term infants c. a growth chart specially designed for mature adults d. a growth chart made for healthy, full-term infants e. a growth chart made for infants with special health-care needs ANSWER: a POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Multiple-choice questions 61-65 use the case study LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 12:19 AM DATE MODIFIED: 12/8/2023 12:21 AM 65. Three months after Jasmine's birth, her mother returns to the community health-care clinic and reports that Jasmine is "not as tired as she used to be when drinking her bottle." What additional information would reinforce the mother's report that the infant's feeding behaviors have improved? a. The infant's bowel movements have increased since the last visit. b. The amount of time between feedings has decreased since the last visit. c. The infant is now drinking sugar water. d. The infant now enjoys a pacifier. e. The infant no longer appears hungry all the time.

ANSWER: e POINTS: 1 REFERENCES: Severe Preterm Birth and Nutrition QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Multiple-choice questions 61-65 use the case study LEARNING OBJECTIVES: NTLC.BRWN.24.9.5 - Provide examples of nutrition assessment and interventions for infants with special health-care needs and chronic illness.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 12:22 AM DATE MODIFIED: 12/8/2023 12:24 AM 66. Areas of developmental skills that are assessed when determining the presence of developmental delays include: a. communication, adaptive and absorptive skills. b. communication, motor, and cognition skills. c. digestive, adaptive, and cognition skills. d. digestive, motor, and social-emotional skills. e. economic, motor, and cognition skills.

ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:24 AM DATE MODIFIED: 12/8/2023 12:25 AM 67. Zaria was born at thirty-five weeks gestation. How would Zaria be classified according to her gestational age? a. early pre-term b. late full-term infant c. late preterm infant d. preterm infant e. full-term infant ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:25 AM DATE MODIFIED: 12/8/2023 12:26 AM 68. The presence of an excess of bilirubin in the blood is referred to as: a. hyperkalemia. b. hypobilirubinemia. c. hyperglycemia. d. hypoglycemia. e. hyperbilirubinemia.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:26 AM DATE MODIFIED: 12/8/2023 12:27 AM 69. Which of the following definitions most accurately describes a seizure disorder? a. an incomplete connection between the esophagus and the stomach in utero, resulting in a shortened esophagus b. a condition in which electrical nerve transmission in the brain is disrupted, resulting in periods of loss of function that vary in severity c. a displacement of the intestines up into the lung area due to incomplete formation of the diaphragm in utero d. a condition characterized by inflammation or damage to a section of the intestine e. a condition in which three copies of chromosome 21 occur ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 DATE MODIFIED: 12/8/2023 12:28 AM 70. Which of the following definitions most accurately describes Down syndrome? a. an incomplete connection between the esophagus and the stomach in utero, resulting in a shortened esophagus b. a condition in which electrical nerve transmission in the brain is disrupted, resulting in periods of loss of function that vary in severity. c. a displacement of the intestines up into the lung area due to incomplete formation of the diaphragm in utero d. a condition characterized by inflammation or damage to a section of the intestine e. a condition in which three copies of chromosome 21 occur ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:29 AM DATE MODIFIED: 12/8/2023 12:30 AM 71. An abnormally small head size for age and gender is called: a. anencephaly. b. microcephaly. c. necrotizing enterocolitis. d. galactosemia. e. macrocephaly.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:30 AM DATE MODIFIED: 12/8/2023 12:32 AM 72. An abnormally large head size for age and gender is called: a. anencephaly. b. microcephaly. c. necrotizing enterocolitis. d. galactosemia. e. macrocephaly.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:32 AM DATE MODIFIED: 12/8/2023 12:33 AM 73. Which of the following conditions is characterized as an inflammation or damage to a section of the intestine? a. anencephaly b. congenital diaphragmatic hernia Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 c. necrotizing enterocolitis d. galactosemia e. tracheoesophageal atresia ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:33 AM DATE MODIFIED: 12/8/2023 12:34 AM 74. Which of the following conditions is a rare genetic condition of carbohydrate metabolism? a. anencephaly b. congenital diaphragmatic hernia c. necrotizing enterocolitis d. galactosemia e. tracheoesophageal atresia ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:34 AM DATE MODIFIED: 12/8/2023 12:35 AM 75. Which of the following statements best describes an extremely low-birthweight infant? a. The infant weighs less than 1500 grams at birth. b. The infant weighs less than 2500 grams at birth. c. The infant exceeds the rate of expectation when achieving all milestones. d. The infant exceeds the rate of expectation when achieving most milestones. e. The infant weighs less than 1000 grams at birth.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:35 AM DATE MODIFIED: 12/8/2023 12:36 AM 76. Which of the following statements best describes a low-birthweight infant? a. The infant weighs less than 1500 grams at birth. b. The infant weighs less than 2500 grams at birth. c. The infant exceeds the rate of expectation when achieving all milestones. d. The infant exceeds the rate of expectation when achieving most milestones. e. The infant weighs less than 1000 grams at birth.

ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:36 AM DATE MODIFIED: 12/8/2023 12:39 AM 77. Which of the following statements best describes a very low-birthweight infant? a. The infant weighs less than 1500 grams at birth. b. The infant weighs less than 2500 grams at birth. c. The infant exceeds the rate of expectation when achieving all milestones. d. The infant exceeds the rate of expectation when achieving most milestones. e. The infant weighs less than 1000 grams at birth.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:48 AM DATE MODIFIED: 12/8/2023 12:49 AM 78. Your friend is worried that her preterm infant may be at nutritional risk. What are some questions you or a physician could ask her to help identify whether there may be a problem?

ANSWER: The following questions may help her identify any nutritional risk her infant is facing: ▪ ▪ ▪ ▪ ▪

How often does your baby feed? How long does a feeding generally take?

How does your baby behave during a feeding? Pulls away, arches back, looks irritable or calm?

How does your baby behave after feedings? Satisfied, still hungry, anxious?

Has your baby had any other fluids from a bottle?

How many wet diapers and stools does your baby have every day?

POINTS: 1 REFERENCES: Infants at Risk QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.9.1 - Describe factors that put infants at nutritional risk and how nutritional assessment and interventions address these risks.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 12:49 AM DATE MODIFIED: 12/8/2023 12:50 AM 79. Modifications to the typical assessment methods are necessary for measuring and interpreting growth in preterm infants and infants with special health-care needs. Describe at least three modifications that should be made to improve assessments in this population.

ANSWER: Corrected age is imperative when assessing a preterm infant’s growth and weight gain.

Additional anthropometric measurements are helpful including mid-arm circumference and triceps skinfold. Assess medications that may affect weight gain, appetite, or body composition. Use available evidence-based practice treatment guidelines and published Copyright Cengage Learning. Powered by Cognero.

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Chapter 9 protocols for conditions such as cystic fibrosis. Use specialty growth charts for preterm infants and those with special health-care needs when appropriate. Close monitoring of head circumference in the first year when the brain is rapidly developing can identify growth abnormalities.

POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 12:51 AM DATE MODIFIED: 12/8/2023 12:52 AM 80. Explain the fetal programming hypothesis with specific reference to how preterm birth provides supportive evidence.

ANSWER: The fetal programming hypothesis proposes that what happens in early life during critical or sensitive periods can have lifetime consequences. Many studies on the outcome of preterm birth, including those on feeding, growth, and types of nutrition, support the fetal programming hypothesis. Preterm birth has been correlated with lifelong impacts on measures such as school performance, dropout rate, adult size, adult chronic diseases, and mental health status. Poor head circumference growth in neonates was associated with abnormal neurological exams, abnormal mobility at 5.4 years of age, higher incidences of cerebral palsy, and neurological impairments. The fetal origins hypothesis can explain why medical treatment may not change the rate of early growth. Preterm birth or its complications may contribute to slow growth early in infancy. Various studies that have measured recovery from early growth problems have found that several factors can overwhelm nutrition benefits.

For example, a study of infants who were short for age and provided with nutritional supplements for two years remained short in stature at eleven and twelve years of age.

POINTS: 1 REFERENCES: Growth of Infants at Risk or with Special Health-care Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.9.3 - Describe how the growth of preterm infants and infants with special health needs is tracked and interpreted.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 12:52 AM DATE MODIFIED: 12/8/2023 12:53 AM

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Chapter 10 1. Food security is not especially important for young children. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:53 PM DATE MODIFIED: 12/7/2023 7:54 PM 2. The toddler stage of development is characterized by a rapid increase in gross and fine motor skills. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.1 - List two Healthy People 2030 objectives related to toddlers and preschool age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:56 PM DATE MODIFIED: 12/7/2023 7:57 PM 3. Children have an innate ability to adjust their caloric intake to meet energy needs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:57 PM DATE MODIFIED: 12/7/2023 7:58 PM 4. The time taken to wean from the breast, or the bottle is variable and depends on the child. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:58 PM DATE MODIFIED: 12/7/2023 7:58 PM 5. A leading risk factor for cardiovascular disease is low levels of LDL cholesterol. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 7:59 PM DATE MODIFIED: 12/7/2023 7:59 PM 6. Trans fatty acids are not found naturally in any foods. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:00 PM DATE MODIFIED: 12/7/2023 8:01 PM 7. Because toddlers cannot eat a large amount of food at one time, snacks are vital in meeting the child’s nutritional needs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: True / False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:02 PM DATE MODIFIED: 12/7/2023 8:03 PM 8. When evaluating young children’s nutritional status and offering nutrition education to parents, it is important to consider children’s home environments. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Tracking Toddler and Preschooler Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.1 - List two Healthy People 2030 objectives related to toddlers and preschool age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:06 PM DATE MODIFIED: 12/7/2023 8:06 PM 9. In pediatrics, the goal is to strive for a BMI at the 50th percentile. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Blooms: Understand DATE CREATED: 12/7/2023 8:07 PM DATE MODIFIED: 12/7/2023 8:07 PM 10. Recumbent length is used to measure toddlers less than twenty-four months of age and those between twenty-four and thirty-six months who are unable to stand unassisted. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:08 PM DATE MODIFIED: 12/7/2023 8:09 PM 11. Children naturally prefer sweet tasting foods. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:09 PM DATE MODIFIED: 12/7/2023 8:10 PM 12. The recommended intake of zinc for toddlers is 3 mg/d. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:11 PM DATE MODIFIED: 12/7/2023 8:14 PM 13. A rapid growth rate coupled with inadequate intake of dietary iron places toddlers, especially nine- to eighteen-montholds, at the highest risk for iron deficiency. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 DATE CREATED: DATE MODIFIED:

12/7/2023 8:15 PM 12/7/2023 8:16 PM

14. High-fiber foods may displace other energy-dense foods and may decrease the bioavailability of some minerals, such as iron and calcium. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:17 PM DATE MODIFIED: 12/7/2023 8:17 PM 15. Dark green leafy vegetables such as kale and bok choy are good sources of calcium. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:18 PM DATE MODIFIED: 12/7/2023 8:19 PM 16. Sources of iron include vitamin D-fortified milk. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:19 PM DATE MODIFIED: 12/7/2023 8:21 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 17. Components of a nutrition assessment include a food/nutrition-related history, pertinent biochemical measurements, anthropometric measurements such as weight, height, body mass index percentile, and a medical history. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.8 - Identify the basic premise upon which Bright Futures Nutrition is based.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:21 PM DATE MODIFIED: 12/7/2023 8:22 PM 18. Bright Futures: Nutrition is a resource that provides health care professionals with evidence-based recommendations for pediatric health promotion, health supervision, and anticipatory guidance. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.8 - Identify the basic premise upon which Bright Futures Nutrition is based.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:23 PM DATE MODIFIED: 12/7/2023 8:24 PM 19. The SNAP program is a special seasonal program for WIC participants. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.9 - Identify one public food or nutrition program that provides services to young children and describe the program's strategies in improving the nutrition of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:26 PM DATE MODIFIED: 12/7/2023 8:27 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 20. To be eligible for WIC services, the only criterion is that children must live in a low-income household. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.9 - Identify one public food or nutrition program that provides services to young children and describe the program's strategies in improving the nutrition of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:27 PM DATE MODIFIED: 12/7/2023 8:28 PM 21. The toddler stage of development is characterized by: a. increasing autonomy. b. an expanding ability to control behavior. c. increasing language skills. d. a rapid increase in gross and fine motor skills. e. the ability of a child to use a fork and a spoon.

ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.1 - List two Healthy People 2030 objectives related to toddlers and preschool age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:29 PM DATE MODIFIED: 12/7/2023 8:30 PM 22. Children naturally prefer sweet and slightly _____ tastes. a. pungent b. spicy c. sour d. bitter e. salty ANSWER: e POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

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Chapter 10 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/7/2023 8:30 PM 12/7/2023 8:33 PM

23. On average, preschoolers gain _____ pounds per year. a. 2.5 b. 4.4 c. 6.2 d. 8.3 e. 0.23 ANSWER: b POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:34 PM DATE MODIFIED: 12/7/2023 8:35 PM 24. Protein is _____ when a child has adequate energy intake. a. used to maintain healthy bones and teeth b. used for growth and tissue repair c. stored in the liver and muscles d. used to fuel physical activity e. used as an insulator to preserve body heat ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:40 PM DATE MODIFIED: 12/7/2023 8:47 PM 25. Which among the following foods is considered a high-quality protein? a. pasta b. beans c. nuts d. broccoli e. poultry ANSWER: e Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:48 PM DATE MODIFIED: 12/7/2023 8:50 PM 26. The DRI for protein in toddlers is _____ mg/day. a. 1.1 g/kg/day or 13 g/day b. 0.95 g/kg/day or 19 g/day c. 1 g/kg/day or 10 g/day d. 1.1 g/kg/day or 19 g/day e. 0.95 g/kg/day or 13 g/day ANSWER: a POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:58 PM DATE MODIFIED: 12/7/2023 9:00 PM 27. A BMI in the 87th percentile would indicate that a three-year-old is: a. underweight. b. extremely underweight. c. overweight. d. obese. e. extremely obese.

ANSWER: c POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:36 PM DATE MODIFIED: 12/7/2023 9:38 PM 28. Parents need to pay attention to cues of readiness for weaning, such as: Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 a. disinterest in breastfeeding or bottle feeding. b. fine motor skills. c. the ability to use utensils. d. putting hands or toys in the mouth. e. moving the tongue from side to side.

ANSWER: a POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:41 PM DATE MODIFIED: 12/7/2023 9:42 PM 29. Many babies begin to wean from the breast or the bottle at about _____ months of age. a. 5-6 b. 7-8 c. 9-10 d. 11-12 e. 13-14 ANSWER: c POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:43 PM DATE MODIFIED: 12/7/2023 9:44 PM 30. Which of the following foods is least likely to promote tooth decay? a. fruit snack gummies b. caramel c. apple juice d. chocolate milk e. carrot sticks ANSWER: e POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:44 PM DATE MODIFIED: 12/7/2023 9:46 PM 31. Which of the following foods is most likely a potential choking hazard for children less than two years of age? a. yogurt b. canned carrots c. pasta d. whole grapes e. syrup ANSWER: d POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 10:54 PM DATE MODIFIED: 12/7/2023 10:55 PM 32. One rule of thumb regarding the serving sizes for toddlers is _____ of food per year of age. a. 1 teaspoon b. 2 teaspoons c. 1 tablespoon d. ¼ cup e. ½ cup ANSWER: c POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 10:55 PM DATE MODIFIED: 12/7/2023 10:57 PM 33. Which of the following foods is a good source of dietary fiber for toddlers and preschoolers? a. chicken b. oatmeal c. low-fat yogurt d. ground beef Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 e. orange juice ANSWER: b POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 10:58 PM DATE MODIFIED: 12/7/2023 11:00 PM 34. Which of the following actions is characteristic of the development of fine motor skills? a. holding a crayon b. walking alone c. running d. riding a bicycle with training wheels e. climbing ANSWER: a POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:00 PM DATE MODIFIED: 12/7/2023 11:01 PM 35. Which of the following statements regarding the "slow-to-warm-up'' child is true? a. The child tries to accept new foods readily. b. This type of temperamental cluster consists of about 40% of children. c. The child exhibits irregularity in function and slow adaptability. d. This type of temperamental cluster consists of about 10% of children. e. The child exhibits slow adaptability and negative responses to many new foods with mild intensity.

ANSWER: e POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:01 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 DATE MODIFIED:

12/7/2023 11:02 PM

36. Based on research, which of the following statements is a practical application that should be followed while feeding a child? a. Parents should not attempt to control children's food intakes by attaching contingencies and coercive practices. b. Parents should severely restrict junk foods and foods that are high in fat and sugar. c. Children should be served large quantities of food so that they will finish at least half of the food served. d. Child feeding experiences should take place in a strict environment. e. Children should be forced to eat all the food served to them.

ANSWER: a POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:03 PM DATE MODIFIED: 12/7/2023 11:04 PM 37. Approximately what percentage of children have a "difficult" temperament? a. 10% b. 20% c. 25% d. 40% e. 15% ANSWER: a POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:05 PM DATE MODIFIED: 12/7/2023 11:06 PM 38. The least likely method for transmission of Campylobacter is through: a. eating undercooked poultry. b. drinking raw milk. c. drinking non chlorinated water. d. handling infected animal feces. e. eating raw cookie dough.

ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:06 PM DATE MODIFIED: 12/7/2023 11:07 PM 39. Which of the following screening tools is recommended for assessment of pediatric overweight and obesity? a. family medical history b. weight-for-height c. weight-for-age d. height-for-age e. body mass index-for-age percentile ANSWER: e POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:07 PM DATE MODIFIED: 12/7/2023 11:09 PM 40. High intakes of _____ elevate LDL cholesterol levels in children and adults alike. a. sweets and dairy products b. protein and carbohydrate c. saturated fat and trans fatty acids d. monounsaturated fat and dietary cholesterol e. polyunsaturated fat and salt ANSWER: c POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:09 PM DATE MODIFIED: 12/7/2023 11:10 PM 41. Parents and caretakers should be warned against giving high amounts of vitamins and minerals to children, particularly the vitamins: a. and B12 Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 b. A and D c. C and E d. B6 and C e. C and K ANSWER: b POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:10 PM DATE MODIFIED: 12/7/2023 11:12 PM 42. The goal of overweight and obesity treatment in young children is: a. short-term weight loss. b. a BMI rebound. c. to improve long-term physical health through permanent healthy lifestyle habits and behavior modification. d. the prevention of atherosclerosis through constant behavior modification. e. improved blood lipid levels through modification of diet during childhood.

ANSWER: c POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:12 PM DATE MODIFIED: 12/7/2023 11:13 PM 43. Beginning at age three, the DRI equations for estimating energy requirements are based on a child’s gender, age, height, weight, and: a. physical activity. b. adjusted age. c. language skills. d. temperament. e. average body temperature.

ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Apply Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 DATE CREATED: DATE MODIFIED:

12/7/2023 11:18 PM 12/7/2023 11:19 PM

44. Which of the following common nutrition problems may decrease growth in young children? a. dehydration b. dental caries c. nausea d. elevated blood lead levels e. adequate fiber intake ANSWER: d POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 11:19 PM DATE MODIFIED: 12/7/2023 11:20 PM 45. Which of the following intervention strategies can be used in conjunction with diet modification in order to successfully treat iron-deficiency anemia? a. counseling of parents about diets that prevent iron deficiency b. a high-fat diet c. exclusion of nonmeat sources of iron d. substitution of whole milk with soy milk e. excess intake of goat's milk ANSWER: a POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:20 PM DATE MODIFIED: 12/7/2023 11:21 PM 46. The FDA and the EPA advise that young children should eat fish and shellfish that are lower in mercury such as: a. tilefish from the Gulf of Mexico. b. swordfish. c. king mackerel. d. salmon. e. shark.

ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:24 PM DATE MODIFIED: 12/7/2023 11:25 PM 47. The metabolic rate of _____ is the highest of any period after birth. a. teenagers b. infants c. toddlers d. adults e. pre-term infants ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/7/2023 11:25 PM DATE MODIFIED: 12/7/2023 11:26 PM 48. The acceptable macronutrient distribution ranges (AMDRs) for fat are _____% for children of one to three years and _____% for children of four to eighteen years. a. 20-30; 15-25 b. 30-40; 25-35 c. 40-50; 35-45 d. 50-60; 45-55 e. 60-70; 55-65 ANSWER: b POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:27 PM DATE MODIFIED: 12/7/2023 11:28 PM 49. The dietary reference intake of calcium in children aged one to three years is: Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 a. 350 mg/day. b. 500 mg/day. c. 700 mg/day. d. 1000 mg/day. e. 1200 mg/day.

ANSWER: c POINTS: 1 REFERENCES: Energy and Nutrient Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.4 - Explain what influences energy needs of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:29 PM DATE MODIFIED: 12/7/2023 11:30 PM 50. Dontrell is four years old and consumes 22 grams of fiber per day. Which of the following recommendations should be given to Dontrell’s parents about his dietary fiber intake? a. Dontrell is consuming inadequate fiber which can lead to constipation. b. Dontrell is consuming an appropriate amount of fiber for his age. c. Dontrell is consuming inadequate fiber which could impact growth. d. Dontrell is consuming excessive fiber which could impact growth. e. Dontrell is consuming excessive fiber which has no health implications.

ANSWER: d POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:30 PM DATE MODIFIED: 12/7/2023 11:31 PM 51. Food sources of carbohydrates have direct effects on dental caries development because _____, the main type of bacteria that cause tooth decay, use carbohydrates for food. a. Streptococcus aureus b. Salmonella c. Campylobacter d. E. coli e. Streptococcus mutans ANSWER: e POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:36 PM DATE MODIFIED: 12/7/2023 11:37 PM 52. Which of the following foods is a good source of the essential fatty acid alpha-linolenic acid? a. whole milk b. bread c. canola oil d. figs e. egg ANSWER: c POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:38 PM DATE MODIFIED: 12/7/2023 11:39 PM 53. Alana follows a vegan diet. In order to consume adequate B12, she can take a vitamin B12 supplement or regularly consume: a. fortified breakfast cereal. b. peanut butter. c. carrots. d. juice. e. spinach.

ANSWER: a POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:39 PM DATE MODIFIED: 12/7/2023 11:41 PM 54. Which of the following factors increases fluid requirements for toddlers and preschoolers? a. fever b. fluoride deficiency Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 c. nausea d. increased protein intake e. increased iron intake ANSWER: a POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:41 PM DATE MODIFIED: 12/7/2023 11:42 PM 55. The mission of the _____ program is to promote and improve the health, education, and well-being of infants, children, adolescents, families, and communities. a. Head Start b. SNAP c. Bright Futures d. WIC e. FMNP ANSWER: c POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.8 - Identify the basic premise upon which Bright Futures Nutrition is based.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:43 PM DATE MODIFIED: 12/7/2023 11:44 PM 56. A length board with a fixed headboard and a movable foot board is used to measure the _____ of a toddler. a. approximate height b. fine motor skills c. gross motor skills d. recumbent length e. innate posture ANSWER: d POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, Copyright Cengage Learning. Powered by Cognero.

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Chapter 10

KEYWORDS: DATE CREATED: DATE MODIFIED:

overweight, or children with obesity.

Bloom's: Remember 12/7/2023 11:45 PM 12/7/2023 11:46 PM

57. Which of the following foods is a good source of the essential fatty acid linoleic acid? a. yogurt b. sunflower oil c. zucchini d. lentils e. white rice ANSWER: b POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:46 PM DATE MODIFIED: 12/7/2023 11:47 PM 58. The new Extended Body Mass Index for age growth chart for boys and girls aged two to twenty years is used for those with a BMI up to _____kg/m2. a. 40 b. 50 c. 60 d. 70 e. 80 ANSWER: c POINTS: 1 REFERENCES: Normal Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.2 - Identify the screening tool used for assessing underweight, overweight, or children with obesity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:48 PM DATE MODIFIED: 12/7/2023 11:49 PM 59. The goal of _____ is to increase the readiness for school of children from economically disadvantaged families. a. SNAP b. WIC c. FMNP Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 d. Head Start e. Bright Futures ANSWER: d POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.9 - Identify one public food or nutrition program that provides services to young children and describe the program's strategies in improving the nutrition of young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:49 PM DATE MODIFIED: 12/7/2023 11:55 PM 60. Iron-deficiency anemia is more common among low-income children and _____ children. a. Black American and Latinx b. Black American and White American c. Latinx and White American d. Black American and Native American e. Latinx and Native American ANSWER: a POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.10.5 - Identify one common nutritional problem of young children and describe prevention strategies.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 11:57 PM DATE MODIFIED: 12/7/2023 11:58 PM 61. Danuta is now starting to scribble on paper at home. This use of her small muscle groups is a: a. communicative skill. b. gross motor skill. c. cognitive function skill. d. intelligence quotient. e. fine motor skill.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:07 AM DATE MODIFIED: 12/8/2023 12:08 AM 62. Danuta starting walking alone. This use of her large muscle groups is a: Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 a. communicative skill. b. gross motor skill. c. cognitive function skill. d. intelligence quotient. e. fine motor skill.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:08 AM DATE MODIFIED: 12/8/2023 12:09 AM 63. Growth velocity is defined as: a. rate of weight loss in one year. b. prepubescent height. c. weight in kilograms divided by the square of height in meters (kg/m2). d. weight gain in one year. e. the rate of growth over time.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:09 AM DATE MODIFIED: 12/8/2023 12:11 AM 64. Wyatt will be starting kindergarten next year. By definition, he is: a. a teenager. b. an adolescent. c. a toddler. d. an infant. e. a preschooler.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:13 AM DATE MODIFIED: 12/8/2023 12:14 AM 65. Hakeem is two years old. By definition, Hakeem is: a. a teenager. b. an adolescent. c. a toddler. d. an infant. e. a preschooler.

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Chapter 10 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:14 AM DATE MODIFIED: 12/8/2023 12:15 AM 66. Body mass index is defined as: a. the measurement of a child who is lying down using a length board with a fixed headboard and a movable foot board. b. the body composition of a preschool-age child. c. the weight of a preschool-age child. d. the standing height of a preschool-age child. e. weight in kilograms divided by the square of height in meters (kg/m2).

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:15 AM DATE MODIFIED: 12/8/2023 12:16 AM 67. Recumbent length is defined as: a. the measurement of a child who is lying down using a length board with a fixed headboard and a movable foot board. b. the body composition of a preschool-age child. c. the weight of a preschool-age child. d. the standing height of a preschool-age child. e. weight in kilograms divided by the square of height in meters (kg/m2).

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:17 AM DATE MODIFIED: 12/8/2023 12:18 AM 68. Stature is defined as: a. the measurement of a child who is lying down using a length board with a fixed headboard and a movable foot board. b. the body composition of a preschool-age child. c. the weight of a preschool-age child. d. the standing height of a preschool-age child. e. weight in kilograms divided by the square of height in meters (kg/m2).

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 HAS VARIABLES: False DATE CREATED: 12/8/2023 12:18 AM DATE MODIFIED: 12/8/2023 12:19 AM 69. Beverages or food such as yogurt in which the energy/macronutrient content has been varied by the use of various carbohydrate and fat sources are referred to as: a. macrobiotics. b. postloads. c. preloads. d. healthy foods. e. unhealthy foods.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:20 AM DATE MODIFIED: 12/8/2023 12:21 AM 70. Quantitative estimates of nutrient intakes used as reference values for assessing the diets of healthy people are referred to as: a. recommended dietary allowances. b. dietary reference intakes. c. estimated average intake levels. d. tolerable upper intake levels. e. adequate intake levels.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:21 AM DATE MODIFIED: 12/8/2023 12:22 AM 71. The average daily dietary intake levels sufficient to meet the nutrient requirements of nearly all (97-98%) healthy individuals in a population group are referred to as: a. recommended dietary allowances. b. dietary reference intakes. c. estimated average intake levels. d. tolerable upper intake levels. e. adequate intake levels.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:22 AM DATE MODIFIED: 12/8/2023 12:23 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 72. A reduction below normal in the number of red blood cells per cubic mm in the quantity of hemoglobin leads to: a. malnutrition. b. fluorosis. c. high cholesterol. d. hyperglycemia. e. anemia.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:24 AM DATE MODIFIED: 12/8/2023 12:24 AM 73. The permanent white or brownish staining of the enamel of teeth might be caused by: a. malnutrition. b. fluorosis. c. high cholesterol. d. hyperglycemia. e. anemia.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:25 AM DATE MODIFIED: 12/8/2023 12:26 AM 74. Venya hears his parents discussing challenges with having enough money to buy nutritious foods by the end of each month. Venya’s family might be facing: a. food insecurity. b. food security. c. poverty. d. malnutrition. e. cardiovascular disease.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:26 AM DATE MODIFIED: 12/8/2023 12:27 AM 75. Michael is four years old and has two filled tooth surfaces in his primary teeth. Michael has: a. late childhood caries. b. early childhood caries. c. vitamin D deficiency.

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Chapter 10 d. fluorosis. e. fluoride deficiency.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:27 AM DATE MODIFIED: 12/8/2023 12:28 AM 76. A protein that is the oxygen-carrying component of red blood cells is referred to as: a. LDL. b. amino acid. c. vitamin C. d. albumin. e. hemoglobin.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:31 AM DATE MODIFIED: 12/8/2023 12:32 AM 77. Hemolytic uremic syndrome is defined as: a. a reduction below normal in the number of red blood cells per cubic mm in the quantity of hemoglobin. b. narrowing of the coronary arteries that reduce the flow of blood to the heart. c. a condition that runs in families and results in high levels of serum cholesterol and other. d. a serious and sometimes fatal complication associated with illness caused by E. coli 0157:H7. e. the permanent staining of the enamel of teeth caused by excessive ingestion of fluoride before teeth have erupted.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:32 AM DATE MODIFIED: 12/8/2023 12:35 AM 78. Atherosclerosis is defined as: a. a reduction below normal in the number of red blood cells per cubic mm in the quantity of hemoglobin. b. narrowing of the coronary arteries that reduce the flow of blood to the heart. c. a condition that runs in families and results in high levels of serum cholesterol and other. d. a serious and sometimes fatal complication associated with illness caused by E. coli 0157:H7. e. the permanent staining of the enamel of teeth caused by excessive ingestion of fluoride before teeth have erupted.

ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:34 AM DATE MODIFIED: 12/8/2023 12:35 AM 79. A child with a BMI-for-age greater than or equal to the 95th percentile is classified as: a. underweight. b. overweight. c. obese. d. normal weight. e. BMI is not used to define childhood weight status.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:35 AM DATE MODIFIED: 12/8/2023 12:36 AM 80. Which of the following definitions accurately defines familial hyperlipidemia? a. a reduction below normal in the number of red blood cells per cubic mm in the quantity of hemoglobin b. narrowing of the coronary arteries that reduce the flow of blood to the heart c. a condition that runs in families and results in high levels of serum cholesterol and other d. a serious and sometimes fatal complication associated with illness caused by E. coli 0157:H7 e. the permanent staining of the enamel of teeth caused by excessive ingestion of fluoride before teeth have erupted ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:36 AM DATE MODIFIED: 12/8/2023 12:41 AM 81. The highest level of daily nutrient intake that is likely to pose no risk of adverse health effects to almost all individuals in a general population are called: a. recommended dietary allowances. b. dietary reference intakes. c. estimated average intake levels. d. tolerable upper intake levels. e. adequate intake levels.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 DATE CREATED: 12/8/2023 12:41 AM DATE MODIFIED: 12/8/2023 12:42 AM 82. The low-density lipoprotein cholesterol that is most associated with atherosclerotic disease is called: a. good cholesterol. b. total cholesterol. c. HDL cholesterol. d. LDL cholesterol. e. VLDL cholesterol.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:43 AM DATE MODIFIED: 12/8/2023 12:43 AM 83. Fatty acids that have unusual shapes resulting from the hydrogenation of polyunsaturated fatty acids are called: a. trans fatty acids. b. essential fatty acids. c. saturated fatty acids. d. unsaturated fatty acids. e. short chain fatty acids.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:44 AM DATE MODIFIED: 12/8/2023 12:45 AM 84. The most restrictive of vegetarian diets that allows only plant foods is called a: a. typical American diet. b. macrobiotic diet. c. omnivore diet. d. pescetarian diet. e. vegan diet.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:45 AM DATE MODIFIED: 12/8/2023 12:45 AM 85. A diet that falls between semivegetarian and vegan diets and includes foods such as brown rice, other grains, vegetables, fish, dried beans, spices, and fruits is called a: a. typical American diet.

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Chapter 10 b. macrobiotic diet. c. omnivore diet. d. pescetarian diet. e. FODMAP diet.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 12:46 AM DATE MODIFIED: 12/8/2023 12:46 AM 86. The father of a preschool-age child is worried that his daughter is not getting enough calcium. He would like to know the effects of low calcium intake, current recommendations regarding calcium intake, and good sources of calcium for his daughter. As the school nurse, what would you tell him?

ANSWER: Adequate calcium intake in childhood affects peak bone mass. A high peak bone mass is thought to be protective against osteoporosis and fractures later in life. The DRIs for calcium intake is 700 mg/day for children aged one to three years and 1000 mg/day for children aged four to eight years. Dairy products are good sources of calcium, as are canned fish with soft bones such as sardines, dark green leafy vegetables such as kale and bok choy, tofu made with calcium, and calcium-fortified foods and beverages such as calcium-fortified orange juice. Nonfat and low-fat dairy products are low in saturated fat while still serving as a good source of calcium.

POINTS: 1 REFERENCES: Dietary and Physical Activity Recommendations QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.10.7 - Describe the components of a healthy diet for young children as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 12:47 AM DATE MODIFIED: 12/8/2023 12:48 AM 87. Describe the recommendations from the American Dental Association and the American Academy of Pediatric Dentistry regarding dosing strategies and sources of fluoride for children.

ANSWER: Water and toothpaste are two sources of fluoride. Fluoride supplementation is based on the child’s age and the fluoride content of the local water supply. Children ages six months to three years need 0.25 mg per day if their local water supply has less than 0.3 ppm of fluoride.

Children aged three to six years need 0.5 mg per day, but only 0.25 if the local water has 0.30.6 ppm of fluoride.

POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.10.6 - Define children who are overweight or those with obesity.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 10 DATE CREATED: DATE MODIFIED:

12/8/2023 12:48 AM 12/8/2023 12:49 AM

88. Based on the results of various studies discussed in Chapter 10, discuss some of the practical applications of childfeeding research.

ANSWER: Examples include: ● Parents should respond appropriately to children's hunger and satiety signals. ● Parents should focus on the long-term goal of developing healthy self-controls of eating in children and should look beyond their concerns regarding composition and quantity of foods children consume or fears that children may eat too much and become overweight. ● Parents should not attempt to control children’s food intakes by attaching contingencies ("No dessert until you finish your rutabagas") and coercive practices ("Clean your plate, children in Bangladesh are starving"). ● Parents should be cautioned not to severely restrict "junk foods," foods high in fat and sugar, as that may make these foods even more desirable to the child. ● Parental influence should be positively focused on the child developing food preferences and selection patterns of a variety of foods consistent with a healthy diet. Parental modeling of eating a varied diet at family mealtime will have a strong influence on children. ● Children have an unlearned preference for sweet and slightly salty tastes; they tend to dislike bitter, sour, and spicy foods. ● Children tend to be wary of new foods and tastes, and it may take repeated exposures to new foods before these are accepted. ● Children need to be served appropriate child-sized servings of food. ● Child feeding experiences should take place in secure, happy, and positive environments with adult supervision. ● Children should never be forced to eat anything.

POINTS: 1 REFERENCES: Physiological and Cognitive Development QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.10.3 - Describe two strategies that parents/caretakers can employ to encourage toddlers/preschoolers to accept a variety of foods in their diets.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 12:49 AM DATE MODIFIED: 12/8/2023 12:51 AM

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Chapter 11 1. Families of chronically ill children tend to offer juices and lower-nutrient beverages in an effort to achieve growth when eating is difficult. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:47 AM DATE MODIFIED: 12/7/2023 7:48 AM 2. Chronic condition and disability mean the same thing in referring to toddlers and preschoolers. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Who Are Children with Special Health-care Needs?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.1 - Differentiate the similarities and differences in young children with and without special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:49 AM DATE MODIFIED: 12/7/2023 7:50 AM 3. Bronchopulmonary dysplasia is thought to be the consequence of childhood asthma. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 7:51 AM DATE MODIFIED: 12/7/2023 8:02 AM 4. The use of dietary supplements is lower in healthy children than in children suffering from chronic conditions. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.7 - Describe the concerns with the use of dietary and herbal remedies in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:03 AM DATE MODIFIED: 12/7/2023 8:03 AM 5. It is important to encourage care providers to discuss over-the-counter products of interest with a health professional before giving them to young children. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.7 - Describe the concerns with the use of dietary and herbal remedies in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:04 AM DATE MODIFIED: 12/7/2023 8:04 AM 6. The recommendations for typical children concerning dietary fiber, prevention of lead poisoning, and iron-deficiency anemia usually apply to children at risk or already diagnosed with special health-care needs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:16 AM DATE MODIFIED: 12/7/2023 8:16 AM 7. A gluten-free diet is recommended for children with autism spectrum disorders. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 ANSWER: False POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:17 AM DATE MODIFIED: 12/7/2023 8:17 AM 8. Meningitis can be either a viral or a bacterial infection. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:18 AM DATE MODIFIED: 12/7/2023 8:18 AM 9. If a child is allergic to eggs, it is not necessary to avoid foods that have eggs in them as long as they have been cooked. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:20 AM DATE MODIFIED: 12/7/2023 8:20 AM 10. Allergy symptoms associated with cow's milk protein allergy in the toddler and preschool years may include asthma or skin rashes. a. True b. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:21 AM DATE MODIFIED: 12/7/2023 8:21 AM 11. The criteria used for identifying disabilities in adults can also be used to assess children. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Who Are Children with Special Health-care Needs?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.1 - Differentiate the similarities and differences in young children with and without special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:32 AM DATE MODIFIED: 12/7/2023 8:33 AM 12. Specific nutrients, combinations of nutrients, and certain herbal remedies have been shown to improve the intellectual functioning of individuals with Down syndrome. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.7 - Describe the concerns with the use of dietary and herbal remedies in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 8:34 AM DATE MODIFIED: 12/7/2023 8:34 AM 13. Registered dietitian nutritionists with training in pediatrics are best qualified to provide nutrition therapy to toddlers and preschool children with chronic conditions. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Sources of Nutrition Services Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.8 - Explain how families access community and regional resources that provide nutrition services for toddlers and preschoolers with chronic health problems.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:34 AM DATE MODIFIED: 12/7/2023 8:35 AM 14. Food allergies are usually identified at birth. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:35 AM DATE MODIFIED: 12/7/2023 8:36 AM 15. Most children are diagnosed with cerebral palsy by six to eight years of age. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 8:37 AM DATE MODIFIED: 12/7/2023 8:37 AM 16. It is more common in children with special health-care needs to refuse to eat solid foods and to prefer to drink fluids. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are Copyright Cengage Learning. Powered by Cognero.

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Chapter 11

KEYWORDS: DATE CREATED: DATE MODIFIED:

included in nutrition assessments and interventions.

Bloom's: Understand 12/7/2023 9:12 AM 12/7/2023 9:13 AM

17. Toddlers and preschoolers with chronic conditions are at greater risk for food-contamination problems. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:19 AM DATE MODIFIED: 12/7/2023 9:19 AM 18. Renal disease is a chronic condition in which a child has low energy needs. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:20 AM DATE MODIFIED: 12/7/2023 9:20 AM 19. The more premature an infant is, the more likely they will develop CP. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/7/2023 9:21 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 DATE MODIFIED:

12/7/2023 9:21 AM

20. Children with special health-care needs often have conditions that affect growth even when adequate nutrients are provided. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/7/2023 9:22 AM DATE MODIFIED: 12/7/2023 9:22 AM 21. Which of the following percentages of children with disabilities are estimated to have some type of nutrition problem? a. 20% b. 40% c. 90% d. 100% e. 80% ANSWER: c POINTS: 1 REFERENCES: Who Are Children with Special Health-care Needs?

QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.1 - Differentiate the similarities and differences in young children with and without special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:40 AM DATE MODIFIED: 12/8/2023 4:41 AM 22. Prader-Willi syndrome interferes with muscle development, cognition, and: a. pulmonary function. b. vision. c. control of appetite. d. auditory acuity. e. kidney function.

ANSWER: c POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:42 AM DATE MODIFIED: 12/8/2023 4:43 AM 23. Which of the following conditions may occur due to decreased head growth? a. intellectual disabilities b. meningitis c. attention deficit hyperactivity disorder d. neuromuscular disorders e. bronchopulmonary dysplasia ANSWER: a POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:45 AM DATE MODIFIED: 12/8/2023 4:46 AM 24. Which of the following conditions is generally associated with higher energy needs? a. bronchopulmonary dysplasia b. Down syndrome c. Prader-Willi syndrome d. spina bifida e. nonambulatory children with diplegia ANSWER: a POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:47 AM DATE MODIFIED: 12/8/2023 4:47 AM 25. Overweight and obesity are commonly found with: a. cystic fibrosis. b. renal disease. c. Down syndrome. d. pediatric AIDS. Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 e. bronchopulmonary dysplasia.

ANSWER: c POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:50 AM DATE MODIFIED: 12/8/2023 4:51 AM 26. ADHD is primarily diagnosed during: a. adulthood. b. infancy. c. toddler years. d. preschool years. e. school years.

ANSWER: e POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:52 AM DATE MODIFIED: 12/8/2023 4:53 AM 27. Toddlers and preschoolers with chronic conditions are at greater risk for food-contamination problems. Which of the following factors is associated with this increased risk? a. consuming whole, unprocessed foods b. liquid oral supplements are refrigerated after opening c. disposable equipment is used longer than indicated d. feeding tube supplies are cleaned as instructed e. feeding tube supplies are replaced as instructed ANSWER: c POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 DATE CREATED: DATE MODIFIED:

12/8/2023 4:53 AM 12/8/2023 4:54 AM

28. Children unable to consume all of their nutritional needs by mouth may require: a. a high protein, high calorie diet. b. small, frequent meals. c. enteral nutrition. d. parenteral nutrition. e. oral nutrition supplements.

ANSWER: c POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 4:55 AM DATE MODIFIED: 12/8/2023 4:57 AM 29. Which of the following conditions is characterized by a reduced rate of head growth beginning in the toddler years? a. Prader-Willi syndrome b. Rett syndrome c. cerebral palsy d. Wiedemann-Beckwith syndrome e. Down syndrome ANSWER: b POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:00 AM DATE MODIFIED: 12/8/2023 5:06 AM 30. Which of the following statements regarding Rett syndrome is true? a. There is no connection between head circumference and Rett syndrome. b. Rett syndrome is a common neurological condition. c. Rett syndrome is more commonly diagnosed in boys. d. Rett syndrome is associated with an extra copy of chromosome 21. e. Rett syndrome is associated with intellectual disabilities.

ANSWER: e Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:07 AM DATE MODIFIED: 12/8/2023 5:08 AM 31. Which of the following problems is a consequence of meningitis? a. inability to talk b. blindness c. short attention span d. involuntary muscle movement e. inability to breathe ANSWER: b POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:09 AM DATE MODIFIED: 12/8/2023 5:11 AM 32. Celia has special health-care needs and lives at home with her parents. The pediatrician notes that Celia has missed many ambulatory care appointments and has not completed the abdominal X-ray that was ordered six months prior.

Which of the following statements describes the main medical concern of the pediatrician related to Celia’s care at home? a. The pediatrician does not have any medical concerns. b. Celia may be experiencing medical neglect. c. Celia may be food insecure. d. Celia may be experiencing failure to thrive. e. Celia is at risk for anaphylaxis.

ANSWER: b POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:13 AM DATE MODIFIED: 12/8/2023 5:14 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 33. Mealtime behavioral problems and food refusals are common in children with: a. behavior and attention disorders. b. spastic quadriplegia. c. Sotos syndrome. d. intellectual disabilities. e. work of breathing.

ANSWER: a POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:15 AM DATE MODIFIED: 12/8/2023 5:16 AM 34. Which of the following conditions is least likely to be a concern in the toddler and preschool age range when there is a medical history of a preterm birth? a. FTT b. underweight c. BPD d. obesity e. CP ANSWER: d POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:17 AM DATE MODIFIED: 12/8/2023 5:19 AM 35. Last year, Russell dropped two major percentile lines on the weight for age growth chart. This year, Russell was growing at a faster rate compared to his peers. Which of the following statements related to Russell’s growth is likely true? a. Energy should be restricted, or Russell will develop obesity. b. There is likely an error in the documentation of height and weight. c. Russell is experiencing energy restriction. d. Russell has failure to thrive. e. Russell is experiencing catch-up growth.

ANSWER: e Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 5:34 AM DATE MODIFIED: 12/8/2023 5:35 AM 36. Those with celiac disease must avoid wheat, rye, and barley since these grains all contain a protein called: a. histamine. b. tryptophan. c. glutamine. d. gluten. e. isoleucine.

ANSWER: d POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:37 AM DATE MODIFIED: 12/8/2023 5:39 AM 37. Which of the following conditions is generally associated with lower energy needs? a. pediatric AIDS b. bronchopulmonary dysplasia c. cystic fibrosis d. nonambulatory children with short stature e. ambulatory children with diplegia ANSWER: d POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 5:47 AM DATE MODIFIED: 12/8/2023 5:48 AM 38. Rett syndrome results in severe neurological delays that cause children to be short, be thin-appearing, and: Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 a. to have a short attention span. b. to be blind. c. to have low impulse control. d. to have a high level of overall activity. e. to be unable to talk.

ANSWER: e POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.3 - Recognize approaches for completing a growth assessment in young children with special health-care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 5:49 AM DATE MODIFIED: 12/8/2023 5:51 AM 39. A seven-year-old with low impulse control, short attention span, and a high level of overall activity may be diagnosed with which of the following conditions? a. attention deficit hyperactivity disorder b. Rett syndrome c. Prader-Willi syndrome d. spastic quadriplegia e. autism spectrum disorder ANSWER: a POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/8/2023 5:52 AM DATE MODIFIED: 12/8/2023 6:12 AM 40. The most likely cause of toddler diarrhea in an otherwise healthy child is: a. intake of vegetables. b. excessive intake of fat. c. consumption of eggs. d. excessive intake of juices that contain sucrose or sorbitol. e. switching from whole milk to low-fat milk.

ANSWER: d POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:13 AM DATE MODIFIED: 12/8/2023 6:14 AM 41. Difficulty with voluntary or involuntary control of muscle movement is characteristic of: a. neuromuscular disorder b. autism spectrum disorder c. meningitis d. attention deficit hyperactivity disorder e. Rett syndrome ANSWER: a POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 6:14 AM DATE MODIFIED: 12/8/2023 6:15 AM 42. A child with _____ may experience difficulty sitting upright for a meal and self-feeding with a spoon. a. hypertonia b. HIV infection c. asthma d. ADHD e. Down syndrome ANSWER: a POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:16 AM DATE MODIFIED: 12/8/2023 6:17 AM 43. Children with celiac disease should exclude _____ from their diet. a. potatoes b. beans c. bread Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 d. apples e. pork ANSWER: c POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:25 AM DATE MODIFIED: 12/8/2023 6:26 AM 44. There is an increased incidence of _____ in children with asthma. a. diabetes b. overweight and obesity c. gluten intolerance d. osteoporosis e. spastic quadriplegia ANSWER: b POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 6:27 AM DATE MODIFIED: 12/8/2023 6:29 AM 45. Which of the following foods would be an inappropriate choice to feed a child with spastic quadriplegia? a. bagels b. steamed or cooked broccoli c. apple sauce d. cottage cheese e. oatmeal ANSWER: a POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 DATE CREATED: DATE MODIFIED:

12/8/2023 6:29 AM 12/8/2023 6:30 AM

46. For a child with cerebral palsy, nutrition services start with: a. interpretation of growth patterns. b. an assessment of daily food and nutrient intake. c. nutrition assessments that include body composition indexes, such as fat and muscle stores. d. estimates of the level of physical activity. e. an assessment of the safety of dietary supplements and prescriptions.

ANSWER: c POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 6:31 AM DATE MODIFIED: 12/8/2023 6:32 AM 47. An increase in the work of breathing contributes to: a. a decline in chewing muscle coordination. b. a decline in the interest of eating. c. excessive fluid intake. d. an accelerated growth rate. e. an increase in nutritional needs.

ANSWER: e POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:33 AM DATE MODIFIED: 12/8/2023 6:35 AM 48. Unrepaired lung damage that occurs to a premature infant who receives supplemental oxygen and ventilator support in a neonatal intensive care unit causes: a. spastic quadriplegia b. bronchopulmonary dysplasia c. Prader-Willi syndrome d. asthma e. anaphylaxis ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:36 AM DATE MODIFIED: 12/8/2023 6:37 AM 49. True food allergies are estimated to be present in _____ of children. a. <1% b. 2-8% c. 10-15% d. 17-23% e. 25-30% ANSWER: b POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:38 AM DATE MODIFIED: 12/8/2023 6:40 AM 50. Consumption of tree nuts by a child who is allergic to them can result in a life-threatening episode of: a. bronchopulmonary dysplasia. b. asthma. c. anaphylaxis. d. involuntary muscle movement. e. anemia.

ANSWER: c POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 6:42 AM DATE MODIFIED: 12/8/2023 6:44 AM 51. Other food allergies are often present in a child with confirmed cow's milk protein allergy. For example, nearly half of Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 the children with confirmed cow's milk protein allergy also have a reaction to: a. soy milk. b. eggs. c. pasta. d. peanuts. e. shellfish.

ANSWER: a POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 6:50 AM DATE MODIFIED: 12/8/2023 6:51 AM 52. Children at risk for anaphylaxis should carry an injectable pen containing: a. norepinephrine. b. epinephrine. c. dopamine. d. chlorphenamine. e. pseudoephedrine.

ANSWER: b POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:52 AM DATE MODIFIED: 12/8/2023 6:53 AM 53. Proper nutrition and growth is essential for toddlers and preschoolers with bronchopulmonary dysplasia as new lung tissue can grow until about _____ years of age. a. 5 b. 6 c. 8 d. 9 e. 10 ANSWER: e POINTS: 1 REFERENCES: Nutrition-Related Conditions Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 6:54 AM DATE MODIFIED: 12/8/2023 7:01 AM 54. With respect to nutrition guidance, specific blood iron testing with interpretations that differ from the usual guidelines is recommended for children with: a. celiac disease. b. sickle-cell disease. c. Rett syndrome. d. neural tube defects. e. Prader-Willi syndrome.

ANSWER: b POINTS: 1 REFERENCES: Nutrition Needs of Toddlers and Preschoolers with Chronic Conditions QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.2 - Identify the more common nutrition problems in young children with special health-care needs that result from chronic health conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/8/2023 7:04 AM DATE MODIFIED: 12/8/2023 7:05 AM 55. Which of the following foods is least likely to be a food safety concern? a. canned vegetables b. opened container of oral nutrition supplements c. undercooked beef d. unpasteurized cheese e. infant formula left open at room temperature ANSWER: a POINTS: 1 REFERENCES: Feeding Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.11.4 - Describe how feeding difficulties in preschoolers and toddlers are included in nutrition assessments and interventions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 7:06 AM DATE MODIFIED: 12/8/2023 7:06 AM 56. A general term for infants and children with, or at risk for, physical or developmental disabilities or chronic medical conditions from genetic or metabolic disorders, birth defects, premature births, trauma, infection, or prenatal exposure to Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 drugs are considered: a. to have attention deficit hyperactivity disorder. b. to be chronically ill. c. to be children with special health-care needs. d. to be intellectually disabled. e. to be acutely ill.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:08 AM DATE MODIFIED: 12/8/2023 7:11 AM 57. Conditions such as Down syndrome, celiac disease, and Rett syndrome are considered disorders of health or development that is the usual state for an individual, are unlikely to change, and are classified as: a. acute conditions b. chronic conditions c. temporary conditions d. terminal conditions e. palliative conditions ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:11 AM DATE MODIFIED: 12/8/2023 7:12 AM 58. Early intervention services are federally mandated evaluation and therapy services for children in the age range from birth to three years. This legislation is within: a. the Maternal and Child Health Bureau. b. Women, Infants and Children (WIC). c. Leadership Education in Neurodevelopmental and Related Disabilities (LEND). d. the Individuals with Disabilities Education Act (IDEA). e. the Medical Home Act. ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:12 AM DATE MODIFIED: 12/8/2023 7:14 AM 59. A condition in which partial deletion of chromosome 15 interferes with control of appetite, muscle development, and cognition is defined as: a. an intellectual disability. b. Down syndrome.

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Chapter 11 c. Rett syndrome. d. Prader-Willi syndrome. e. an autism spectrum disorder.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:14 AM DATE MODIFIED: 12/8/2023 7:14 AM 60. Conditions related to the lungs and their movement of air for exchange of carbon dioxide and oxygen are described as: a. pulmonary conditions. b. renal conditions. c. cardiac conditions. d. gastrointestinal conditions. e. immunologic conditions.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:15 AM DATE MODIFIED: 12/8/2023 7:15 AM 61. Meningitis is likely to cause a range of long-term consequences in infancy. Meningitis is caused by: a. a chromosomal abnormality. b. a viral or bacterial infection in the central nervous system. c. a parasitic infection. d. a traumatic brain injury. e. a side effect from an herbal remedy.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:18 AM DATE MODIFIED: 12/8/2023 7:19 AM 62. A condition in which a genetic change on the X chromosome results in severe neurological delays is referred to as: a. an attention deficit hyperactivity disorder. b. an autism spectrum disorder. c. hypertonia. d. an intellectual disability. e. Rett syndrome.

ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:19 AM DATE MODIFIED: 12/8/2023 7:20 AM 63. Jordan is a ten-year old who has a below-average intelligence level and problems adapting to the environment. Jordan is likely experiencing: a. an attention deficit hyperactivity disorder. b. an autism spectrum disorder. c. asthma. d. an intellectual disability. e. hypertonia.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:20 AM DATE MODIFIED: 12/8/2023 7:22 AM 64. Ryan’s teacher describes him as having low impulse control and short attention span. Which of the following conditions may represent Ryan’s difficulties? a. attention deficit hyperactivity disorder b. autism spectrum disorder c. asthma d. intellectual disability e. hypertonia ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:23 AM DATE MODIFIED: 12/8/2023 7:24 AM 65. A model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety is referred to as a: a. medical nutrition therapy. b. model care. c. personalized health. d. medical home. e. network.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 7:24 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 DATE MODIFIED: 12/8/2023 7:25 AM 66. A condition characterized by high muscle tone, stiffness, or spasticity is defined as: a. hypertonia. b. hypotonia. c. quadriplegia. d. anaphylaxis. e. asthma.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:07 AM DATE MODIFIED: 12/8/2023 8:11 AM 67. The physical therapist documents that Nathan has low muscle tone and weakness. Nathan is likely experiencing: a. hypertonia. b. hypotonia. c. quadriplegia. d. anaphylaxis. e. asthma.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:11 AM DATE MODIFIED: 12/8/2023 8:12 AM 68. Which of the following terms defines a group of developmental disorders characterized by deficits in communication, social interaction, and behaviors that meet diagnostic criteria in standardized testing, with onset generally before age three? a. autism spectrum disorder b. meningitis c. Rett syndrome d. cystic fibrosis e. spina bifida ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:12 AM DATE MODIFIED: 12/8/2023 8:13 AM 69. A condition in which the lungs are unable to exchange air due to lack of expansion of air sacs is: a. hyperventilation.

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Chapter 11 b. asthma. c. cystic fibrosis. d. hypoventilation. e. anaphylaxis.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:13 AM DATE MODIFIED: 12/8/2023 8:14 AM 70. Damage that occurs to underdeveloped lungs, which results in breathing that requires extra effort is termed: a. Rett syndrome. b. renal disease. c. pediatric AIDS. d. bronchopulmonary dysplasia. e. pneumonia.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:14 AM DATE MODIFIED: 12/8/2023 8:15 AM 71. Cameron’s weight for age is measured at the 4th percentile during his six-month check-up and nine-month check-up.

Cameron is likely experiencing: a. medical neglect. b. absenteeism. c. failure to thrive. d. work of breathing. e. child endangerment.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:15 AM DATE MODIFIED: 12/8/2023 8:16 AM 72. Failure of a parent or caretaker to seek, obtain, and follow through with a complete diagnostic study or medical, dental, or mental health treatment for a health problem, symptom, or condition that, if untreated, could become severe enough to present a danger to the child is referred to as: a. medical neglect. b. absenteeism. c. failure to thrive.

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Chapter 11 d. work of breathing. e. child endangerment.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:16 AM DATE MODIFIED: 12/8/2023 8:17 AM 73. A form of cerebral palsy in which brain damage interferes with voluntary muscle control in both arms and legs is called: a. autism spectrum disorder. b. paraplegia. c. spastic quadriplegia. d. failure to thrive. e. hypotonia.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:17 AM DATE MODIFIED: 12/8/2023 8:18 AM 74. Work of breathing (WOB) is defined as: a. a condition characterized by rapid ventilation induced from exercise. b. a common term to describe respiration. c. a condition in which the lungs are unable to exchange air due to lack of expansion of air sacs. d. a common term used to express extra respiratory effort in a variety of pulmonary conditions. e. the sudden onset of a reaction with mild to severe symptoms, including a decreased ability to breathe.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:18 AM DATE MODIFIED: 12/8/2023 8:19 AM 75. The sudden onset of a reaction with mild to severe symptoms, including a decreased ability to breathe is referred to as: a. work of breathing. b. asthma. c. failure to thrive. d. hives. e. anaphylaxis.

ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 11 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/8/2023 8:19 AM DATE MODIFIED: 12/8/2023 8:21 AM 76. A registered dietitian working for the early intervention program meets a family whose first baby was born with Down syndrome. They have been feeding their infant St. John's wort, an herbal remedy they feel will cure or improve the mental functioning of their child. What would be important information for the dietitian to provide to counsel and teach the family?

ANSWER: Down syndrome is a disorder for which nutritional supplementation has been marketed to parents. No specific nutrients, combinations of nutrients, or herbal remedies have been shown to improve the intellectual functioning of individuals with Down syndrome. The National Down Syndrome Society (www.ndss.org) cautions parents about the ineffectiveness of nutrient and herbal supplements and discourages their use, but interest continues. It is important for care providers to be encouraged to discuss with a trusted health professional whatever supplements or over-the-counter products are of interest before giving them to young children.

POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.11.7 - Describe the concerns with the use of dietary and herbal remedies in young children with special health-care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 8:22 AM DATE MODIFIED: 12/8/2023 8:22 AM 77. A toddler with a possible failure to thrive (FTT) diagnosis is brought into a high-risk clinic. What degree of growth decline is an objective growth measure for defining FTT? Identify the medical or environmental factors that may cause FTT. ANSWER: Generally, FTT is defined as a weight for age that falls below the 5th percentile on multiple occasions or weight deceleration that crosses two major percentile lines on a growth chart.

FTT may result from a complex interplay of medical and environmental factors. These factors might be digestive problems such as gastrointestinal reflux or celiac disease, asthma or breathing problems, neurological conditions such as seizures, and pediatric AIDS. POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 8:35 AM DATE MODIFIED: 12/8/2023 8:35 AM

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Chapter 11 78. How is celiac disease confirmed? Develop a list of foods a parent would need to avoid and foods that are acceptable if their child has celiac disease. Make sure to include "hidden" sources of gluten that might be found on food labels.

ANSWER: Celiac disease is confirmed after a biopsy is taken during an endoscopy. Correlation with endoscopy findings and serum antibody tests allow a confirmation of disease. Nutrition intervention is based on modifying food and nutrient intake with a complete restriction of any foods with gluten and avoiding cross-contamination. Gluten is found in wheat, barley, or rye that is used to make common foods such as bread, cereal, and pasta. Additionally, any foods that have come in contact with wheat, rye, or barley may be contaminated with gluten which will elicit an immune response. The allowed foods include rice, soy, corn, gluten-free oats, and potato flours. Meats, fruits, and vegetables are not restricted, but many processed foods use wheat flour for thickening.

POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 8:36 AM DATE MODIFIED: 12/8/2023 8:37 AM 79. What are the food and nutrient intake recommendations for toddlers with bronchopulmonary dysplasia (BPD)? Give specific food and meal pattern suggestions.

ANSWER: Food and nutrient intake recommendations for toddlers with BPD are similar to those for children with muscular weakness. Small, frequent meals with foods that are concentrated energy sources are needed. Easy-to-eat foods may still be recommended so that fatigue from meals is low. If the toddler with breathing problems does not gain weight as a result of dietary interventions, the next step would be to add homemade or commercially prepared nutritional supplements to meet the higher energy and protein needs. These supplements, such as Pediasure® or KinderCal®, are designed to meet the needs of children ages one to ten years. They are also a source of vitamins and minerals. Proper nutrition and growth is essential for toddlers and preschoolers with BPD, as new lung tissue can grow until about eight years of age. This lung growth allows for the resolution of BPD. POINTS: 1 REFERENCES: Nutrition-Related Conditions QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.11.5 - Identify conditions in young children with special needs in which nutrition services are a part of medical management.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 8:38 AM DATE MODIFIED: 12/8/2023 8:38 AM 80. Compare and contrast food allergy versus food intolerance. List examples of food allergies that may result in anaphylaxis for some children.

ANSWER: A true food allergy is a response by the body's immune system to a food or food additive.

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Chapter 11 True food allergies are estimated to be present in 2% to 8% of children. Food allergies are usually identified in toddlers and preschoolers as allergy testing in infancy is not useful due to the incomplete development of the immune system. True food allergies can result in lifethreatening episodes of anaphylaxis. Examples of food allergies that may result in anaphylaxis for some children include cow's milk, eggs, wheat, peanuts, tree nuts, soy, and crustacean shellfish. In contrast to a food allergy, a food intolerance does not cause an immune response and does not elicit an anaphylactic response. A common food intolerance is lactose intolerance, which is a result of inadequate lactase needed to digest the lactose.

POINTS: 1 REFERENCES: Food Allergies and Intolerance QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.11.6 - Review food allergy and intolerance consequences for young children.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/8/2023 8:39 AM DATE MODIFIED: 12/8/2023 8:40 AM

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Chapter 12 1. BMI is constant throughout childhood. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:23 AM DATE MODIFIED: 11/30/2023 4:25 AM 2. The "CDC Growth Charts: United States" are the recommended tool for monitoring the growth of a child. a. True b. False ANSWER: True POINTS: 1 REFERENCES: School-Age Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.2 - Describe the expected pattern of growth of a healthy child during middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:25 AM DATE MODIFIED: 11/30/2023 4:26 AM 3. Overweight and obese children should be treated with a focus on attaining an ideal body weight. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:27 AM DATE MODIFIED: 11/30/2023 4:30 AM 4. Potential consequences of a weight-loss program in childhood include the beginnings of eating disorders. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 ANSWER: True POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:31 AM DATE MODIFIED: 11/30/2023 4:32 AM 5. Iron deficiency is more common in the toddler age group than in middle childhood. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:31 AM DATE MODIFIED: 11/30/2023 4:33 AM 6. It is part of normal growth and development for school-aged children to increase their time spent away from home. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:31 AM DATE MODIFIED: 11/30/2023 4:34 AM 7. During the school-age years, growth velocity is as great as it was during infancy. a. True b. False ANSWER: False POINTS: 1 REFERENCES: School-Age Growth and Development Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.2 - Describe the expected pattern of growth of a healthy child during middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:31 AM DATE MODIFIED: 11/30/2023 4:36 AM 8. Preadolescence is generally defined as nine to eleven years of age for girls and ten to twelve years of age for boys. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.1 - List two Healthy People 2020 objectives that specifically relate to middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:32 AM DATE MODIFIED: 11/30/2023 4:38 AM 9. Overall diet quality tends to improve for children who frequently eat meals at home with their family. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:32 AM DATE MODIFIED: 11/30/2023 4:50 AM 10. Vegetarian diets are appropriate for school-age children as long as the diet contains sufficient energy, complementary proteins, a variety of foods, and adequate vitamins and minerals. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:32 AM DATE MODIFIED: 11/30/2023 4:52 AM 11. The average age of BMI rebound is 5.5 years. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:50 AM DATE MODIFIED: 11/30/2023 4:53 AM 12. Children who are at risk for vitamin D deficiency include those with increased skin pigmentation. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:53 AM DATE MODIFIED: 11/30/2023 4:58 AM 13. Simple sugars are better choices than complex carbohydrates for prevention of dental caries. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 DATE CREATED: DATE MODIFIED:

11/30/2023 4:54 AM 11/30/2023 5:00 AM

14. Children who consume vegetarian and vegan diets are at a higher risk for some nutrient deficiencies. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:54 AM DATE MODIFIED: 11/30/2023 5:01 AM 15. In order to control screen time for children, it is recommended that televisions and other screens be removed from children's bedrooms. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.8 - List two strategies that parents/caretakers can employ to encourage school-age children to be more physically active.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:54 AM DATE MODIFIED: 11/30/2023 5:02 AM 16. When encouraging physical activity for school-age and preadolescent children, the emphasis should be placed on having fun rather than being competitive. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.8 - List two strategies that parents/caretakers can employ to encourage school-age children to be more physically active.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:54 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 DATE MODIFIED:

11/30/2023 5:03 AM

17. Milk consumption decreases with age, and soda consumption increases with age. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.9 - List three strategies that school health programs can use to promote healthy eating.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:54 AM DATE MODIFIED: 11/30/2023 5:05 AM 18. It is more likely for children with a BMI-for-age percentiles that are greater than the 99th percentile to have more than one chronic disease risk factor. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:54 AM DATE MODIFIED: 11/30/2023 5:07 AM 19. Research has indicated that early dieting or unhealthy weight controlling behaviors may actually be a risk factor for the development of obesity. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 4:55 AM DATE MODIFIED: 11/30/2023 5:09 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 20. Sabrina, a four-year-old girl, is meeting the RDA for iron because she consumes 10 mg/day. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 4:55 AM DATE MODIFIED: 11/30/2023 5:10 AM 21. Which of the following children meets the criteria for preadolescence? a. a twelve-year-old boy b. a nine-year-old boy c. an eight-year-old girl d. a thirteen-year-old girl e. a twelve-year-old girl ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.1 - List two Healthy People 2020 objectives that specifically relate to middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:11 AM DATE MODIFIED: 11/30/2023 5:16 AM 22. Which of the following is true of class I obesity? a. BMI-for-age ≤ 40th percentile b. BMI-for-age ≤ 95th percentile c. BMI-for-age ≥ 10th percentile d. BMI-for-age ≥ 95th percentile e. BMI-for-age ≥ 40th percentile ANSWER: d POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

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Chapter 12 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 11/30/2023 5:12 AM 11/30/2023 5:18 AM

23. The term _____ applies to both middle childhood and preadolescence stages of growth and development. a. teenage b. adolescence c. college-age d. childhood e. school-age ANSWER: e POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.1 - List two Healthy People 2020 objectives that specifically relate to middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:20 AM 24. The major developmental achievement during middle childhood is: a. egocentrism. b. self-efficacy. c. a sense of personal identity. d. a moral and ethical value system. e. feelings of self-worth.

ANSWER: b POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:25 AM 25. Adequate nutrition, especially eating breakfast, has been associated with _____ in schools. a. improved academic performance b. competitive behavior c. making new friends d. higher sports participation e. increased tardiness Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.1 - List two Healthy People 2020 objectives that specifically relate to middle childhood and preadolescence.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:28 AM 26. Children with a BMI-for-age that is between the 95th and 98th percentile are classified as: a. severely underweight. b. underweight. c. healthy weight. d. overweight. e. obese.

ANSWER: e POINTS: 1 REFERENCES: School-Age Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.2 - Describe the expected pattern of growth of a healthy child during middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:33 AM 27. The adequate intake of linoleic acid for a five-year-old boy is: a. 12 g/day. b. 0.9 g/day. c. 10 g/day. d. 20 g/day. e. 1.2 g/day.

ANSWER: c POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 5:37 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 28. Children in families who routinely eat three or more weekly meals together are 35%: a. less likely to be overweight. b. more likely to be underweight. c. less likely to eat unhealthy foods. d. less likely to have disordered eating. e. more likely to eat healthy foods.

ANSWER: d POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:00 AM 29. Which of the following statements is associated with family mealtime? a. Eating together is typically easy to accomplish since schedules are not hectic for children. b. Mealtime should be quiet to allow each family member to relax. c. Mealtime is the best time to reprimand children for their behaviors. d. Parents can model healthy eating behaviors to improve the quality of the children’s meals. e. Mealtime is the best time to argue.

ANSWER: d POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:05 AM 30. When parents try to control their children's intake, especially by restricting their access to food, children become: a. more likely to eat healthy foods. b. more likely develop a chronic condition such as diabetes. c. less likely to eat unhealthy foods. d. less likely to become obese. e. less able to regulate their intake to meet their needs.

ANSWER: e POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:07 AM 31. Which of the following foods will most likely enhance iron absorption? a. orange juice b. whole milk c. beans d. broccoli e. portabella mushrooms ANSWER: a POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:09 AM 32. The American Academy of Pediatrics recommends that any child following a strict vegetarian diet should be screened for: a. iron deficiency anemia. b. sickle cell disease. c. celiac disease. d. failure to thrive. e. lactose intolerance.

ANSWER: a POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:13 AM 33. Shemar’s parents are concerned he is not getting enough fiber. Which of the following foods contains the most fiber to be added to his diet? a. beans Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 b. white rice c. apple juice d. an unpeeled apple e. canned peaches ANSWER: d POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:14 AM 34. David is a nine-year-old male. He consumes 9 mg/day of iron and 9 mg/day of zinc. Which of the following statements about David’s micronutrient intake is true? a. He is meeting his dietary zinc intake, but not iron. b. He is meeting his dietary zinc and iron intake. c. He is meeting his dietary iron intake, but not zinc. d. He is not meeting his dietary zinc and iron intake. e. He is exceeding he upper intake for dietary zinc and iron.

ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:12 AM DATE MODIFIED: 11/30/2023 6:15 AM 35. Which of the following options is a nutrition standard for school meals in the National School Lunch and School Breakfast Programs? a. offering fruits once in a week b. increasing offerings of refined grain-rich foods c. offering low-fat milk varieties d. increasing the amounts of sodium in the meals e. increasing the amounts of saturated fat in the meals ANSWER: c POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 6:17 AM 36. Which of the following activities is true of Farms to Schools programs? a. explaining new farming techniques to farmers b. visiting neighboring homes to explain the effects of healthy eating patterns c. visiting a farm once a week and learning farming techniques d. buying locally grown fruits and vegetables to serve in the school cafeteria e. planting trees every day at homes and schools ANSWER: d POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 6:18 AM 37. Which of the following statements represents an accurate approach to obtaining a child’s anthropometric measurements? a. A child’s stature should be measured with shoes on. b. Children should be weighed on calibrated scales. c. Children should be weighed wearing heavy clothing. d. A child’s stature should be measured using an unmounted stadiometer. e. The child’s heels and shoulders should be one inch away from the wall.

ANSWER: b POINTS: 1 REFERENCES: School-Age Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.2 - Describe the expected pattern of growth of a healthy child during middle childhood and preadolescence.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 6:22 AM 38. The National School Lunch Program Meal Pattern is required to provide _____ of the DRIs based on the child's age or grade group. a. one-fifth b. one-fourth Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 c. one-third d. one-half e. two-thirds ANSWER: c POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 6:25 AM 39. Amari is a five-year-old girl who weighs 20.5 kg. Based on the DRIs, what is the recommended protein intake for Amari? a. 19g b. 30g c. 25g d. 40g e. 29g ANSWER: a POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 5:13 AM DATE MODIFIED: 11/30/2023 6:28 AM 40. Which of the following statements regarding the determinants of childhood physical activity is true? a. Boys are less active than girls. b. Physical activity increases with age. c. Children's activity levels are independent of seasonal changes. d. Time spent on physical education in schools has increased. e. Obese children are less active than non-obese children.

ANSWER: e POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.8 - List two strategies that parents/caretakers can employ to encourage school-age children to be more physically active.

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Chapter 12 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 11/30/2023 5:13 AM 11/30/2023 6:43 AM

41. Fats and _____ may have a protective effect on tooth enamel. a. simple carbohydrates b. complex carbohydrates c. proteins d. dairy products e. simple sugars ANSWER: c POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 6:37 AM DATE MODIFIED: 11/30/2023 6:45 AM 42. The adequate intake of total fiber for a thirteen-year-old boy is: a. 31 g/day. b. 28 g/day. c. 42 g/day. d. 25 g/day. e. 20 g/day.

ANSWER: a POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 6:37 AM DATE MODIFIED: 11/30/2023 6:56 AM 43. When determining the EER of school-age children, categories of activity are defined in terms of: a. the number of stairs climbed. b. biking distance. c. steps per day. d. the amount of moderate physical activity per day. e. walking equivalence.

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Chapter 12 ANSWER: e POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 6:37 AM DATE MODIFIED: 11/30/2023 6:59 AM 44. Symptoms of lactose intolerance include: a. dry mouth and headache. b. blurred vision and hunger. c. excessive thirst and fatigue. d. abdominal pain and nausea. e. heart palpitations and shakiness.

ANSWER: d POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 6:37 AM DATE MODIFIED: 11/30/2023 7:03 AM 45. Health care providers working with children who are following a vegetarian diet should pay special attention to their intakes of protein, essential fatty acids, calcium, iron, zinc, vitamin C, and: a. magnesium. b. vitamin B12. c. vitamin B6. d. vitamin E. e. sodium.

ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:02 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 DATE MODIFIED:

11/30/2023 7:05 AM

46. Other than genetic influences, the connection between parental obesity and obesity in children is likely due to: a. high family incomes. b. environmental factors. c. low protein intake. d. low cognitive stimulation. e. early BMI rebound.

ANSWER: b POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 7:02 AM DATE MODIFIED: 11/30/2023 7:06 AM 47. Which of the following weight classes represents a z-score for BMI-for-age and sex at 1.34? a. overweight b. class I obesity c. class II obesity d. class III obesity e. class IV obesity ANSWER: a POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:02 AM DATE MODIFIED: 11/30/2023 7:12 AM 48. According to the AHA and the AAP, children over two years of age should limit _____ to less than 7% of total calories per day. a. saturated fats b. monounsaturated fats c. polyunsaturated fats d. trans fatty acids e. cholesterol ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:11 AM DATE MODIFIED: 11/30/2023 7:17 AM 49. Which of the following terms applies to sedentary activities such as watching TV or playing video games on a computer? a. playtime b. image intake c. videocentric d. downtime e. screen time ANSWER: e POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:13 AM DATE MODIFIED: 11/30/2023 7:19 AM 50. Which of the following programs is aimed at improving children's lifelong eating and physical activity habits through application of information in the Dietary Guidelines for Americans and MyPlate? a. Team Nutrition b. Bright Futures c. The National School Lunch Program d. School Breakfast Program e. Summer Food Service Program ANSWER: a POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:13 AM DATE MODIFIED: 11/30/2023 7:23 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 51. How many grams of linoleic acid is adequate for a twelve-year-old female? a. 4 b. 6 c. 8 d. 10 e. 12 ANSWER: d POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:19 AM DATE MODIFIED: 11/30/2023 7:26 AM 52. Which of the following terms applies to the overall structure of the physical environment of a child's community? a. infrastructure b. human environment c. cultural environment d. built environment e. organizational environment ANSWER: d POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.8 - List two strategies that parents/caretakers can employ to encourage school-age children to be more physically active.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:23 AM DATE MODIFIED: 11/30/2023 7:32 AM 53. According to the American Heart Association and the AAP, the recommended total fat intake is _____ of total calories in children and adolescents. a. <15% b. 15-25% c. 25-35% d. 35-45% e. 45-55% ANSWER: c POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:27 AM DATE MODIFIED: 11/30/2023 7:35 AM 54. Which of the following foods is the most nutrient-dense choice to increase fiber in a child’s diet? a. energy bar b. spinach c. orange juice d. brown rice e. almond milk ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:32 AM DATE MODIFIED: 11/30/2023 7:36 AM 55. According to Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, school-age children should be routinely screened for _____ and dyslipidemia. a. high blood lead levels b. hyperglycemia c. anemia d. hypertension e. diabetes ANSWER: c POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.9 - List three strategies that school health programs can use to promote healthy eating.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:35 AM DATE MODIFIED: 11/30/2023 7:39 AM 56. During their school years, children have spurts of growth that coincide with periods of: a. less sleep and more physical activity.

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Chapter 12 b. more sleep and less physical activity. c. more indoor activities. d. increased appetite and intake. e. fewer indoor activities.

ANSWER: d POINTS: 1 REFERENCES: School-Age Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.2 - Describe the expected pattern of growth of a healthy child during middle childhood and preadolescence.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:40 AM DATE MODIFIED: 11/30/2023 7:42 AM 57. It is recommended that children engage in at least _____ minutes of physical activity every day. a. 30 b. 45 c. 60 d. 75 e. 90 ANSWER: c POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.8 - List two strategies that parents/caretakers can employ to encourage school-age children to be more physically active.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:40 AM DATE MODIFIED: 11/30/2023 7:46 AM 58. The RDA for zinc is _____ mg/day for children aged nine to thirteen years. a. 5 b. 8 c. 10 d. 15 e. 25 ANSWER: b POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI Copyright Cengage Learning. Powered by Cognero.

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Chapter 12

KEYWORDS: DATE CREATED: DATE MODIFIED:

rebound.

Bloom's: Remember 11/30/2023 7:40 AM 11/30/2023 7:54 AM

59. According to data from 2015 to 2016, the average Healthy Eating Index score for children aged nine to thirteen years was: a. 55 b. 52 c. 61 d. 51 e. 45 ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:52 AM DATE MODIFIED: 11/30/2023 7:58 AM 60. A(n) _____ BMI rebound has been associated with an increased risk of overweight and obesity. a. early b. average c. late d. incomplete e. repetitive ANSWER: a POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 7:57 AM DATE MODIFIED: 11/30/2023 7:59 AM 61. Sofia is a nine-year-old girl who weighs 28.1 kg and enjoys lots of outdoor activities. She likes vegetables but does not like fruit or milk.

How many grams of protein per day are recommended for Sofia? a. 234 b. 22 Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 c. 23 d. 27 e. 25 ANSWER: d POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Apply DATE CREATED: 11/30/2023 7:58 AM DATE MODIFIED: 11/30/2023 8:05 AM 62. Sofia is a nine-year-old girl who weighs 28.1 kg and enjoys lots of outdoor activities. She likes vegetables but does not like fruit or milk.

According to Sofia's food dislikes, which of the following types of nutrient intake is most likely low for her? a. protein b. calcium c. vitamin B12 d. iron e. fiber ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 7:59 AM DATE MODIFIED: 11/30/2023 8:10 AM 63. For children from eight to less than twelve years of age, a hematocrit value less than _____ g/dL is diagnostic of irondeficiency anemia. a. 11.9 b. 23.1 c. 35.4 d. 50.3 e. 53.4 ANSWER: c POINTS: 1 REFERENCES: Common Nutrition Problems QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 LEARNING OBJECTIVES: NTLC.BRWN.24.12.5 - List two strategies for preventing dental caries in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 8:05 AM DATE MODIFIED: 11/30/2023 8:18 AM 64. What is the RDA for calcium for school-age children aged four to eight years? a. 800 mg/day b. 1,000 mg/day c. 1,100 mg/day d. 1,200 mg/day e. 1,300 mg/day ANSWER: b POINTS: 1 REFERENCES: Energy and Nutrient Needs of School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.4 - Explain what influences energy needs of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 8:10 AM DATE MODIFIED: 11/30/2023 8:21 AM 65. A common characteristic of an overweight child is: a. short stature. b. advanced bone age. c. delayed sexual maturity. d. lower bone density. e. glucose intolerance.

ANSWER: b POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 8:18 AM DATE MODIFIED: 11/30/2023 8:23 AM 66. Parker is eight years old. In which of the following parts of the life cycle does Parker fall? a. preschooler b. toddler c. adolescence d. preadolescence Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 e. middle childhood ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:21 AM DATE MODIFIED: 11/30/2023 8:24 AM 67. Which of the following statements best defines resting energy expenditure? a. The amount of energy needed to support metabolism, digestion, and physical activity. b. The amount of energy needed by the body to digest nutrients. c. The amount of energy needed by the body in a state of rest. d. The total amount of energy expended by the body per day. e. The total amount of energy needed to support physical activity.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:25 AM DATE MODIFIED: 11/30/2023 8:28 AM 68. Complex carbohydrates and lignans naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes are called: a. fermentable fiber. b. insoluble fiber. c. functional fiber. d. dietary fiber. e. soluble fiber.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:26 AM DATE MODIFIED: 11/30/2023 8:30 AM 69. Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans are referred to as: a. fermentable fiber, b. insoluble fiber. c. functional fiber. d. dietary fiber. e. soluble fiber.

ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:29 AM DATE MODIFIED: 11/30/2023 8:31 AM 70. Which of the following dietary measures assesses the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate? a. healthy eating index b. Mediterranean diet score c. dietary inflammatory index d. Dietary Guideline adherence score e. MyScore ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:30 AM DATE MODIFIED: 11/30/2023 8:33 AM 71. A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose is referred to as: a. lactase intolerance. b. lactose malabsorption. c. lactose tolerance. d. a milk allergy. e. a soy intolerance.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:32 AM DATE MODIFIED: 11/30/2023 8:34 AM 72. A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase is referred to as: a. lactase intolerance. b. lactose malabsorption. c. lactose tolerance. d. a milk allergy. e. a soy intolerance.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:33 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 DATE MODIFIED: 11/30/2023 8:38 AM 73. An example of a competitive item that could be sold during the school lunch cafeteria during mealtimes is: a. a sports drink. b. a salad. c. low-fat milk. d. yogurt. e. whole-grain cereal bars.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:34 AM DATE MODIFIED: 11/30/2023 8:40 AM 74. A contract between schools and soft-drink companies where soft-drink companies gain a percentage of the profit is called a: a. soft-drink contract. b. national school lunch program contact. c. commodity contract. d. pop contract. e. pouring right contract.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:38 AM DATE MODIFIED: 11/30/2023 8:43 AM 75. An example of a commodity program is: a. a volunteer food program that delivers products to a local church. b. a food stand at a local farm. c. a USDA program in which food products are sent to schools for use in the child nutrition programs. d. Women, Infants, and Children (WIC). e. a grocery store.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 11/30/2023 8:40 AM DATE MODIFIED: 11/30/2023 8:47 AM 76. What are the five requirements a school must meet in order to participate in the National School Lunch Program?

ANSWER: The five major requirements are as follows: 1. Lunches must be based on nutritional standards.

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Chapter 12 2. Children who are unable to pay for lunches must receive lunches for free or at a reduced price, with no discrimination between paying and nonpaying children.

3. The programs operate on a nonprofit basis.

4. The programs must be accountable.

5. Schools must participate in the commodity program.

POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 8:50 AM DATE MODIFIED: 11/30/2023 8:51 AM 77. Describe the goals of Healthy People 2030 as they relate to school-aged children. Specifically identify at least four of the objectives.

ANSWER: There are seven objectives related to school-aged children that were identified in the Healthy People 2030. These objectives are as follows: 1. Increase the proportion of students participating in the School Breakfast Program.

2. Increase the proportion of eligible students participating in the Summer Food Service Program.

3. Reduce the proportion of children and adolescents with obesity.

4. Increase the proportion of children who do enough aerobic physical activity.

5. Increase the proportion of parents who follow AAP recommendations on limiting screentime for children aged six to seventeen years.

6. Increase the proportion of schools that do not sell less healthy foods and drinks.

7. Eliminate very low food security in children.

POINTS: 1 REFERENCES: Public Food and Nutrition Programs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.12.10 - Describe one component of the USDA's Child Nutrition Program and explain how this specific program addresses the health of school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 8:55 AM DATE MODIFIED: 11/30/2023 8:57 AM 78. The impact of advertising on nutrition choices has been evaluated. What do the findings tell us about advertising's effect on children?

ANSWER: 91% of foods or beverages advertised were high in fat, sodium, or added sugar. School-aged children are unable to resist the advertising when it is embedded within trusted networks. The findings conclude that there is strong evidence that advertising can impact the amount of food consumed by children and that children prefer branded foods. The research also Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 indicates that children are more likely to choose advertised foods, regardless of their less nutritive values. These findings suggest that there may be an opportunity to increase children's intake of healthier foods if healthier foods are better advertised.

POINTS: 1 REFERENCES: Physiological and Cognitive Development of School-Age Children QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.12.3 - Define BMI rebound and describe the consequences of early BMI rebound.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 8:57 AM DATE MODIFIED: 11/30/2023 8:59 AM 79. The American Academy of Pediatrics recommends vitamin and mineral supplementation for children who are at high risk of developing nutrient deficiencies or have one or more documented nutrition deficiencies. Explain which children are at high risk of developing nutrient deficiencies.

ANSWER: Children at high risk of developing nutrient deficiencies include those: 1. with anorexia or an inadequate appetite or who follow fad diets.

2. with chronic disease, especially gastrointestinal or malabsorptive disease.

3. from deprived families or who suffer from parental neglect or abuse.

4. who participate in a dietary program for managing obesity.

5. who consume a vegetarian diet without adequate intake of dairy products.

6. who follow fad diets or diets high in fat..

7. who are receiving chemotherapeutic, antituberculosis, or anticonvulsant medications.

POINTS: 1 REFERENCES: Prevention of Nutrition-Related Disorders in School-Age Children QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.12.6 - Describe prevention strategies for overweight/obesity in school-age children.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 8:59 AM DATE MODIFIED: 11/30/2023 9:01 AM 80. What causes secondary lactase deficiency? Do dairy products have to be completely avoided?

ANSWER: Secondary lactase deficiency can be caused by injury to the small bowel, such as from an acute infection. The underlying condition should be treated, and often the elimination of lactose from the diet is not necessary at all, but milk products can be consumed once the underlying condition has resolved. The concern with both primary and secondary lactase deficiency is to avoid the total elimination of dairy products from the diet when it may not be necessary, as these foods contain calcium, vitamin D, and other nutrients that may not be otherwise consumed.

POINTS: 1 REFERENCES: Dietary Recommendations QUESTION TYPE: Subjective Short Answer Copyright Cengage Learning. Powered by Cognero.

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Chapter 12 HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.12.7 - Describe the components of a healthy diet during middle childhood and preadolescence as recommended by health and professional organizations and agencies.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 9:01 AM DATE MODIFIED: 11/30/2023 9:02 AM

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Chapter 13 1. Saying “a child with cystic fibrosis” is an example of using people-first language to describe a person with special healthcare needs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:11 AM DATE MODIFIED: 11/30/2023 9:57 AM 2. Autism spectrum disorder is a lifelong developmental disability characterized by limited patterns of behavior, activity, or interests. a. True b. False ANSWER: True POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:57 AM DATE MODIFIED: 11/30/2023 10:00 AM 3. A child with a neuromuscular condition might experience constipation despite adequate fiber intake. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:10 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 4. Scoliosis is a secondary condition that interferes with accurate measurement of stature. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:11 AM 5. The incidence of type 1 and type 2 diabetes in children has steadily declined over the past twenty years. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:14 AM 6. Children suffering from type 2 diabetes have both high and low blood sugar levels, whereas children suffering from type 1 diabetes have only high blood sugar levels. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:15 AM 7. Many children with Prader-Willi syndrome have short stature and are underweight. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 b. False ANSWER: False POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:18 AM 8. Children with special health care needs are found to use complementary and alternative medicine at a higher rate than healthy children. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.6 - Compare use of dietary and herbal remedies in children with and without special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:59 AM DATE MODIFIED: 11/30/2023 10:20 AM 9. U.S. educators consider asthma, learning disabilities, ADHD, and speech problems to be the most prevalent chronic conditions in children. a. True b. False ANSWER: True POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 9:58 AM DATE MODIFIED: 11/30/2023 10:19 AM 10. A child suffering from celiac disease should strictly avoid intake of carbohydrates. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 b. False ANSWER: False POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 9:59 AM DATE MODIFIED: 11/30/2023 10:31 AM 11. A child can use a gastrostomy tube to meet their nutritional needs when the child is unable to safely swallow. a. True b. False ANSWER: True POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 10:20 AM DATE MODIFIED: 11/30/2023 10:37 AM 12. According to the CDC, the prevalence of autism spectrum disorder has been steadily increasing. a. True b. False ANSWER: True POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 10:20 AM DATE MODIFIED: 11/30/2023 10:38 AM 13. Certain nutritional supplements have been found to effectively treat Autism Spectrum Disorder. a. True b. False ANSWER: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.6 - Compare use of dietary and herbal remedies in children with and without special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 10:37 AM DATE MODIFIED: 11/30/2023 10:39 AM 14. Herbal remedies and nutritional supplements are recommended for children with Down syndrome. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dietary Supplements and Herbal Remedies QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.6 - Compare use of dietary and herbal remedies in children with and without special health care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 10:38 AM DATE MODIFIED: 11/30/2023 10:40 AM 15. Children with neurologic impairments and developmental disabilities are at higher risk for osteopenia due to low mineral intakes and lack of weight-bearing activity. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 10:39 AM DATE MODIFIED: 11/30/2023 10:41 AM 16. Children with type 1 diabetes mellitus will require insulin injections to control blood glucose levels. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 10:40 AM DATE MODIFIED: 11/30/2023 10:42 AM 17. Conditions that slow growth or decrease muscle size generally result in higher energy needs. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 11/30/2023 10:41 AM DATE MODIFIED: 11/30/2023 10:42 AM 18. The Americans with Disabilities Act requires all school cafeteria lines to accommodate wheelchairs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 10:42 AM DATE MODIFIED: 11/30/2023 10:43 AM 19. A specialty growth chart has been developed for a number of conditions, including Prader-Willi syndrome. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with Copyright Cengage Learning. Powered by Cognero.

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Chapter 13

KEYWORDS: DATE CREATED: DATE MODIFIED:

special health care needs.

Bloom's: Remember 11/30/2023 10:43 AM 11/30/2023 10:44 AM

20. Epilepsy and seizures are different disorders. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 10:43 AM DATE MODIFIED: 11/30/2023 10:45 AM 21. There is an increased risk for dehydration in children with special healthcare needs when drooling is excessive. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:36 AM DATE MODIFIED: 12/1/2023 3:40 AM 22. Children with a gastrostomy cannot eat anything orally. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:37 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 DATE MODIFIED:

12/1/2023 3:41 AM

23. A child with CP is generally eligible for supplemental social insurance because treatments prevent decline in learning abilities. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:37 AM DATE MODIFIED: 12/1/2023 3:43 AM 24. Complete nutritional supplements administered through a gastrostomy are required to be supplied by the Maternal and Child Health Bureau. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:37 AM DATE MODIFIED: 12/1/2023 3:44 AM 25. Specialty neurology clinics administer the ketogenic diet for uncontrolled seizures. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:37 AM DATE MODIFIED: 12/1/2023 3:54 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 26. Which of the following entities develops and promotes model programs by funding competitive grants that emphasize training health care providers, including nutrition experts? a. Supplemental Social Insurance b. the Family/Professional Partnerships Program c. the Family/Patient Centered Medical Home Program d. the Child Nutrition Program e. the Maternal and Child Health Bureau ANSWER: e POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:57 AM DATE MODIFIED: 12/1/2023 3:58 AM 27. Energy needs in children with special health care needs are related: a. neurological function. b. activity level and muscle size. c. water consumption. d. bowel movement frequency. e. body mass index.

ANSWER: b POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 3:57 AM DATE MODIFIED: 12/1/2023 4:00 AM 28. Which of the following conditions is characterized by abnormal electrical activity in the brain? a. phenylketonuria b. cystic fibrosis c. celiac disease d. cerebral palsy e. seizures ANSWER: e POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 3:57 AM DATE MODIFIED: 12/1/2023 4:02 AM 29. Children with spinal muscular atrophy have: a. such major decreases in muscle size that growth may not occur. b. larger muscle size in the upper body. c. severe kidney damage. d. frequent bouts of pneumonia. e. uncontrolled seizures.

ANSWER: a POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:00 AM DATE MODIFIED: 12/1/2023 4:03 AM 30. Prevalence rates of _____ are increasing over time in the United States. a. cystic fibrosis b. ASD c. vitamin deficiencies d. lead poisoning e. consequences of concussions ANSWER: b POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:00 AM DATE MODIFIED: 12/1/2023 4:04 AM 31. Higher protein may be recommended for wound healing while in a cast after surgery for the prevention of: a. bone infections.

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Chapter 13 b. muscular atrophy. c. skin infections. d. skin breakdown. e. rickets.

ANSWER: d POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:03 AM DATE MODIFIED: 12/1/2023 4:06 AM 32. Which of the following medical conditions is characterized by altered muscle size? a. juvenile rheumatoid arthritis b. type 1 diabetes c. spina bifida d. measles e. type 2 diabetes ANSWER: c POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:04 AM DATE MODIFIED: 12/1/2023 4:08 AM 33. Which of the following conditions necessitates avoidance of protein-rich meats or dairy products? a. autism spectrum disorder b. attention-deficit hyperactivity disorder c. asthma d. Down syndrome e. phenylketonuria ANSWER: e POINTS: 1 REFERENCES: "Children Are Children First"—What Does That Mean?

QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.1 - Explain why thinking that children are children first, even if they Copyright Cengage Learning. Powered by Cognero.

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Chapter 13

KEYWORDS: DATE CREATED: DATE MODIFIED:

have conditions that affect their growth and nutritional requirements, suits child developmental milestones.

Bloom's: Understand 12/1/2023 4:06 AM 12/1/2023 4:09 AM

34. An example of a condition without a specialty growth chart is: a. Down syndrome. b. achondroplasia. c. type 1 diabetes. d. Fragile X syndrome. e. Prader-Willi syndrome.

ANSWER: c POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:06 AM DATE MODIFIED: 12/1/2023 4:14 AM 35. Every time a child with CF eats a meal or snack, they must take pills containing: a. pancreatic enzymes. b. insulin. c. vitamin K. d. vitamin C. e. calcium.

ANSWER: a POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:08 AM DATE MODIFIED: 12/1/2023 4:16 AM 36. Which of the following syndromes is a form of dwarfism? a. Turner syndrome b. achondroplasia c. sickle-cell disease d. Marfan syndrome Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 e. Prader-Willi syndrome ANSWER: b POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:09 AM DATE MODIFIED: 12/5/2023 5:15 AM 37. Which of the following conditions is characterized by being overweight? a. diabetes b. juvenile rheumatoid arthritis c. spina bifida d. sickle-cell disease e. Prader-Willi syndrome ANSWER: e POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:16 AM DATE MODIFIED: 12/1/2023 4:18 AM 38. Which of the following statements regarding galactosemia is true? a. It is a medication that acts on the brain to improve mental or emotional behavior. b. It is the uncontrolled movements of the large muscle groups. c. It is a genetic condition in which lactose cannot be broken down in the body. d. It is a high-carbohydrate, low-protein diet that causes breakdown of fat. e. It is a genetic condition in which galactose cannot be broken down in the body.

ANSWER: e POINTS: 1 REFERENCES: Nutrition Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:17 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 DATE MODIFIED:

12/1/2023 4:20 AM

39. A child with _____ is at higher risk for osteopenia. a. diabetes mellitus b. Down syndrome c. asthma d. CP e. HIV ANSWER: d POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:19 AM DATE MODIFIED: 12/1/2023 4:22 AM 40. An example of a condition that has a specialty growth chart is: a. cystic fibrosis. b. Turner syndrome. c. juvenile rheumatoid arthritis. d. Rett syndrome. e. spina bifida.

ANSWER: b POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:21 AM DATE MODIFIED: 12/1/2023 4:23 AM 41. Which of the following conditions requires fat-soluble vitamin supplements due to poor intestinal absorption? a. diabetes b. osteoporosis c. PKU d. cystic fibrosis e. pediatric HIV ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 REFERENCES: Nutrition Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:22 AM DATE MODIFIED: 12/1/2023 4:25 AM 42. Galactosemia will most likely affect intake of: a. calcium. b. vitamin K. c. vitamin A. d. vitamin B12. e. zinc.

ANSWER: a POINTS: 1 REFERENCES: Nutrition Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:23 AM DATE MODIFIED: 12/5/2023 5:29 AM 43. Feeding is complex and requires much skill. Which of the following skills is the least important when considering the skills needed for feeding? a. psychological input b. development of oral motor skills c. adequate neurologic signals d. normal physiological function e. the ability to walk independently ANSWER: e POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:25 AM DATE MODIFIED: 12/1/2023 4:27 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 44. Which of the following conditions generally alters muscle size and possibly makes growth interpretation more difficult? a. celiac disease b. galactosemia c. spina bifida d. type 2 diabetes e. ADHD ANSWER: c POINTS: 1 REFERENCES: Growth Assessment QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.3 - Describe how a growth assessment is modified in children with special health care needs.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:26 AM DATE MODIFIED: 12/1/2023 4:40 AM 45. Seizures decrease when brain metabolism is switched from glucose to _____ from fat metabolism. a. fructose b. galactose c. ketones d. amino acids e. sucrose ANSWER: c POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:27 AM DATE MODIFIED: 12/1/2023 4:54 AM 46. Which of the following foods would be severely limited if adhering to a ketogenic diet? a. butter b. rice c. chicken d. eggs e. vitamin and mineral supplements ANSWER: b POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 4:41 AM DATE MODIFIED: 12/1/2023 4:57 AM 47. Athetosis generally affects those with: a. PKU. b. cerebral palsy. c. diabetes mellitus. d. celiac disease. e. ADHD. ANSWER: b POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:55 AM DATE MODIFIED: 12/1/2023 4:58 AM 48. Type 1 diabetes is related to immune function and results in virtually no _____ production. a. secretin b. leptin c. cortisol d. glucose e. insulin ANSWER: e POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:55 AM DATE MODIFIED: 12/1/2023 4:59 AM 49. A child with _____ is generally not eligible for Supplemental Social Insurance because treatments prevent decline in learning abilities. a. intellectual disability Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 b. a severe form of CF c. a severe form of CP d. a severe form of seizures e. treated PKU ANSWER: e POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 4:58 AM DATE MODIFIED: 12/1/2023 5:02 AM 50. A major nutrition-related consequence of cystic fibrosis is: a. malabsorption of fat-soluble nutrients due to the lack of pancreatic enzymes. b. gluten sensitivity. c. lactose intolerance. d. the inability to break down protein. e. low blood glucose.

ANSWER: a POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:00 AM DATE MODIFIED: 12/1/2023 5:04 AM 51. Many children with cerebral palsy often have constipation: a. due to decreased fiber intake. b. because their fluid intake must be restricted. c. because of the various side effects caused by their medications. d. because of the failure to achieve coordinated movement of muscles in and over the intestines. e. because of the malabsorption of various vitamins and minerals.

ANSWER: d POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special Copyright Cengage Learning. Powered by Cognero.

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Chapter 13

KEYWORDS: DATE CREATED: DATE MODIFIED:

health care needs and chronic conditions.

Bloom's: Understand 12/1/2023 5:03 AM 12/1/2023 5:05 AM

52. A side effect of psychostimulants is: a. low fat stores. b. insulin resistance. c. hypertension. d. rapid weight gain. e. decreased appetite.

ANSWER: e POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:04 AM DATE MODIFIED: 12/1/2023 5:09 AM 53. Vitamin _____ may be prescribed above the DRI for some children with spina bifida who have frequent bladder infections. a. B6 b. D c. B12 d. C e. E ANSWER: d POINTS: 1 REFERENCES: Nutrition Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.4 - Characterize nutrition recommendations for children who are underweight and overweight, or have difficulties meeting known nutrient requirements.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:05 AM DATE MODIFIED: 12/1/2023 5:10 AM 54. Karim has phenylketonuria and follows a ketogenic diet. You review his laboratory work. Which of the following results would suggest that Karim is compliant with his ketogenic diet? a. An increase in phenylalanine levels in the blood is noted. b. Vitamin D levels are within normal limits.

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Chapter 13 c. A decrease in phenylalanine levels in the blood is noted. d. An increase in blood glucose levels is noted. e. Serum calcium levels are within normal limits.

ANSWER: c POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:09 AM DATE MODIFIED: 12/1/2023 5:13 AM 55. Which of the following choices best describes a breakfast option for a child on a ketogenic diet? a. a bowl of frosted cheerios, milk, and orange juice b. granola with yogurt, raisins, and brown sugar c. fried eggs in butter with bacon d. toast and jelly with a glass of grape juice and strawberries e. a doughnut with a glass of chocolate milk ANSWER: c POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:10 AM DATE MODIFIED: 12/1/2023 5:14 AM 56. Which of the following terms refers is an immune-mediated sensitivity to gluten fraction of wheat and other related grains? a. diabetes mellitus b. celiac disease c. HIV d. cerebral palsy e. cystic fibrosis ANSWER: b POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special Copyright Cengage Learning. Powered by Cognero.

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Chapter 13

KEYWORDS: DATE CREATED: DATE MODIFIED:

health care needs and chronic conditions.

Bloom's: Remember 12/1/2023 5:13 AM 12/1/2023 5:15 AM

57. The most common type of medications used to treat children with ADHD are: a. analgesics. b. diuretics. c. SSRIs. d. stimulants. e. laxatives.

ANSWER: d POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:14 AM DATE MODIFIED: 12/1/2023 5:17 AM 58. Which of the following resources guides how schools can fund nutrition services in addition to those from the Child Nutrition Program? a. 504 Accommodation and IDEA b. HHS Maternal and Child Health c. SSI d. the USDA Child Nutrition Program e. the Americans with Disabilities Act ANSWER: a POINTS: 1 REFERENCES: Sources of Nutrition Services QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.7 - Explain why children who have special health conditions receive more intensive nutrition services in schools and health care settings than other children do.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:15 AM DATE MODIFIED: 12/1/2023 5:18 AM 59. A psychostimulant would most likely be given to children with: a. seizures. b. ADHD. c. PKU. d. type 1 diabetes.

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Chapter 13 e. CP. ANSWER: b POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:17 AM DATE MODIFIED: 12/1/2023 5:19 AM 60. The number of two- to seventeen-year-old children whose parents report that their child has been diagnosed with ADHD is approximately: a. 22.1% b. 8.4% c. 7.2% d. 9.8% e. 16.7% ANSWER: b POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:20 AM DATE MODIFIED: 12/1/2023 5:22 AM 61. Juvenile rheumatoid arthritis is described as: a. a condition in which low bone densities or weak bone structures lead to an increased risk of bone fractures. b. a rare genetic condition of carbohydrate metabolism. c. a condition in which joints become enlarged and painful as a result of the dysfunction of the immune system. d. a condition in which muscle control declines over time as a result of nerve loss, causing death in childhood. e. a condition in which the vertebral bones in the back show a side-to-side curve.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:20 AM DATE MODIFIED: 12/1/2023 5:23 AM 62. A term pertaining to the central nervous system's control of muscle coordination and movement is: a. neurobehavioral.

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Chapter 13 b. neuromuscular. c. neuropathy. d. neurogenic. e. neurodivergent.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:22 AM DATE MODIFIED: 12/1/2023 5:32 AM 63. A condition in which the vertebral bones in the back show a side-to-side curve, resulting in a shorter stature than expected if the back were straight is: a. a secondary condition. b. osteoporosis. c. scoliosis. d. spinal muscular atrophy. e. cerebral palsy.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:32 AM DATE MODIFIED: 12/1/2023 5:35 AM 64. Hypotonia is a term used to describe: a. seizure activity. b. conditions with altered muscle size. c. neuromuscular conditions. d. body composition. e. scoliosis.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:34 AM DATE MODIFIED: 12/1/2023 5:37 AM 65. A condition in which muscle control declines over time as a result of nerve loss, causing death in childhood is called: a. PKU. b. celiac disease. c. spinal muscular atrophy. d. osteoporosis. e. spina bifida.

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Chapter 13 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:23 AM DATE MODIFIED: 12/1/2023 5:39 AM 66. Which of the following choices is a rare genetic condition of carbohydrate metabolism in which a blocked or inactive enzyme does not allow breakdown of galactose? a. cerebral palsy b. attention-deficit hyperactivity disorder c. athetosis d. PKU e. galactosemia ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:35 AM DATE MODIFIED: 12/1/2023 5:40 AM 67. A gastrostomy tube is placed through: a. the abdominal wall into the small intestine. b. the nose into the small intestine. c. the oral cavity into the stomach. d. the abdominal wall into the stomach. e. the nose into the stomach.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:37 AM DATE MODIFIED: 12/1/2023 5:41 AM 68. Peptamen Junior is an example of: a. an antiseizure medication. b. a predigested formula with amino acids and medium-chain fatty acids. c. a psychostimulant. d. a product used in those with PKU. e. a medication used to control type 1 diabetes.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 DATE CREATED: 12/1/2023 5:40 AM DATE MODIFIED: 12/1/2023 5:42 AM 69. Which of the following definitions best defines osteoporosis? a. a condition in which low bone densities or weak bone structures lead to an increased risk of bone fractures b. a rare genetic condition of carbohydrate metabolism c. a condition in which joints become enlarged and painful as a result of the dysfunction of the immune system d. a condition in which muscle control declines over time as a result of nerve loss, causing death in childhood e. a condition in which the vertebral bones in the back show a side-to-side curve ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:41 AM DATE MODIFIED: 12/1/2023 5:45 AM 70. Uncontrolled movements of the large muscle groups are described as: a. seizure. b. hypertonia. c. athetosis. d. hypotonia. e. postictal state.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:44 AM DATE MODIFIED: 12/1/2023 5:46 AM 71. Which of the following conditions affects all the exocrine organs in the body? a. cerebral palsy b. cystic fibrosis c. PKU d. type 1 diabetes e. celiac disease ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:46 AM DATE MODIFIED: 12/1/2023 5:47 AM 72. Which of the following hormones is produced in the pancreas to regulate movement of glucose from the bloodstream into cells within organs and muscles? a. lutein Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 b. cortisol c. glucagon d. GLP-2 e. insulin ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:48 AM DATE MODIFIED: 12/1/2023 5:49 AM 73. Which of the following terms pertains to control of behavior by the nervous system? a. neurobehavioral b. neurobiological c. neuropathy d. neurogenic e. neurodivergent ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:49 AM DATE MODIFIED: 12/1/2023 5:53 AM 74. A postictal state is defined as the time of altered consciousness that appears to be like a deep sleep that occurs: a. thirty minutes after a meal is consumed. b. during a seizure. c. thirty minutes before a meal is consumed. d. after a seizure. e. before a seizure.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:50 AM DATE MODIFIED: 12/1/2023 5:52 AM 75. Medication that acts on the brain to improve mental or emotional behavior is classified as: a. insulin. b. antiseizure medications. c. fiber supplements. d. psychostimulants. e. pain medications.

ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/1/2023 5:51 AM DATE MODIFIED: 12/1/2023 5:53 AM 76. What is a ketogenic diet, and why is it used?

ANSWER: A ketogenic diet severely limits food sources of carbohydrates and increases fat content but is adequate in energy and protein. Vitamins and minerals have to be added as supplements because the allowed food sources of carbohydrates are not sufficient to meet vitamin and mineral requirements. The ketogenic diet may allow seizure medications to be reduced or eliminated over time. Growth during the time on a ketogenic diet may be different from that seen in the child's previous dietary pattern. Some children improve in both weight and height when seizure activity declines. The ketogenic diet is so high in fat that some children gain weight faster than expected. To optimize its effectiveness, this diet is generally recommended for two years if effective in reducing seizures. For reasons that remain unknown, seizures decrease when brain metabolism is switched from the usual fuel, glucose, to ketones from fat metabolism. Therefore, specialty neurology clinics administer the ketogenic diet for uncontrolled seizures.

POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:54 AM DATE MODIFIED: 12/1/2023 5:55 AM 77. What is type 1 diabetes, and how is it managed in children?

ANSWER: Type 1 diabetes is an autoimmune disease that results in a relative or absolute insulin deficiency and requires exogenous insulin to be taken to regulate blood glucose levels.

Children with type 1 diabetes have both high and low blood sugars, not just high blood sugars as in type 2 diabetes. Increasingly, type 1 diabetes mellitus in children is managed with insulin pumps set to inject small amounts of insulin continuously and in response to meals.

POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:56 AM DATE MODIFIED: 12/1/2023 5:57 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 78. Discuss why certain children with special health care needs have a harder time meeting the DRI for vitamins and minerals.

ANSWER: Children with chronic conditions may have more difficulty meeting the DRI as a result of the following considerations: • • • •

Eating or feeding problems may restrict intake of foods requiring chewing, such as meats, so that certain minerals usually contributed by meats may be low.

Prescribed medications and their side effects can increase turnover for specific nutrients, raising the recommended amount needed.

Food refusals are common with recurrent illness, so total intake may be more variable day to day than in other children of the same age.

Treatment of the condition necessitates specific food and nutrient restrictions, so that vitamins and minerals usually provided in restricted foods have to be supplemented.

POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:57 AM DATE MODIFIED: 12/1/2023 5:58 AM 79. What are inborn errors of metabolism?

ANSWER: Inborn errors of metabolism involve molecular- or cellular-level blocks. Examples of inborn errors of metabolism diagnosed during childhood are glycogen-storage diseases (inborn errors of carbohydrate metabolism) and medium-chain fatty acid disorders (inborn errors of fat metabolism) diagnosed in older siblings or family members after the birth of an infant identified with the same disorder by newborn screening. PKU is a well-known example of an inborn error of metabolism.

POINTS: 1 REFERENCES: Feeding Disorders in Children with Special Healthcare Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.13.5 - Describe the eating and feeding problems of children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/1/2023 5:58 AM DATE MODIFIED: 12/1/2023 5:59 AM 80. Describe reasons why children with special healthcare needs have a wider range of nutrition requirements and more variability than typical children do.

ANSWER: Children with smaller muscle sizes require fewer calories to maintain their metabolism.

Additionally, routine illnesses can increase calorie needs, especially when that illness Copyright Cengage Learning. Powered by Cognero.

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Chapter 13 requires a hospitalization. If chronic wounds are present, increased calories and protein are required. When diarrhea is common, increased fluid needs are necessary. In those with chronic constipation, increased fiber requirements may be necessary.

POINTS: 1 REFERENCES: Nutritional Requirements of Children with Special Health Care Needs QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.13.2 - Identify the common nutrition problems in children with special health care needs and chronic conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/1/2023 5:59 AM DATE MODIFIED: 12/1/2023 6:04 AM

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Chapter 14 1. Menarche is not impacted by the level of physical activity or caloric intake of an adolescent. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:30 PM DATE MODIFIED: 12/3/2023 8:33 PM 2. Weight dissatisfaction is common among adolescent females during and immediately following puberty. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:40 PM DATE MODIFIED: 12/3/2023 8:41 PM 3. The dramatic physical growth and development experienced by adolescents is greater than the rate of growth experienced during infancy. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:42 PM DATE MODIFIED: 12/3/2023 8:43 PM 4. School-based programs can play important roles in promoting lifelong healthy eating and physical activity. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 b. False ANSWER: True POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:43 PM DATE MODIFIED: 12/3/2023 8:44 PM 5. Data suggest that vegetarian adolescents consume more fruits and vegetables, fewer sweets, fewer salty snack foods, and less fat compared to omnivorous teens. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:44 PM DATE MODIFIED: 12/3/2023 8:45 PM 6. Excessive physical activity is unrelated to negative health consequences. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 8:46 PM DATE MODIFIED: 12/3/2023 8:46 PM 7. The simultaneous search for personal autonomy and peer acceptance that characterizes adolescent psychosocial development often leads to the development of health-compromising eating behaviors. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:02 PM DATE MODIFIED: 12/3/2023 9:03 PM 8. Teenagers are future-oriented and tend to be concerned about how their eating will affect them in later years. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:05 PM DATE MODIFIED: 12/3/2023 9:06 PM 9. The physical, psychosocial, and cognitive changes associated with adolescence have no direct effects on nutritional status. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:08 PM DATE MODIFIED: 12/3/2023 9:09 PM 10. Peer influence becomes less influential during middle adolescence. a. True b. False ANSWER: False POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:12 PM DATE MODIFIED: 12/3/2023 9:12 PM 11. Late in adolescence, older teens become more confident in their ability to handle increasingly sophisticated social situations. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:13 PM DATE MODIFIED: 12/3/2023 9:13 PM 12. Teenagers experience psychosocial development at different rates. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:15 PM DATE MODIFIED: 12/3/2023 9:16 PM 13. Chronic dieting causes health issues such as fatigue, impaired growth, poor concentration, and irritability. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:16 PM DATE MODIFIED: 12/3/2023 9:17 PM 14. More frequent family meals are associated with improved dietary intake among adolescents. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:31 PM DATE MODIFIED: 12/3/2023 9:32 PM 15. Dinner is the most commonly skipped meal among adolescents. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 9:40 PM DATE MODIFIED: 12/3/2023 9:41 PM 16. During adolescence, the rapid rate of linear growth, the increase in blood volume, and the onset of menarche increase a teen's need for sodium. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:31 PM DATE MODIFIED: 12/3/2023 10:32 PM 17. Physical activity is defined as any planned, structured, and repetitive movement that is done to improve or maintain physical fitness. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:33 PM DATE MODIFIED: 12/3/2023 10:34 PM 18. Physical activity has been shown to increase steadily throughout adolescence. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:35 PM DATE MODIFIED: 12/3/2023 10:35 PM 19. The energy needs of adolescents are influenced by activity level and increased requirements to support growth and development. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:36 PM DATE MODIFIED: 12/3/2023 10:37 PM 20. Adolescent males have significantly higher caloric requirements than females. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:37 PM DATE MODIFIED: 12/3/2023 10:38 PM 21. Soy beverages are a source of calcium that can be added to school meal programs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:38 PM DATE MODIFIED: 12/3/2023 10:39 PM 22. Approximately 20% of all eating disorders begin during adolescence. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:39 PM DATE MODIFIED: 12/3/2023 10:40 PM 23. Poverty can result in hunger and compromised food quality and nutritional status. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:40 PM DATE MODIFIED: 12/3/2023 10:41 PM 24. Serving fruits, vegetables, and dairy at dinner during adolescence has no impact on intake during young adulthood. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:42 PM DATE MODIFIED: 12/3/2023 10:43 PM 25. Research has shown that availability of healthy foods in the home, including fruits and vegetables, is associated with higher intake of these foods and lower BMI. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:43 PM DATE MODIFIED: 12/3/2023 10:44 PM 26. Adolescence is usually defined as the period of life between _____ years of age. a. 10 and 16 b. 11 and 17 c. 15 and 18 d. 11 and 21 e. 18 and 22 ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:45 PM DATE MODIFIED: 12/3/2023 10:46 PM 27. Pubic hair growth reaches adult type and quantity during the sexual maturation rating (SMR) stage: a. 1. b. 2. c. 3. d. 4. e. 5.

ANSWER: e POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:47 PM DATE MODIFIED: 12/3/2023 10:48 PM 28. The use of stimulant medications for conditions such as _____ has been suggested to reduce or delay linear growth velocity among adolescent males. a. attention-deficit hyperactivity disorder b. hyperlipidemia c. hypertension Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 d. type 2 diabetes e. iron-deficiency anemia ANSWER: a POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:48 PM DATE MODIFIED: 12/3/2023 10:50 PM 29. The NHANES III found that non-Hispanic Black females and Mexican American females experienced breast development at the age of _____ years. a. 9.0 b. 9.6 c. 10.0 d. 10.6 e. 11.0 ANSWER: b POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:50 PM DATE MODIFIED: 12/3/2023 10:51 PM 30. Research by Frisch suggests that _____ body fat is required for the development and maintenance of regular ovulatory cycles. a. 15% b. 18% c. 20% d. 22% e. 25% ANSWER: e POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

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Chapter 14 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/3/2023 10:52 PM 12/3/2023 10:53 PM

31. Which of the following steps is recommended for the diagnosis of type 2 diabetes in an adolescent? a. Assess for the presence of acanthosis nigricans. b. Assess the blood lipids level of the individual. c. Assess changes in blood pressure levels. d. Review daily physical behavioral patterns. e. Review weight status with client.

ANSWER: a POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:54 PM DATE MODIFIED: 12/3/2023 10:56 PM 32. Bone is composed largely of calcium, protein, and: a. sodium. b. iron. c. boron. d. potassium. e. phosphorus.

ANSWER: e POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:56 PM DATE MODIFIED: 12/3/2023 10:57 PM 33. Cognitively, early adolescence is a time dominated, in part, by: a. a reduction in impulsive behavior. b. abstract thinking. c. egocentrism. d. the development of social independence from family. e. the development of a personal identity.

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Chapter 14 ANSWER: c POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:58 PM DATE MODIFIED: 12/3/2023 10:59 PM 34. Dietary fiber is important for: a. the development of bones. b. normal bowel movements. c. regular menstrual cycle. d. reducing the risk of anemia. e. intestinal calcium absorption.

ANSWER: b POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:00 PM DATE MODIFIED: 12/3/2023 11:01 PM 35. Food choices made by adolescents while snacking tend to favor foods high in: a. sugar, sodium, and fat. b. vitamins and minerals. c. carbohydrates and fiber. d. protein and calories. e. added sugar, calcium, and potassium.

ANSWER: a POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:02 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 DATE MODIFIED:

12/3/2023 11:03 PM

36. Conflicts over personal issues, including eating and physical activity behaviors, are heightened during _____ adolescence. a. early b. middle c. late d. early and late e. all stages of ANSWER: b POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:03 PM DATE MODIFIED: 12/3/2023 11:05 PM 37. Which of the following supplements is often required by vegans unless they routinely consume fortified foods? a. fiber b. folic acid c. vitamin C d. vitamin E e. vitamin B12 ANSWER: e POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:06 PM DATE MODIFIED: 12/3/2023 11:07 PM 38. Individuals of the age group _____ belong to the middle adolescence period. a. 15-21 b. 11-21 c. 18-21 d. 15-17 e. 11-14 ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:11 PM DATE MODIFIED: 12/3/2023 11:12 PM 39. Sexual maturation has concluded by sexual maturation rating stage: a. 1. b. 2. c. 3. d. 4. e. 5 ANSWER: e POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:31 PM DATE MODIFIED: 12/3/2023 11:32 PM 40. Regular physical activity reduces the risk of: a. eating disorders. b. renal disease. c. neural tube defects. d. colon cancer. e. anemia.

ANSWER: d POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:42 PM DATE MODIFIED: 12/3/2023 11:44 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 41. Which of the following examples showcases a way for parents to serve as role models for the eating behaviors of their adolescents? a. Giving the child money to go out to eat with friends for dinner. b. Purchasing foods advertised on social media to get their child to eat. c. Sitting down for family meals together. d. Allowing children to eat in their bedrooms. e. Stocking the kitchen with foods high in sugar and saturated fat.

ANSWER: c POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:46 PM DATE MODIFIED: 12/3/2023 11:48 PM 42. Which of the following factors is least likely to contribute to skipping meals among adolescents? a. body weight concerns b. food security c. lack of time to eat d. participation in sports e. access to food ANSWER: d POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:49 PM DATE MODIFIED: 12/3/2023 11:51 PM 43. Mass media and advertising are some of the _____ factors that play a more distal and indirect role in determining food patterns yet can exert a powerful influence on specific food choices. a. behavioral b. microenvironmental c. macrosystem d. cognitive-affective e. immediate social environmental ANSWER: c POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:51 PM DATE MODIFIED: 12/3/2023 11:53 PM 44. Well-planned vegetarian diets can offer health advantages to adolescents, such as: a. a low intake of carbohydrates. b. a low intake of calcium. c. a high intake of saturated fats. d. a high intake of dairy products. e. a high intake of fiber.

ANSWER: e POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:55 PM DATE MODIFIED: 12/3/2023 11:57 PM 45. A personal factor that influences eating behavior is: a. body image. b. fast food. c. cultural group. d. home environment. e. food trends.

ANSWER: a POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:58 PM DATE MODIFIED: 12/3/2023 11:59 PM 46. Which of the following dietary patterns allows fish consumption? a. partial-vegetarian b. vegan Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 c. lacto-ovo-vegetarian d. lacto-vegetarian e. nonvegetarian ANSWER: a POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:00 AM DATE MODIFIED: 12/4/2023 12:01 AM 47. Which of the following groups has the highest protein requirement? a. males at 9-13 years b. males at 15-18 years c. females at 9-13 years d. females at 15-18 years e. males and females at 15-18 years ANSWER: b POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:01 AM DATE MODIFIED: 12/4/2023 12:02 AM 48. Repeated measurements of weight, height, and _____ over a several-month period are needed to accurately assess adequacy of growth and development. a. body composition b. waist circumference c. BMI d. muscular strength e. flexibility ANSWER: a POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:03 AM DATE MODIFIED: 12/4/2023 12:04 AM 49. Hannah is nine years old. How many grams of fiber per day would she need to consume to meet the DRI? a. 26 b. 24 c. 38 d. 40 e. 20 ANSWER: a POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:05 AM DATE MODIFIED: 12/4/2023 12:07 AM 50. The recommended intake of carbohydrates among teens is 45-65% of daily energy needs or _____ g/day. a. 100 b. 90 c. 130 d. 150 e. 200 ANSWER: c POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:07 AM DATE MODIFIED: 12/4/2023 12:10 AM 51. According to the Dietary Reference Intakes, females and males between the ages of nine and thirteen years should take _____ of calcium.

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Chapter 14 a. 1,050 mg/day b. 1,100 mg/day c. 1,250 mg/day d. 1,300 mg/day e. 1,500 mg/day ANSWER: d POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:11 AM DATE MODIFIED: 12/4/2023 12:13 AM 52. According to the Dietary Reference Intakes, males between the age of fourteen and eighteen years should have _____ mg of iron every day. a. 5 b. 27 c. 11 d. 8 e. 15 ANSWER: c POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:14 AM DATE MODIFIED: 12/4/2023 12:15 AM 53. A parent is asking about iron recommendations for their four children ranging from eight to seventeen years of age.

Which of the following statements is an appropriate response? a. Age does not dictate iron requirements. b. Males and females between the ages of fourteen and eighteen have the same iron requirements. c. Iron requirements differ by age and sex. d. Females between the ages of nine and thirteen have the highest iron requirements. e. Males between the ages of eleven and fourteen have the highest iron requirements.

ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:18 AM DATE MODIFIED: 12/4/2023 12:20 AM 54. There appears to be an inverse relationship between vitamin D levels and serum: a. calcium. b. triglyceride. c. glucose. d. parathyroid hormone. e. iron.

ANSWER: d POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:22 AM DATE MODIFIED: 12/4/2023 12:24 AM 55. Studies show that skipping breakfast decreases the intake of: a. folate, calcium, and iron. b. calcium, vitamin D, and iron. c. carbohydrates and protein. d. fat and carbohydrates. e. all nutrients.

ANSWER: a POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:26 AM DATE MODIFIED: 12/4/2023 12:28 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 56. Which of the following statements regarding energy needs for adolescence is true? a. DRIs are based on the assumption of a sedentary lifestyle. b. Energy needs are influenced by physical activity and basal metabolic rate. c. Energy needs are higher as body fat composition increases. d. Energy needs decline as the intensity of physical activity increases. e. Energy needs are higher for males than females.

ANSWER: b POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:28 AM DATE MODIFIED: 12/4/2023 12:30 AM 57. On average, adolescents consume diets that are _____ in several vitamins and minerals. a. abundant b. inadequate c. adequate d. very high e. satisfactory ANSWER: b POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:30 AM DATE MODIFIED: 12/4/2023 12:32 AM 58. Hyperlipidemia is a major cause of _____ in adults. a. atherosclerosis b. osteoporosis c. diabetes d. eating disorder e. anemia ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:32 AM DATE MODIFIED: 12/4/2023 12:33 AM 59. An underweight sixteen-year-old male was twenty minutes late to his nutrition counseling appointment, and he had to leave for a school-related practice in twenty minutes. Which of the following dietary assessment methods would be the most appropriate, in which the dietitian can complete the assessment through a telephone conversation with the client? a. 24-hour recall b. food frequency c. food record d. diet history e. ASA24 ANSWER: a POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:34 AM DATE MODIFIED: 12/4/2023 12:35 AM 60. Teen diets tend to exceed the recommended amount of total and saturated fats, cholesterol, added sugar, and: a. sodium. b. iron. c. zinc. d. fiber. e. calcium.

ANSWER: a POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:35 AM DATE MODIFIED: 12/4/2023 12:37 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 61. Zehra follows a lacto-ovo-vegetarian diet. Which of the following foods does she consume as part of her diet? a. pork b. poultry c. fish d. egg e. red meat ANSWER: d POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:38 AM DATE MODIFIED: 12/4/2023 12:40 AM 62. An ideal total cholesterol level is ____mg/dL. a. <90 b. >110 c. <110 d. <170 e. >170 ANSWER: d POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:40 AM DATE MODIFIED: 12/4/2023 12:42 AM 63. During a nutrition screening, adolescents who have been found to have a nutrition-related health risk, such as hyperlipidemia, should be: a. further assessed for use of anabolic steroids. b. further assessed for an increase in blood pressure. c. referred for in-depth medical assessment and nutrition counseling. d. further assessed for diabetes. e. referred to an exercise physiologist.

ANSWER: c POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:43 AM DATE MODIFIED: 12/4/2023 12:44 AM 64. Which of the following dietary assessment tools/methods would most likely be appropriate for someone who needs to measure food portions and is highly motivated? a. 24-hour recall b. food frequency c. food record d. diet history e. ASA24 ANSWER: c POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:45 AM DATE MODIFIED: 12/4/2023 12:48 AM 65. A type of diet in which an individual excludes red meat from their meals is called: a. semi-or-partial vegetarian. b. omnivore. c. vegan. d. healthy. e. restrictive.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:49 AM DATE MODIFIED: 12/4/2023 12:50 AM 66. The occurrence of the first menstrual cycle is referred to as: a. menarche. b. stage 2. c. menses. d. puberty. e. stage 1.

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Chapter 14 ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:50 AM DATE MODIFIED: 12/4/2023 12:52 AM 67. The process of menstruation is referred to as: a. menarche. b. stage 2. c. menses. d. puberty. e. stage 1.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:52 AM DATE MODIFIED: 12/4/2023 12:53 AM 68. Puberty is defined as the: a. time frame during which the body matures from that of an infant to that of a young adult. b. time frame during which the body matures from that of an infant to that of a toddler. c. time frame in which adolescents meet their maximum growth potential. d. time frame during which the body matures from that of a child to that of a young adult. e. time frame in which adolescents meet their maximum cognitive function.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:53 AM DATE MODIFIED: 12/4/2023 12:54 AM 69. The physiological changes that signal puberty are referred to as: a. secondary sexual characteristics. b. the psychosocial maturation scale. c. sexual maturity. d. genital development. e. tanner stages.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:54 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 DATE MODIFIED: 12/4/2023 12:55 AM 70. The scale of secondary sexual characteristics that is used by the health professionals to assess the degree of pubertal maturation among adolescents, irrespective of chronological age, is called the: a. secondary sexual characteristics. b. psychosocial maturation scale. c. sexual maturity. d. genital development. e. tanner stages.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:56 AM DATE MODIFIED: 12/4/2023 12:56 AM 71. Which of the following body parts is one of the two male reproductive glands that is located in the scrotum? a. ovary b. testes c. breast d. penis e. areola ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 12:57 AM DATE MODIFIED: 12/4/2023 12:58 AM 72. Which of the following laboratory values is commonly used to determine anemia related to iron-deficiency? a. transferrin saturation b. albumin c. hemoglobin value d. vitamin D e. ASA24 ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 1:11 AM DATE MODIFIED: 12/4/2023 1:12 AM 73. Which of the following laboratory values are a measure of iron status obtained from blood plasma or serum samples? a. blood glucose level b. vitamin D Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 c. albumin d. transferrin saturation e. ASA24 ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 1:19 AM DATE MODIFIED: 12/5/2023 2:37 AM 74. A type of diet where an individual excludes red meat, poultry, fish, seafood, and eggs is called: a. lacto-vegetarian. b. omnivore. c. vegan. d. lacto-ovo-vegetarian. e. restrictive.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 1:21 AM DATE MODIFIED: 12/4/2023 1:21 AM 75. Why do some adolescents engage in risky behavior during puberty? How can you decrease the likelihood that adolescents will engage in health-compromising behaviors?

ANSWER: The wide chronological age range during which pubertal growth and development begins and proceeds can become a major source of personal dissatisfaction for some adolescents. Males who enter puberty late often feel physically inferior to their peers who mature earlier and may resort to the use of anabolic steroids and other supplements in an effort to increase linear growth and muscle development. Females who mature early have been found to have more eating problems and poorer body image than their later developing peers. They are also more likely to initiate risky behaviors such as smoking, drinking alcohol, and engaging in sexual intercourse at an earlier age. Education of young adolescents on normal variations in tempo and timing of growth and development can help to facilitate a positive self-image, which may reduce the likelihood of engaging in health-compromising behaviors.

POINTS: 1 REFERENCES: Psychosocial and Cognitive Development QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.2 - Explain how the psychosocial developmental stages of adolescence, including levels of abstract reasoning and critical thinking abilities, affect the types of health education messages and intervention components that are effective with teens.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:22 AM DATE MODIFIED: 12/4/2023 1:23 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 76. What is the most commonly skipped meal among adolescents? How does this affect overall nutrient intake?

ANSWER: Breakfast is the most commonly skipped meal. Meal skipping is associated with a low intake of energy and essential nutrients and, if it is a regular practice, could compromise growth and sexual development. Repeatedly skipping meals decreases the nutritional adequacy of the diet. Only 27% of adolescents report eating breakfast daily, and 17% of students report skipping breakfast every day. Skipping meals can often lead to nutritional deficiencies if daily overall nutrient intake is not properly consumed.

POINTS: 1 REFERENCES: Health and Nutrition-Related Behaviors During Adolescence QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.3 - Describe at least three eating behaviors commonly seen among adolescents and the potential consequences of these behaviors on nutritional status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:25 AM DATE MODIFIED: 12/4/2023 1:27 AM 77. Describe risk factors associated with iron deficiency in adolescence.

ANSWER: Iron is essential for the transportation of oxygen throughout the body. Iron deficiency impacts 2-11% of adolescents, which varies based on age and sex. The highest prevalence of iron deficiency is in ten- to nineteen-year-old females due to increased needs from menstruation. Anemia is twice as high in Black and Mexican American females compared to White females. Prevalence is impacted by food security status.

POINTS: 1 REFERENCES: Dietary Requirements, Intake, and Adequacy Among Adolescents QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.4 - Compare which nutrients adolescents consume in lower than recommended amounts and which nutrients they consume in higher than recommended amounts, and how these behaviors may impact overall health status.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:28 AM DATE MODIFIED: 12/4/2023 1:30 AM 78. List the biological changes that occur during puberty. Why should sexual maturation be used to assess an adolescent's growth and nutritional needs rather than chronological age?

ANSWER: The biological changes that occur during puberty include sexual maturation, increases in height and weight, accumulation of skeletal mass, and changes in body composition. Even though the sequence of these events during puberty is consistent among adolescents, the age of onset, duration, and the tempo of these events may vary a great deal between and within individuals. Thus, the physical appearance of adolescents of the same chronological age covers a wide range. These variations in development directly affect the nutrition requirements of adolescents. A fourteen-year-old male who has already experienced rapid linear growth and muscular development will have noticeably different energy and nutrient needs than a fourteen-year-old male peer who has not yet entered puberty. For this reason, Copyright Cengage Learning. Powered by Cognero.

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Chapter 14 sexual maturation should be used to assess biological growth and development (biological age), and the individual nutritional needs of adolescents rather than chronological age.

POINTS: 1 REFERENCES: Normal Physical Growth and Development QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.1 - Explain why sexual maturity and biological maturity (biological age) are better determinants of nutritional needs than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:30 AM DATE MODIFIED: 12/4/2023 1:32 AM 79. During a nutrition counseling session, how can you better involve an adolescent in decision-making processes?

ANSWER: It is important to involve the adolescent in decision-making during nutrition counseling.

Motivational counseling methods are recommended. Allowing teens to provide input as to what aspects of their eating habits they think need to be changed and what changes they are willing to make accomplishes several important tasks during the counseling session.

Messages containing concrete recommendations that incorporate specific activities or concerns from their daily lives are most effective. First, the importance of the adolescent in the decision-making process is stressed, and they are encouraged to become engaged in personal decisions about health. Second, a good rapport established between the health professional and the adolescent may lead to greater interaction between both parties. Finally, behavior change is more likely when the adolescent has suggested ways to change, thus becoming engaged in the education process and owning a willingness to change.

POINTS: 1 REFERENCES: Nutrition Screening, Assessment, and Intervention QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.5 - Identify the key components of nutrition assessment and screening of adolescents and how resulting data can be used during nutrition education and counseling.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:32 AM DATE MODIFIED: 12/4/2023 1:33 AM 80. What are the four "Ps" of marketing? Using the four "Ps," discuss some strategies based on behavioral economics that schools can utilize to improve eating behaviors.

ANSWER: The four "Ps" of marketing are price, placement, promotion, and product. Based on behavioral economics, the strategies that schools can utilize to improve eating behaviors are as follows: • • • •

Place healthy foods at the beginning of food lines and in front of less healthy foods.

Place less healthy foods just out of reach, making it inconvenient to access them.

Price healthier food products more competitively and less healthy food items at a higher level.

Provide healthier food products through a "pre-order" or "quick service line" to encourage their selection.

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Chapter 14 • •

Promote fruit and salads by serving them in attractive bowls and containers.

Promote fruits and salads by placing them just before the cash register where students will be waiting and where last-minute "grabs" are made.

POINTS: 1 REFERENCES: Promoting Healthy Eating and Physical Activity Behaviors QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.14.6 - Describe the roles that peers, families, schools, and communities play in determining the dietary behaviors and nutritional status of adolescents.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:33 AM DATE MODIFIED: 12/4/2023 1:35 AM

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Chapter 15 1. Environmental factors seldom affect the risk of developing obesity if an adolescent is genetically predisposed to obesity. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:47 PM DATE MODIFIED: 12/4/2023 7:48 PM 2. Approximately 25% of adolescents have an elevated cholesterol level. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:53 PM DATE MODIFIED: 12/4/2023 7:54 PM 3. Substance abuse may lead to appetite suppression in adolescents. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:56 PM DATE MODIFIED: 12/4/2023 7:56 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 4. BMI is calculated by multiplying a person's weight with their height. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:59 PM DATE MODIFIED: 12/4/2023 8:00 PM 5. High-protein diets are recommended as pre-performance dietary regimens among adolescent athletes. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:04 PM DATE MODIFIED: 12/4/2023 8:05 PM 6. Mortality for bulimia nervosa appears to be higher than for anorexia nervosa. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:06 PM DATE MODIFIED: 12/4/2023 8:06 PM 7. The use of motivational interviewing with adolescents may reduce the risk of poor physical and emotional outcomes related to weight management.

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Chapter 15 a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:07 PM DATE MODIFIED: 12/4/2023 8:07 PM 8. BED is defined by recurrent episodes of binge eating at least one day a week for at least three months. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:08 PM DATE MODIFIED: 12/4/2023 8:10 PM 9. Race or ethnicity does not affect the risk of developing obesity among children and adolescents. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:12 PM DATE MODIFIED: 12/4/2023 8:13 PM 10. The risk of obesity among children and adolescents increases if at least one parent is overweight. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:13 PM DATE MODIFIED: 12/4/2023 8:14 PM 11. Weight status among adolescents should be assessed by calculating body mass index. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:17 PM DATE MODIFIED: 12/4/2023 8:18 PM 12. Body dissatisfaction can lead to behaviors attributed to disordered eating. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:18 PM DATE MODIFIED: 12/4/2023 8:19 PM 13. After a sporting event, two to three cups of cold water should be consumed for each kilogram of weight loss. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:19 PM DATE MODIFIED: 12/4/2023 8:20 PM 14. Obesity can cause medical and psychological complications in a person. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:20 PM DATE MODIFIED: 12/4/2023 8:21 PM 15. If an individual consumes too much of a nutrient, such as protein, the excess calories will be stored as fat. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:22 PM DATE MODIFIED: 12/4/2023 8:22 PM 16. Dietary intakes of athletes should follow the MyPlate recommendations. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 ANSWER: True POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:19 PM DATE MODIFIED: 12/4/2023 10:20 PM 17. Post-event meals should contain approximately 500 kcals for adolescent athletes. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:21 PM DATE MODIFIED: 12/4/2023 10:21 PM 18. Plant-based sources of protein may be incomplete and thus less bioavailable. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:21 PM DATE MODIFIED: 12/4/2023 10:22 PM 19. Participation in organized sports is higher among female adolescents than male adolescents. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:24 PM DATE MODIFIED: 12/4/2023 10:25 PM 20. Foods that are high in fat should be avoided for at least four hours prior to exercise. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:29 PM DATE MODIFIED: 12/4/2023 10:35 PM 21. Female adolescent athletes with low calcium consumption appear to be the lowest-risk group of all adolescents for bone fractures. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:36 PM DATE MODIFIED: 12/4/2023 10:37 PM 22. Vitamin C inhibits iron absorption. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:37 PM DATE MODIFIED: 12/4/2023 10:38 PM 23. Protein recommendations for adolescents after bariatric surgery include meeting protein needs by estimating 1.0-1.5 g/kg/day of ideal body weight. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:38 PM DATE MODIFIED: 12/4/2023 10:39 PM 24. A risk factor for hypercholesterolemia is a family history of cardiovascular disease or high cholesterol levels. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:41 PM DATE MODIFIED: 12/4/2023 10:42 PM 25. Adolescent males should be screened every eight years for anemia. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent Copyright Cengage Learning. Powered by Cognero.

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Chapter 15

KEYWORDS: DATE CREATED: DATE MODIFIED:

and treat hypertension and hyperlipidemia in adolescents.

Bloom's: Understand 12/4/2023 10:42 PM 12/4/2023 10:43 PM

26. Dieting may place adolescents at increased likelihood of being overweight in the future. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:43 PM DATE MODIFIED: 12/4/2023 10:44 PM 27. Infant feeding practices may impose an additional risk factor onto adolescent obesity. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:44 PM DATE MODIFIED: 12/4/2023 10:45 PM 28. Nutritional monitoring is a lifelong commitment for an adolescent who has undergone bariatric surgery. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

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Chapter 15 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/4/2023 10:46 PM 12/4/2023 10:46 PM

29. Individuals with eating disorders who are medically and psychologically unstable are generally treated through inpatient programs. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:46 PM DATE MODIFIED: 12/4/2023 10:47 PM 30. A genetic component to eating disorders has been proposed in response to studies that have shown a higher prevalence of these disorders within families and/or twins. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:47 PM DATE MODIFIED: 12/4/2023 10:48 PM 31. Non-modifiable risk factors for the development of overweight and obesity among children and adolescents include: a. being diagnosed with a chronic condition that limits mobility. b. high socioeconomic status. c. consuming a diet low in fruits and vegetables. d. the use of vitamin/mineral supplements. e. duration of sleep.

ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:48 PM DATE MODIFIED: 12/4/2023 10:50 PM 32. A behavioral risk factor that increases the risk of obesity in adolescence includes: a. duration of sleep. b. being of low socioeconomic status. c. the elimination of fast-food meals. d. extensive physical activity for five hours per day. e. having an obese parent.

ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:50 PM DATE MODIFIED: 12/4/2023 10:52 PM 33. One side effect of iron supplementation often reported by adolescents is: a. muscle soreness. b. hypertension. c. headache. d. constipation. e. fat-soluble vitamin deficiency.

ANSWER: d POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:53 PM DATE MODIFIED: 12/4/2023 10:54 PM 34. Youth with BMI values greater than the 85th but lower than the 95th percentile are considered: a. underweight. b. normal weight.

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Chapter 15 c. overweight. d. obese. e. morbidly obese.

ANSWER: c POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:54 PM DATE MODIFIED: 12/4/2023 10:56 PM 35. Youths with BMI values above the 95th percentile are considered: a. underweight. b. normal weight. c. overweight. d. obese. e. morbidly obese.

ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:56 PM DATE MODIFIED: 12/4/2023 10:57 PM 36. Which of the following choices is a health implication of adolescent overweight and obesity? a. hay fever b. high self-esteem c. AIDS d. syphilis e. hepatic disease ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:06 PM DATE MODIFIED: 12/4/2023 11:07 PM 37. Pregnant teens who are iron deficient in the early stages of gestation are at increased risk of: a. gestational diabetes. b. cesarean delivery. c. delivery of a low-birthweight infant. d. hyperlipidemia. e. hypertension.

ANSWER: c POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:08 PM DATE MODIFIED: 12/4/2023 11:09 PM 38. Borderline fasting plasma glucose levels are defined as _______ mg/dL. a. ≥90 - <160 b. ≥80 - <90 c. ≥100 - <126 d. ≥100 - <140 e. ≥90 - <120 ANSWER: c POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:09 PM DATE MODIFIED: 12/4/2023 11:11 PM 39. It is recommended that teen athletes should consume _____ ounces of fluid prior to exercise. a. 4-6 b. 6-8 Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 c. 8-10 d. 10-12 e. 12-14 ANSWER: b POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:12 PM DATE MODIFIED: 12/4/2023 11:13 PM 40. The maximum fluid an athlete should consume every thirty minutes during exercise to avoid nausea is: a. 4-6 ounces. b. 6-8 ounces. c. 16 ounces. d. 32 ounces. e. 24 ounces.

ANSWER: c POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:14 PM DATE MODIFIED: 12/4/2023 11:16 PM 41. For an athlete who participates in physically intense events, which of the following options may allow for better hydration and physical performance? a. water b. juice diluted 1:2 with water c. iced tea d. sports drinks that contain more than 8% carbohydrate e. apple juice ANSWER: d POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of Copyright Cengage Learning. Powered by Cognero.

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Chapter 15

KEYWORDS: DATE CREATED: DATE MODIFIED:

competitive adolescent athletes who have not yet completed growth and development.

Bloom's: Remember 12/4/2023 11:21 PM 12/4/2023 11:23 PM

42. According to National Health and Examination Survey (NHANES) data, ____ of youths aged two to nineteen are considered severely obese. a. 6% b. 10% c. 12% d. 15% e. 19% ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:24 PM DATE MODIFIED: 12/4/2023 11:26 PM 43. During eating-disorder treatment, a major role of the dietitian is to: a. moderate group therapy sessions. b. treat comorbidities. c. monitor physical activity level every minute. d. help the adolescent normalize eating patterns. e. provide psychotherapy to the parents.

ANSWER: d POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:26 PM DATE MODIFIED: 12/4/2023 11:28 PM 44. Potential effects of substance abuse on nutrition status include: a. iron toxicity. b. appetite suppression. c. increased nutrient intake.

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Chapter 15 d. lower metabolic requirements of nutrients. e. weight gain.

ANSWER: b POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:29 PM DATE MODIFIED: 12/4/2023 11:30 PM 45. Distance runners and other endurance athletes traditionally used _____ to improve the glycogen content of muscle. a. high-protein diets b. calorie-restricted diets c. high-fat diets d. vegan diets e. carbohydrate loading ANSWER: e POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:30 PM DATE MODIFIED: 12/4/2023 11:32 PM 46. A commonly reported side effect of iron supplementation is: a. weight gain. b. decreased appetite. c. fever. d. gastrointestinal symptoms. e. infections.

ANSWER: d POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

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Chapter 15 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/4/2023 11:32 PM 12/4/2023 11:34 PM

47. Which of the following foods should be avoided within one hour of taking an iron supplement? a. coffee b. carrots c. refined pasta d. bread e. cod ANSWER: a POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 11:48 PM DATE MODIFIED: 12/4/2023 11:49 PM 48. Reported tobacco use is highest among: a. non-Hispanic White students. b. Asian students. c. non-Hispanic Black students. d. Hispanic students. e. male students.

ANSWER: a POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:50 PM DATE MODIFIED: 12/4/2023 11:57 PM 49. A risk factor for hypercholesterolemia is: a. food insecurity. b. physical inactivity. c. excessive dieting. d. iron-deficiency anemia. e. underweight status.

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Chapter 15 ANSWER: b POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:58 PM DATE MODIFIED: 12/5/2023 12:01 AM 50. According to the DASH eating plan, individuals on a 2,000-kcals diet should consume no more than five servings per week of: a. lean meat or fish. b. sweets and added sugars. c. nuts and seeds. d. milk and milk products. e. fruits.

ANSWER: b POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:06 AM DATE MODIFIED: 12/5/2023 12:07 AM 51. A risk factor for hypertension among adolescents is: a. depression. b. iron deficiency anemia. c. drug abuse. d. an inactive lifestyle. e. alcohol use.

ANSWER: d POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:13 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 DATE MODIFIED:

12/5/2023 12:14 AM

52. Which of the following factors regarding normal blood pressure is true? a. having a systolic and diastolic blood pressure <99th percentile for age and gender b. having a systolic and diastolic blood pressure <90th percentile for age and gender c. having a systolic and diastolic blood pressure >90th percentile but <95th percentile for age and gender d. having a systolic and diastolic blood pressure >95th percentile but <99th percentile for age and gender e. having a systolic and diastolic blood pressure >99th percentile for age and gender ANSWER: b POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:14 AM DATE MODIFIED: 12/5/2023 12:16 AM 53. Requirements of _____ may be higher among adolescents who frequently consume large quantities of alcohol. a. thiamin and fat b. fat and vitamin C c. thiamin and vitamin C d. vitamin D and protein e. iron and zinc ANSWER: c POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:16 AM DATE MODIFIED: 12/5/2023 12:18 AM 54. Which of the following statements regarding hyperlipidemia in adolescence is true? a. All adolescents should be screened for hyperlipidemia. b. Carbohydrate loading can contribute to hyperlipidemia. c. Overweight or obese adolescents should be screened for hyperlipidemia. d. Total cholesterol levels increase by 10-20% during puberty. e. Risk factors for hyperlipidemia include having a parent with an eating disorder.

ANSWER: c POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.3 - Compare and contrast national dietary recommendations to prevent and treat hypertension and hyperlipidemia in adolescents.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:18 AM DATE MODIFIED: 12/5/2023 12:20 AM 55. The two subtypes of anorexia nervosa are similar in that individuals in that both the subtypes: a. refuse to maintain a minimally normal body weight. b. exhibit regular episodes of purging behaviors. c. exhibit regular episodes of binge-eating. d. sometimes achieve a minimally normal body weight. e. rarely purge but often binge.

ANSWER: a POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:05 AM DATE MODIFIED: 12/5/2023 1:06 AM 56. Very low-calorie diets or protein-sparing modified fasts have been associated with many health risks, including: a. insulin resistance. b. hypertension. c. atherosclerosis. d. sleep apnea. e. orthostatic hypotension.

ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:07 AM DATE MODIFIED: 12/5/2023 1:08 AM 57. The recommended fluid intake during strenuous physical activity is: Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 a. 2-3 ounces of cool water. b. 4-6 ounces of cool water every 15-20 minutes. c. 12-13 ounces of hot water. d. 2-3 cups of cool water for every pound of weight lost. e. 10-20 ounces of cool water every 5-10 minutes.

ANSWER: b POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:09 AM DATE MODIFIED: 12/5/2023 1:10 AM 58. Binge-eating disorder differs from bulimia nervosa in that binge-eating disorder: a. is followed by vigorous exercise. b. appears to be more prevalent among normal weight individuals. c. is more prevalent in males. d. is not followed by compensatory behaviors. e. is highly prevalent in college-age students.

ANSWER: d POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:11 AM DATE MODIFIED: 12/5/2023 1:12 AM 59. Which of the following factors contributes most to dieting behaviors, disordered eating behaviors, and clinical eating disorders? a. peer pressure b. family pressure c. body dissatisfaction d. high self-esteem e. genetics ANSWER: c POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:13 AM DATE MODIFIED: 12/5/2023 1:14 AM 60. The most common nutritional deficiency among adolescents is: a. iron. b. vitamin B12. c. calcium. d. folic acid. e. vitamin C. ANSWER: a POINTS: 1 REFERENCES: Special Dietary Concerns Among Adolescents QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:14 AM DATE MODIFIED: 12/5/2023 1:15 AM 61. The recommended fluid intake after strenuous physical activity is: a. 10-20 ounces of cool water every 5-10 minutes. b. 2-3 ounces of cold water. c. 12-13 ounces of hot water. d. 2-3 cups of cool water for every pound of weight lost. e. 4-6 ounces of cool water every 15-20 minutes.

ANSWER: d POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:15 AM DATE MODIFIED: 12/5/2023 1:17 AM 62. A successful eating-disorder prevention program: a. targets all youth. b. targets adolescents over fifteen years of age.

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Chapter 15 c. includes a single intense information session. d. provides information via parents. e. provides only didactic learning experiences.

ANSWER: b POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:17 AM DATE MODIFIED: 12/5/2023 1:19 AM 63. Which of the following disorders is a mild comorbid condition that may indicate the need for bariatric surgery? a. pseudotumor cerebri b. cerebral palsy c. cystic fibrosis d. dyslipidemia e. type 2 diabetes ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:19 AM DATE MODIFIED: 12/5/2023 1:20 AM 64. Which of the following choices is used to treat severely obese adolescents who were not successful with behavior modification and lifestyle changes? a. extreme physical activity b. gastric bypass c. extremely low-calorie diet d. intestinal transplantation e. appetite suppressant ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:20 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 DATE MODIFIED: 12/5/2023 1:21 AM 65. An acceptable HDL cholesterol is: a. 50 mg/dL. b. 40 mg/dL. c. 30 mg/dL. d. 35 mg/dL. e. 43 mg/dL. ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:21 AM DATE MODIFIED: 12/5/2023 1:22 AM 66. Which of the following statements regarding disordered eating behaviors is accurate? a. Binge eating rates are increasing. b. Laxative use for weight-loss purposes is declining. c. Diuretic use for weight-loss purposes is declining. d. The prevalence of self-induced vomiting is estimated between 2% and 8%. e. Compensatory exercise is increasing rapidly.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:22 AM DATE MODIFIED: 12/5/2023 1:23 AM 67. Which of the following is the BMI value for an adolescent who qualifies for bariatric surgery? a. 30 kg/m2 with hypertension b. 25 kg/m2 with hypertension and type II diabetes c. 34.5 kg/m2 with hypertriglyceridemia d. 20 kg/m2 with hypertension e. 43 kg/m2 ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:23 AM DATE MODIFIED: 12/5/2023 1:24 AM 68. Being underweight is characterized by: a. >5th percentile for BMI-for-age.

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Chapter 15 b. <10th percentile for BMI-for-age. c. <85th percentile for BMI-for-age. d. >95th percentile for BMI-for-age. e. <5th percentile for BMI-for-age.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:24 AM DATE MODIFIED: 12/5/2023 1:25 AM 69. Which of the following choices is an example of a psychosocial criteria for inpatient treatment of eating disorders? a. failure to thrive b. rapid weight loss c. hypokalemia d. bradycardia e. depression ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:25 AM DATE MODIFIED: 12/5/2023 1:26 AM 70. Which of the following conditions is diagnosed if the average of three systolic and/or diastolic blood pressure readings exceeds the 95th percentile based on age, sex, and height? a. hypertension b. cerebral palsy c. cystic fibrosis d. dyslipidemia e. type 2 diabetes ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:27 AM DATE MODIFIED: 12/5/2023 1:27 AM 71. A blood cholesterol level of 220 mg/dL is categorized as: a. hypertension. b. cerebral palsy. c. hyperlipidemia. d. hyperglycemia.

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Chapter 15 e. type 2 diabetes.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:28 AM DATE MODIFIED: 12/5/2023 1:29 AM 72. An eating disorder characterized by extreme weight loss, poor body image, and irrational fears of weight gain and obesity is called: a. bulimia nervosa. b. malnutrition. c. anorexia nervosa. d. binge-eating disorder. e. starvation.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:29 AM DATE MODIFIED: 12/5/2023 1:30 AM 73. A condition in which an individual engages in eating large amounts of food and feels that these eating episodes are not within their control is called: a. bulimia nervosa. b. malnutrition. c. anorexia nervosa. d. binge-eating disorder. e. starvation.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:30 AM DATE MODIFIED: 12/5/2023 1:31 AM 74. A disorder characterized by repeated bouts of uncontrolled, rapid ingestion of large quantities of food followed by self-induced vomiting, laxatives, or diuretic use, fasting, or vigorous exercise in order to prevent weight gain is called: a. bulimia nervosa. b. malnutrition. c. anorexia nervosa. d. binge-eating disorder. e. starvation.

ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:31 AM DATE MODIFIED: 12/5/2023 1:32 AM 75. Which of the following choices has been found to be associated with inadequate intakes of essential nutrients, particularly when an entire food group or category is avoided? a. dieting behaviors b. anthropometric measurements c. heart palpitations d. gastrointestinal symptoms e. dietary patterns ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:32 AM DATE MODIFIED: 12/5/2023 1:32 AM 76. Which of the following choices has serious implications for health and may be a precursor to a diagnosed eating disorder? a. dieting behaviors b. anthropometric measurements c. disordered eating behaviors d. gastrointestinal symptoms e. dietary patterns ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 1:36 AM DATE MODIFIED: 12/5/2023 1:37 AM 77. A highly competitive endurance athlete wants to know which foods should be consumed before a meet.

ANSWER: A balanced nutritional recommendation for endurance athletes will include unrefined carbohydrates for energy production, lean protein for muscle growth and development, and healthy fats such as omega-3 fatty acids to reduce inflammation and regulate hormone production. Adequate amounts of water should be consumed based on individual needs, race distance, and environmental factors. Electrolytes are needed to replace those utilized during exercise.

POINTS: 1 REFERENCES: Nutrition for Adolescent Athletes QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 LEARNING OBJECTIVES: NTLC.BRWN.24.15.2 - Determine the unique energy, protein, and micronutrient needs of competitive adolescent athletes who have not yet completed growth and development.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:37 AM DATE MODIFIED: 12/5/2023 1:38 AM 78. Identify three screening elements and warning signs for individuals with eating disorders.

ANSWER: • Meal patterns: fasting or frequent meal skipping to lose weight.

• Psychosocial assessment: depression; constant thoughts about food or weight.

• Physical examination: BMI<5th percentile; varying heart rate, decreased blood pressure after arising suddenly; loss of muscle; tooth enamel demineralization.

POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.15.4 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:39 AM DATE MODIFIED: 12/5/2023 1:39 AM 79. How is BMI calculated? Discuss the health implications of adolescent overweight and obesity.

ANSWER: BMI is calculated by dividing a person's weight (kg) by the square of their height (m2). A range of medical and psychosocial complications accompanies being overweight among adolescents, including hypertension, dyslipidemia, insulin resistance, type 2 diabetes mellitus, sleep apnea and other hypoventilation disorders, orthopedic problems, hepatic diseases, body image disturbances, and lowered self-esteem. Longitudinal studies of obesity and chronic disease risk among youth suggest an increased risk of morbidity and premature mortality from coronary heart disease, stroke, diabetes, asthma, and hypertension among adults who were overweight or obese during adolescence.

POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.15.1 - Describe at least five chronic health issues that are considered comorbid conditions of adolescent obesity, including the proposed mechanisms by which obesity raises the risk for these conditions.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 1:40 AM DATE MODIFIED: 12/5/2023 1:44 AM 80. Discuss the characteristics of successful eating-disorder prevention programs.

ANSWER: Programs that focused on changing weight-related attitudes of youth and promoted healthy weight-control strategies were found to be the most effective, with effects lasting up to two Copyright Cengage Learning. Powered by Cognero.

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Chapter 15 years. Other characteristics of successful eating-disorder prevention programs include: • • • • •

Selective targeting of high-risk groups rather than all youth Programs targeting adolescents >15 years of age Programs with information provided by trained interventionists rather than counselors, teachers, or healthcare providers Programs that included multiple sessions rather than a single encounter Integrated interactive learning (role-playing, computer technology, etc.) rather than providing only didactic learning experiences

POINTS: 1 REFERENCES: Dieting, Disordered Eating, and Eating Disorders QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.15.5 - Differentiate between disordered eating behaviors and eating disorders based on frequency and severity of symptoms and anticipated outcomes.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 1:44 AM DATE MODIFIED: 12/5/2023 1:46 AM

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Chapter 16 1. For additional health benefits, increase moderate-intensity aerobic physical activity to five hours a week. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.6 - Describe national recommendations for physical activity and the benefits of regular physical activity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 10:56 PM DATE MODIFIED: 12/3/2023 10:57 PM 2. Households at or below 30% of poverty have the highest rates of food insecurity. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:58 PM DATE MODIFIED: 12/3/2023 10:59 PM 3. Positive energy balance typical between the ages of twenty and sixty-four results in weight gain and storage of excess energy in adipose tissues. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 10:59 PM DATE MODIFIED: 12/3/2023 11:00 PM 4. Menopause is associated with an increase in abdominal fat and a significant increase in the risk of cardiovascular disease and accelerated loss of bone mass.

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Chapter 16 a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:00 PM DATE MODIFIED: 12/3/2023 11:02 PM 5. A healthy weight for most individuals is a BMI of 18.5 up to 25 kg/m². a. True b. False ANSWER: True POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:02 PM DATE MODIFIED: 12/3/2023 11:03 PM 6. Serum magnesium levels are a good indicator of magnesium status. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:03 PM DATE MODIFIED: 12/3/2023 11:04 PM 7. Healthy gut microbiota digests food to release nutrients and energy from diet. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:04 PM DATE MODIFIED: 12/3/2023 11:07 PM 8. Nutritional injury may lead to permanent changes in cells and tissues. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:07 PM DATE MODIFIED: 12/3/2023 11:10 PM 9. It is impossible to maintain a high-quality diet if you are a vegetarian. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:12 PM DATE MODIFIED: 12/3/2023 11:13 PM 10. Iron depletion, with or without anemia, is associated with reduced physical, physiological, and mental performance. a. True b. False ANSWER: True POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:58 PM DATE MODIFIED: 12/3/2023 11:59 PM 11. Meals-on-Wheels programs provide hot meals and snacks for homeless and hungry people. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:01 AM DATE MODIFIED: 12/4/2023 12:02 AM 12. Which of the following phases of adulthood roughly corresponds to the early sixties? a. maturing adulthood b. early adulthood c. sandwich generation d. later adulthood e. onset of old age ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:03 AM DATE MODIFIED: 12/4/2023 12:05 AM 13. Diabetes is often associated with a(n) _____ diet. a. atherogenic b. carcinogenic c. obesogenic Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 d. protein-rich and calorie-rich e. atherogenic and obesogenic ANSWER: e POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:06 AM DATE MODIFIED: 12/4/2023 12:10 AM 14. Which of the following diets describes an obesogenic dietary pattern? a. low potassium, low antioxidant, and low intake of fruit and vegetables b. low fruit and vegetable intake, alcohol consumption, high intakes of pickled and fermented foods c. unstructured eating, high fat intake, sugar-sweetened beverage consumption d. high fat intake, high animal-food intake, low plant-food intake e. high saturated fat intake, dietary cholesterol intake >300 mg, excess alcohol intake ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:10 AM DATE MODIFIED: 12/4/2023 12:14 AM 15. The sandwich generation refers to: a. middle-aged adults who are multigenerational caregivers. b. adults entering later adulthood making the transition to retirement. c. adults in their twenties who are leaving parental control. d. midlife adults balancing schedules with an active role in the family. e. adults well into later adulthood who are preparing for end of life.

ANSWER: a POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 DATE CREATED: DATE MODIFIED:

12/4/2023 12:29 AM 12/4/2023 12:31 AM

16. Muscular strength peaks around: a. 30-35 years of age. b. 25-30 years of age. c. age 50. d. 20-25 years of age. e. age 40.

ANSWER: b POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:40 AM DATE MODIFIED: 12/4/2023 12:42 AM 17. Menopause is associated with a(n): a. increase in muscle mass. b. increase in abdominal fat. c. accelerated gain of bone mass. d. lower risk of cardiovascular disease. e. increase in the elasticity of the skin.

ANSWER: b POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:49 AM DATE MODIFIED: 12/4/2023 1:01 AM 18. An acceleration in the decline of energy expenditure can occur: a. during cancer treatment. b. in obesity. c. when weightlifting. d. during pregnancy. e. when physically active.

ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:02 AM DATE MODIFIED: 12/4/2023 1:06 AM 19. Which of the following choices is a risk factor for heart disease? a. high potassium intake b. burnt and charred food c. high intake of antioxidants d. high sodium intake e. unstructured eating ANSWER: d POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:07 AM DATE MODIFIED: 12/4/2023 1:11 AM 20. Which of the following types of fiber decreases the energy density of the diet? a. dietary fiber b. viscous fiber c. functional fiber d. fermentable fiber e. insoluble fiber ANSWER: a POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:14 AM DATE MODIFIED: 12/4/2023 1:19 AM 21. Which of the following two nutrients contribute to changes in vascular dilation and contraction?

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Chapter 16 a. choline and phosphorus b. calcium and phosphorus c. potassium and sodium d. magnesium and iron e. iron and fiber ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:19 AM DATE MODIFIED: 12/4/2023 1:21 AM 22. Which of the following eating styles includes the use of vegetables, fish and seafood, and olive oil? a. vegetarian b. DASH c. Mediterranean d. Atkins e. vegan ANSWER: c POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:22 AM DATE MODIFIED: 12/5/2023 2:10 AM 23. To meet fluid requirements while managing calories and contributing to nutrient needs, one should: a. choose water as the preferred beverage. b. drink coffee with added sweeteners. c. drink whole milk. d. choose 100% fruit juice in 8-12-ounce servings. e. reduce artificial sweeteners by choosing sugar-sweetened soda.

ANSWER: a POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:27 AM DATE MODIFIED: 12/4/2023 1:31 AM 24. What does the term climacteric changes refer to? a. It refers to the changes the body undergoes because of obesity. b. It refers to the changes the body undergoes after chemotherapy. c. It refers to the changes associated with a person's diet. d. It refers to the changes associated with the end of reproduction. e. It refers to the changes that occur when a person shifts from one type of diet to another.

ANSWER: d POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:32 AM DATE MODIFIED: 12/4/2023 1:36 AM 25. Basal metabolic rate is measured in an individual who: a. has been awake for more than thirty minutes. b. has just finished exercising. c. is in a room with music playing at a moderate volume. d. is in a room with comfortable temperature. e. has fasted for six hours.

ANSWER: d POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:40 AM DATE MODIFIED: 12/4/2023 1:44 AM 26. Which of the following factors characterizes a climacteric change? a. reduction in testosterone production in men b. increase in estrogen production in women Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 c. increase in the gut microbiota d. decrease in abdominal fat in women e. increase in muscle mass in men ANSWER: a POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:45 AM DATE MODIFIED: 12/4/2023 1:57 AM 27. In the mid-1960s, researchers at the Baltimore Longitudinal Study on Aging (BLSA) reported that caloric intake in men decreased by _____ between age thirty and age eighty due to lowered metabolic rates and decreased activity levels. a. 15% b. 22% c. 31% d. 46% e. 53% ANSWER: b POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:58 AM DATE MODIFIED: 12/4/2023 2:06 AM 28. The Mifflin-St. Jeor energy estimation formula calculates energy expenditures using: a. gender, age, weight, and height. b. gender, age, activity level, and disease status. c. gender, age, body frame size, and activity level. d. gender, weight, age, and food intake. e. weight, height, age, and activity level.

ANSWER: a POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss Copyright Cengage Learning. Powered by Cognero.

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Chapter 16

KEYWORDS: DATE CREATED: DATE MODIFIED:

factors that affect energy needs of adults.

Bloom's: Understand 12/4/2023 2:08 AM 12/4/2023 2:20 AM

29. Which of the following statements describes a function of gut microbiota? a. They slow gastric emptying time. b. They help ferment nondigestible carbohydrates. c. They help in the development and differentiation of white blood cells. d. They decrease calcium bioavailability in the body. e. They help in protein synthesis.

ANSWER: b POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 2:20 AM DATE MODIFIED: 12/4/2023 2:22 AM 30. A pound of body weight is equivalent to approximately _____ calories. a. 2200 b. 2500 c. 3000 d. 3500 e. 3700 ANSWER: d POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:24 AM DATE MODIFIED: 12/4/2023 2:28 AM 31. Modifiable nutritional risk factors for cancer include: a. low magnesium intake. b. low dietary fat intake. c. unstructured eating. d. high intakes of nitrosamines.

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Chapter 16 e. low alcohol consumption.

ANSWER: e POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:54 AM DATE MODIFIED: 12/4/2023 2:56 AM 32. Among adults, the Acceptable Macronutrient Distribution Ranges for total protein intake is _____ of calories. a. 10-35% b. 15-20% c. 20-35% d. 35-40% e. 40-50% ANSWER: a POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:56 AM DATE MODIFIED: 12/4/2023 2:57 AM 33. Based on the Acceptable Macronutrient Distribution Ranges, someone who consumes 2000 calories per day should aim for a minimum of _____ protein calories/day. a. 100 b. 200 c. 400 d. 600 e. 1000 ANSWER: b POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Apply Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 DATE CREATED: DATE MODIFIED:

12/4/2023 2:58 AM 12/4/2023 3:00 AM

34. The continuum of nutritional health ranges from resilient and healthy to: a. unfocused and unhealthy. b. altered but healthy. c. altered and unhealthy. d. clinically and chronically ill. e. terminally ill and dead.

ANSWER: e POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 3:01 AM DATE MODIFIED: 12/4/2023 3:04 AM 35. The U.S. guideline "If alcohol is consumed, it should be consumed in moderation" is defined as: a. no more than three drinks per day for males and no more than two drinks per day for females. b. no more than two drinks per day for males and no more than three drinks per day for females. c. no more than two drinks per day for males and no more than one drink per day for females. d. no more than one drink per day for males and no more than two drinks per day for females. e. no more than two drinks per day for both males and females.

ANSWER: c POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 3:05 AM DATE MODIFIED: 12/4/2023 3:07 AM 36. A standard alcoholic drink contains roughly _____ grams of alcohol or 0.5 ounces of ethanol. a. 2-5 b. 6-8 c. 9-11 d. 13-15 e. 17-21 ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 3:08 AM DATE MODIFIED: 12/4/2023 3:09 AM 37. As per the Food and Nutrition Board, the adequate intake level of water for women is: a. 1 milliliter per kg per day. b. 30 ounces per day. c. 2.7 liters per day. d. 3.7 liters per day. e. 125 ounces per day.

ANSWER: c POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 3:10 AM DATE MODIFIED: 12/4/2023 3:14 AM 38. Which of the following statements regarding the resilient and healthy state of nutritional health is true? a. It involves the accumulation of subcutaneous fat and the development of central adiposity. b. It involves the deposition of nutrients in body compartments, such as the deposition of calcium in bones. c. It includes homeostatic metabolic systems and optimally functioning organs. d. It refers to the complete shutdown of all the body systems. e. It refers to permanent and irreversible metabolic and structural states of tissues.

ANSWER: c POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 3:15 AM DATE MODIFIED: 12/4/2023 3:19 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 39. Bo is a thirty-five-year-old male. He consumes twelve grams of fiber daily. How many more grams of fiber per day should he consume to meet daily fiber recommendations? a. 8 grams total b. 5 grams total c. 31 to 34 grams total d. 25 grams total e. 10 grams total ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:33 PM DATE MODIFIED: 12/4/2023 7:34 PM 40. Margarine with plan stanols is an example of which of the following types of food? a. medical food b. supplement c. food for special dietary use d. modified food e. conventional food ANSWER: d POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:35 PM DATE MODIFIED: 12/4/2023 7:36 PM 41. Which of the following activities is an example of a moderate-intensity physical activity? a. swimming laps b. playing basketball c. jumping rope d. raking leaves e. hiking with a backpack ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.6 - Describe national recommendations for physical activity and the benefits of regular physical activity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:36 PM DATE MODIFIED: 12/4/2023 7:37 PM 42. Which of the following components of the Eating Competence Model focuses on structure and meal planning? a. eating attitudes b. food acceptance c. regulation of food intake d. documentation of food intake e. eating context ANSWER: e POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:37 PM DATE MODIFIED: 12/4/2023 7:38 PM 43. Which of the following components of the Eating Competence Model means being comfortable eating a preferred food but also means being able to settle for less-preferred food when necessary? a. eating attitudes b. food acceptance c. regulation of food intake d. documentation of food intake e. eating context ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:39 PM DATE MODIFIED: 12/4/2023 7:41 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 44. When exercising, if you cannot say more than a few words, you are engaged in: a. low-intensity exercise. b. moderate-intensity exercise. c. vigorous-intensity exercise. d. brisk exercise. e. high-intensity exercise.

ANSWER: c POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.6 - Describe national recommendations for physical activity and the benefits of regular physical activity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:41 PM DATE MODIFIED: 12/4/2023 7:42 PM 45. Caffeine consumption can lead to: a. increased heart rate. b. decreased blood pressure. c. decreased urine production. d. weight gain. e. dehydration.

ANSWER: a POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:42 PM DATE MODIFIED: 12/4/2023 7:43 PM 46. To lose three pounds in four weeks, you would need to decrease your intake by _____ calories on a daily basis. a. 250 b. 350 c. 500 d. 550 e. 750 ANSWER: b POINTS: 1 REFERENCES: Energy Recommendations Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 7:44 PM DATE MODIFIED: 12/4/2023 7:45 PM 47. Access to healthy food is a feature of which of the following social determinants of health? a. education b. social and community context c. economic stability d. health and health care e. neighborhood and built environment ANSWER: e POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:45 PM DATE MODIFIED: 12/4/2023 7:46 PM 48. Which of the following types of fiber promotes the development of beneficial mix of microbiota in the gut? a. supplemental fiber b. viscous fiber c. functional fiber d. fermentable fiber e. insoluble fiber ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:47 PM DATE MODIFIED: 12/4/2023 7:48 PM 49. Fiber that decreases the absorption of cholesterol is referred to as: a. supplemental fiber. b. viscous fiber.

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Chapter 16 c. functional fiber. d. fermentable fiber. e. insoluble fiber.

ANSWER: b POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:48 PM DATE MODIFIED: 12/4/2023 7:49 PM Makena is a sixty-one-year-old, very active female who weighs 155 pounds (70.5 kg) and is 5'6" (168 cm) tall. Use these benchmarks to answer the questions: Females: REE = (10 × weight in kg) + (6.25 × height in cm) − (5 × age) − 161 Sedentary = 1.2 Moderate activity = 1.55 Very active = 1.725 50. What is Makena’s resting energy expenditure? a. 889 b. 1289 c. 1755 d. 1355 e. 2275 ANSWER: b POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the given information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 7:50 PM DATE MODIFIED: 12/8/2023 8:04 AM 51. What is Makena’s estimated daily calorie expenditure? a. 1755 b. 1050 c. 2384 d. 22243 e. 1289 ANSWER: d Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the given information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 7:53 PM DATE MODIFIED: 12/8/2023 8:04 AM 52. Between the ages of twenty-five and sixty-five, physical working capacity declines by _____ per decade. a. 1-2% b. 3-5% c. 5-10% d. 10-20% e. 30% ANSWER: c POINTS: 1 REFERENCES: Energy Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.3 - Estimate your daily energy needs using three methods and discuss factors that affect energy needs of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:55 PM DATE MODIFIED: 12/4/2023 7:56 PM 53. Nonspecific signs and symptoms resulting from insufficient or excessive intake of nutrients or energy are wellrecognized risk factors for the development of: a. metabolic imbalance. b. caloric dysfunction. c. insulin resistance. d. chronic diseases. e. blood pressure anomalies.

ANSWER: d POINTS: 1 REFERENCES: Physiological changes During the Adult Years QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:56 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 DATE MODIFIED:

12/4/2023 7:57 PM

54. Adults who engage in strenuous exercise programs have increased nutrient and _____ needs to meet the demands of training, competition, and recovery. a. ergogenic b. fat mass c. insulin d. hydration e. vitamin ANSWER: d POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.6 - Describe national recommendations for physical activity and the benefits of regular physical activity.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:58 PM DATE MODIFIED: 12/4/2023 7:59 PM 55. Which of the following nutrients acts as a methyl donor during RNA replication and gene expression? a. sodium b. magnesium c. choline d. iron e. vitamin A ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:59 PM DATE MODIFIED: 12/4/2023 8:00 PM 56. In 2022, a person was considered to live in poverty if their annual income was _____ or less. a. $12,000 b. $17,550 c. $12,650 d. $13,590 e. $14,500 ANSWER: d POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:00 PM DATE MODIFIED: 12/4/2023 8:02 PM 57. The largest of all nutrition assistance programs is: a. Meals on Wheels. b. Second Harvest Food Bank. c. Supplemental Nutrition Assistance Program (SNAP). d. government extension educational programs. e. soup kitchen-shelters.

ANSWER: c POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:02 PM DATE MODIFIED: 12/4/2023 8:04 PM 58. Which of the following nutrients is a cofactor in cellular and tissue integrity, protein synthesis, and mitochondrial energy production? a. vitamin E b. iron c. magnesium d. potassium e. sodium ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:04 PM DATE MODIFIED: 12/4/2023 8:06 PM 59. Midlife can be defined as: Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 a. the time of life when people become independent and leave the parental home. b. end of life. c. ages 11-21. d. ages 40-65. e. the time of life when you expand work and professional responsibilities.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:06 PM DATE MODIFIED: 12/4/2023 8:07 PM 60. Early adulthood can be defined as: a. the time of life when people become independent and leave the parental home. b. end of life. c. ages 11-21. d. ages 40-65. e. the time of life when you expand work and professional responsibilities.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:07 PM DATE MODIFIED: 12/4/2023 8:08 PM 61. A breakdown in the balance of protective and harmful bacteria and other microbes in the intestines is considered: a. inflammatory bowel. b. gut dysbiosis. c. imbalanced flora. d. immunosuppressed. e. leaky gut.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:08 PM DATE MODIFIED: 12/4/2023 8:09 PM 62. The sum of fat-free body tissue is called: a. blood volume. b. mineral deposits. c. total fat mass. d. total body water. e. lean body mass.

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Chapter 16 ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:09 PM DATE MODIFIED: 12/4/2023 8:10 PM 63. The energy required for digestion, absorption, and metabolism of food is referred to as: a. total energy expenditure. b. basal metabolism. c. activity thermogenesis. d. resting energy expenditure. e. indirect energy expenditure.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:10 PM DATE MODIFIED: 12/4/2023 8:11 PM 64. Energy expended through physical activity and nonexercised activity such as fidgeting is referred to as: a. total energy expenditure. b. basal metabolism. c. activity thermogenesis. d. resting energy expenditure. e. indirect energy expenditure.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:12 PM DATE MODIFIED: 12/4/2023 8:13 PM 65. Which of the following nutrients is involved in the maintenance and repair of cellular membranes? a. vitamin E b. iron c. vitamin D d. fiber e. choline ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:13 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 DATE MODIFIED: 12/4/2023 8:14 PM 66. A deficiency of which of the following nutrients has been shown to cause fatty liver and muscle deterioration? a. calcium b. vitamin A c. magnesium d. vitamin E e. choline ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:15 PM DATE MODIFIED: 12/4/2023 8:16 PM 67. An essential nutrient in maintaining the integrity of skin and mucosal cells is: a. calcium. b. vitamin E. c. vitamin A. d. fiber. e. vitamin C. ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:16 PM DATE MODIFIED: 12/4/2023 8:18 PM 68. Which of the following nutrients is linked with lower body weight and less weight gain over time? a. calcium b. iron c. magnesium d. fiber e. choline ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:24 PM DATE MODIFIED: 12/4/2023 8:25 PM 69. Food products that have a physiological benefit beyond the nutritional value provided are referred to as: a. healthy foods. b. functional foods.

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Chapter 16 c. nutrient-dense foods. d. nutrient-void foods. e. empty calorie foods.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:26 PM DATE MODIFIED: 12/4/2023 8:27 PM 70. Foods that provide substantial amounts of vitamins, minerals, and other biologically active food components with relatively few calories are referred to as: a. healthy foods. b. functional foods. c. nutrient-dense foods. d. nutrient-void foods. e. empty calorie foods.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 8:27 PM DATE MODIFIED: 12/4/2023 8:28 PM 71. In adulthood, excessive or inadequate intake of certain nutrients can pose health risks. Discuss these risk nutrients and their dietary effects resulting from high or low intakes.

ANSWER: The risk nutrients include: 1. Fiber: A high fiber diet is linked with lower body weight and less weight gain over time.

Higher intake of fermentable fiber promotes the development of a beneficial mix of microbiota in the gut, which stimulates the immune system that is formed in the lining of the gut. In addition, fiber is associated with beneficial impacts on obesity, diabetes, inflammatory bowel disease, and cardiovascular disease.

2. Calcium and vitamin D: Low vitamin D intake is associated with decreased calcium bioavailability. In women, low dietary intake of calcium and vitamin D leads to the loss of calcium from bones, which in turn leads to osteopenia and progression to osteoporosis.

3. Vitamin A and vitamin E: They are fat-soluble vitamins with strong antioxidant functions and are involved in the functioning of the immune system. Vitamin A is essential in maintaining the integrity of the skin and mucosal cells, which function as a mechanical barrier and defend the body against infection. It also plays a central role in the development and differentiation of white blood cells that defend the body against pathogens. Vitamin E has anti-inflammatory properties and is involved in the maintenance and repair of cellular membranes.

4. Choline: The deficiency of choline causes fatty liver and muscle deterioration.

5. Potassium and sodium: They have opposing effects on blood vessels. High potassium increases vasodilation and lowers blood pressure, while high sodium decreases vasodilation and raises blood pressure.

6. Magnesium: Subclinical deficiency is involved in the pathogenesis of chronic inflammation, which contributes to the occurrence of cardiovascular disease, osteoporosis, Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 diabetes, and cancer.

7. Iron: Low intake of iron leads to depletion of iron stores, reduced synthesis of hemoglobin, and iron-deficiency anemia with decreased oxygen transport to tissues. It is also associated with lower work performance, athletic and cognitive performance, and reduced reproductive and immune function.

POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.4 - Identify nutrients that are consumed in excessive and inadequate levels and the consequences for adult health.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:28 PM DATE MODIFIED: 12/6/2023 3:01 AM 72. Describe the body composition changes in adults. Include bone, adiposity, and immunosenescence.

ANSWER: Bone: Men and women begin to lose bone mass around age forty. Peak bone mass is achieved in the late twenties and defines the risk for osteopenia and osteoporosis.

Adiposity: Positive energy balance between twenty and sixty-four years of age results in weight gain. Weight gain starts with hypertrophy of subcutaneous adipocytes and then shifts to deposits in the central and intra-abdominal space (visceral) or other tissues like the heart, blood vessels, liver, and muscle (ectopic fat). This obesity and visceral fat are linked to chronic disease.

Immunosenescence: Immune dysregulation can contribute to decreased immune system function. If physical activity and muscle mass decrease and nutritional status decline with age, immunosenescence and inflammation can negatively impact body composition.

However, although changes in body composition occur due to age, daily exercise and nutrient dense dietary habits will affect immune aging positively.

POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:30 PM DATE MODIFIED: 12/4/2023 8:31 PM 73. Discuss the Healthy People 2030 Social Determinants of Health.

ANSWER: Healthy People 2030 Social Determinants of Health model includes five overarching goals: economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context. The overarching goal of Healthy People 2030 related to SDOH is to “create social, physical, and economic environments that promote attaining the full potential for health and well-being for all.”

Social determinants of Health (SDOH) have a major impact on people’s health, well-being, Copyright Cengage Learning. Powered by Cognero.

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Chapter 16 and quality of life and also contribute to wide health disparities and inequities. The five social determinants and the factors they encompass include: 1. Economic stability: Poverty, employment, food security, and housing stability 2. Education: High school graduation, enrollment in higher education, and language and literacy 3. Health and health care: Access to health care, access to primary care, and health literacy 4. Neighborhood and built environment: Access to healthy food, quality of housing, crime and violence, and environmental conditions 5. Social and community context: Social cohesion and support systems, civic participation, and perceived discrimination and equity POINTS: 1 REFERENCES: Tracking Adult Nutritional Health and Its Determinants QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.1 - Discuss different types of nutrition-related risk factors and how they are monitored in adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:32 PM DATE MODIFIED: 12/4/2023 8:33 PM 74. Discuss the Physical Activity Guidelines for Americans and the health-related benefits.

ANSWER: (answers may vary) Any physical activity is better than none, and even short episodes of physical activity above usual activity can have positive health benefits. Benefits happen immediately, including reduced blood pressure and anxiety symptoms, and improved sleep and cognition. The degree of benefit increases as the volume (duration) and intensity increase. Current guidelines strongly recommend that everyone from age three and up reduce sedentary time and integrate moderate to vigorous intensity physical activity into their routine lifestyle. The target amount of physical activity for substantial health benefit is 2.5 hours per week. The basic recommendation could be met with a brisk thirty-minute walk five days a week, or two to three ten-minute bouts of activity every day. The updated Physical Activity Guidelines also highlight new evidence showing that moderate to vigorous aerobic physical activity has immediate, measurable health benefits that also have long lasting effects including: lower blood pressure, reduced symptoms of anxiety and depression, improved quality and quantity of sleep, and improved insulin sensitivity. The degree of benefit increases as the volume (duration) and intensity increase.

POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.6 - Describe national recommendations for physical activity and the benefits of regular physical activity.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:34 PM DATE MODIFIED: 12/4/2023 8:35 PM

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Chapter 16 75. Characteristics of an atherogenic diet include: high cholesterol, high trans-fat, high sodium intake, excess alcohol intake, low potassium intake. Provide at least five modifiable nutritional risk factors.

ANSWER: Five modifiable nutritional risk factors include: low consumption of refined sugars and salt, high intake of fruit and vegetables, consumption of healthy low consumption of refined sugars, salt, saturated and trans fats, as well as high intake of fruit, vegetables (including legumes, whole grain cereals and nuts), low-fat dairy products and healthy lipids.

POINTS: 1 REFERENCES: Physiological Changes During the Adult Years QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.2 - Describe normal physiological changes in adulthood and how they are associated with the development and progression of chronic diseases.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:35 PM DATE MODIFIED: 12/4/2023 8:37 PM 76. Discuss the two important cautions when applying the USDA food patterns consistent with the total diet approach.

ANSWER: The two important cautions are: 1. Choose nutrient-dense foods. The recommended amounts in the USDA food patterns assume all choices are nutrient-dense forms without added sugar and keep oil within the recommended amount. The dilemma is that nutrient-dense food choices are available in the marketplace, but they often are not the form typically consumed. When "typical" rather than "ideal" nutrient-dense food choices are made, energy, total fat, saturated fat, cholesterol, and sodium exceed limits in all USDA patterns, often by substantial margins, even when the recommended quantity is selected. Typical choices often contain 15-30% more calories than target calorie levels.

2. Don’t eat too much. Portion sizes typically served in restaurants and in conventional food packaging are larger than those specified on MyPlate. Foods must be chosen keeping in mind recommended serving sizes and amount per day or week rather than the amount in a package or the amount served. Large serving sizes increase calorie intake and contribute to increase fat and sugar intake. Calorie, fat, and sugar intake can be minimized by selecting fewer and smaller portions of energy-dense foods and replacing them with foods of lower energy density.

POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:38 PM DATE MODIFIED: 12/4/2023 8:39 PM 77. Multiple organizations have outlined guidelines identifying an urgent need to address obesity. List the dietary recommendations in adults to fight obesity.

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Chapter 16 ANSWER:

These dietary recommendations encourage adults to do the following: 1. Consume greater amounts of fruits and vegetables, whole grains and fiber, and low-fat dairy; reduce refined carbohydrates.

2. Avoid trans fats, limit saturated fat intake, and select healthy fats and oils to replace saturated fat.

3. Select fish, poultry, and meat alternatives (nuts, seeds, beans, tofu), lean meats and avoid processed meats.

4. Select more nutrient-rich food and less nutrient-poor food.

5. Limit sugar, especially beverages with added sugar and grain-based desserts.

6. Keep sodium low.

7. Get regular physical activity.

8. Balance energy intake with energy expenditure to maintain or achieve a healthy weight.

POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:39 PM DATE MODIFIED: 12/4/2023 8:40 PM 78. Discuss the four components of the Eating Competence Model.

ANSWER: The four components of the Eating Competence Model are as follows: 1. Eating attitudes: Include positive interest in foods and eating; self-trust about managing food and eating; and finding harmony among food desires, food choices, and amounts eaten.

2. Food acceptance: Recognizes that enjoyment and pleasure are primary motivators for food selection, and that nutritional excellence is supported by enjoyment of a variety of food.

3. Regulation of food intake: Emphasizes internally regulated eating and attention to sensations of hunger and fullness.

4. Eating context: Puts priority on structure and meal planning. Eating is intentional and deliberate, and it requires discipline.

POINTS: 1 REFERENCES: Dietary Recommendations for Adults QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.5 - Explain the purpose of dietary guidance and how it translates science into healthful food and beverage choices and pleasurable eating experiences for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:40 PM DATE MODIFIED: 12/4/2023 8:41 PM 79. Define food insecurity. Which populations have the highest rates of food insecurity? Define the target for improvements with Healthy People 2030.

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Chapter 16 ANSWER:

Food insecurity is defined as difficulty providing enough food for all family members at some time during the year due to a lack of resources. 10% of all US households are impacted by food insecurity. A goal of Healthy People 2030 is to reduce this to 6%. Households at or below 30% poverty have the highest rates (35.3%) and single women with children have the second highest rates (27.8%) POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:42 PM DATE MODIFIED: 12/4/2023 8:43 PM 80. Discuss the highlights of the "Sisters Together: Move More, Eat Better" program.

ANSWER: "Sisters Together: Move More, Eat Better" illustrates the components of a comprehensive, effective program for adults. As a national initiative of the Weight-control Information Network (WIN), this health awareness program encourages Black American women ages eighteen years and older to maintain a healthy weight by becoming more physically active and by eating nutritious foods. It is a culturally relevant, community-based program that is flexible and can be tailored to Black American women of all ages, communities, and demographics. The program combines social marketing with community-building strategies.

POINTS: 1 REFERENCES: Nutrition Intervention for Risk Reduction QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.16.7 - Contrast the multiple strategies used to promote and support good nutrition of adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 9:07 PM DATE MODIFIED: 12/4/2023 9:08 PM

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Chapter 17 1. Gut microbiota influence the release of several metabolites and hormones that communicate from the gastrointestinal tract to the appetite regulatory centers in the brain through nerve signaling pathways. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:13 PM DATE MODIFIED: 12/4/2023 11:23 PM 2. A coronary artery calcium score of 210 Agatston units is associated with an increased risk of cardiovascular disease. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:26 PM DATE MODIFIED: 12/4/2023 11:29 PM 3. Viscous fiber facilitates the movement of water in the gut, forming a liquid gel that increases absorption of cholesterolrich bile acids and carries them throughout the body. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:50 PM DATE MODIFIED: 12/4/2023 11:54 PM 4. Metabolic obesity occurs when the body weight set point shifts to a higher level due to alterations of the energy balance Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 system. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 11:56 PM DATE MODIFIED: 12/4/2023 11:59 PM 5. Less than sixty minutes of moderate physical activity on most days of the week is a risk factor for cardiovascular disease. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:01 AM DATE MODIFIED: 12/5/2023 12:03 AM 6. Bariatric surgery is reserved for patients with clinically severe obesity and those who have BMI ≥40 or ≥35 with high risk for obesity-related morbidity or mortality. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 12:09 AM DATE MODIFIED: 12/5/2023 12:14 AM 7. Studies show that overweight and obesity result entirely from taking in more energy than you are expending. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 b. False ANSWER: False POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:09 AM DATE MODIFIED: 12/5/2023 11:39 PM 8. Cancer cachexia is characterized by the presence of systemic inflammation and progressive loss of body weight. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Cancer QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:12 AM DATE MODIFIED: 12/5/2023 2:15 AM 9. The hyperinsulinemic state related to insulin insensitivity is recognized as a major risk factor for the development of early atherosclerotic cardiovascular disease. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:15 AM DATE MODIFIED: 12/5/2023 2:24 AM 10. Metabolic syndrome designates a cluster of unaltered metabolic conditions. a. True b. False ANSWER: False POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 REFERENCES: Metabolic Syndrome QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:24 AM DATE MODIFIED: 12/5/2023 2:25 AM 11. There is a striking increase in stroke deaths in people who are around the age of twenty-five. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:37 AM DATE MODIFIED: 12/5/2023 2:38 AM 12. The leading cause of death for adults aged twenty-four to forty-four is: a. syphilis. b. Down syndrome. c. injury. d. pernicious anemia. e. Turner's syndrome.

ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:39 AM DATE MODIFIED: 12/5/2023 2:43 AM 13. A majority of cancers develop in: a. epithelial tissue. b. lymph nodes. c. adipocytes. d. bone marrow.

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Chapter 17 e. connective tissue.

ANSWER: a POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:44 AM DATE MODIFIED: 12/5/2023 2:46 AM 14. Which of the following recommendations is a nutrition and physical activity guideline for cancer prevention? a. participating in an hour of physical activity each week b. avoiding meats cooked at high temperatures c. watching TV for long durations d. eating refined grain products e. limiting red meat consumption to 36 ounces a week ANSWER: b POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:47 AM DATE MODIFIED: 12/5/2023 2:52 AM 15. Which of the following nutrition-related factors is associated with increased cancer risk? a. calcium supplements b. coffee c. high-dose beta-carotene supplements d. having been breastfed e. nonstarchy vegetables ANSWER: c POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 2:55 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 DATE MODIFIED:

12/5/2023 3:01 AM

16. Which of the following terms refers to an eating disorder that is characterized by an abnormally low body weight, an intense fear of gaining weight, and a distorted perception of weight? a. anorexia b. cachexia c. gastrointestinal reflux d. metabolic syndrome e. prediabetes ANSWER: a POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 3:09 AM DATE MODIFIED: 12/5/2023 3:10 AM 17. The physiological effects of atherosclerosis include: a. increased blood circulation to the heart. b. decreased blood pressure. c. increased energy. d. decreased flexibility of blood vessels. e. increased circulation in the extremities.

ANSWER: d POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 3:10 AM DATE MODIFIED: 12/6/2023 12:03 AM 18. Risk factors for cardiovascular diseases include: a. a low level of LDL. b. a low level of HDL. c. a low blood pressure. d. a high level of HDL. e. regular physical activity.

ANSWER: b POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 3:14 AM DATE MODIFIED: 12/5/2023 3:15 AM 19. An environmental factor that causes cancer is: a. genetic mutation. b. oxidative stress. c. radiation. d. hormonal activity. e. inherited genes.

ANSWER: c POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 3:16 AM DATE MODIFIED: 12/5/2023 3:17 AM 20. Atherosclerosis is a multifactorial disease that can develop because of: a. the relaxation of blood vessels. b. high blood levels of homocysteine. c. low blood levels of glucose. d. low blood levels of insulin. e. the depletion of plaque.

ANSWER: b POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 3:17 AM DATE MODIFIED: 12/5/2023 3:19 AM 21. Screening for CVD should occur about every five years beginning at age: a. 20.

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Chapter 17 b. 60. c. 30. d. 50. e. 40.

ANSWER: a POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:28 PM DATE MODIFIED: 12/5/2023 7:30 PM 22. Which of the following conditions can result due to long-term effects of diabetes? a. AIDS b. all types of cancer c. kidney disease d. menopause e. arthritis ANSWER: c POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:30 PM DATE MODIFIED: 12/5/2023 7:32 PM 23. As a high-intensity dietary approach for reducing the risk of cardiovascular disease, the Therapeutic Lifestyle Changes approach recommends: a. the avoidance of stanols/sterols. b. the consumption of saturated fats. c. less than 5-6% of total calories from trans fat. d. consumption of 5-10 grams of viscous fiber daily. e. avoidance of unsaturated fat.

ANSWER: d POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:32 PM DATE MODIFIED: 12/5/2023 7:33 PM 24. Plant stanol and sterol esters block particles responsible for _______ transport. a. protein b. insulin c. triglyceride d. glucose e. cholesterol ANSWER: e POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:34 PM DATE MODIFIED: 12/6/2023 12:12 AM 25. Which of the following forms of dietary fiber has been shown to reduce LDL by 10-15%? a. synthetic b. functional c. fermentable d. insoluble e. viscous ANSWER: e POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:36 PM DATE MODIFIED: 12/5/2023 7:37 PM 26. Lipid-lowering medications are prescribed for an individual when LDL is: a. >60 mg/dL. b. >90 mg/dL. c. >140 mg/dL. d. >190 mg/dL. Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 e. >200 mg/dL. ANSWER: d POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:37 PM DATE MODIFIED: 12/5/2023 7:39 PM 27. In type 2 diabetes, circulating insulin is high, and _____, triglycerides, and blood pressure are commonly elevated. a. cholesterol b. iron c. sodium d. proteins e. vitamin A ANSWER: a POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:39 PM DATE MODIFIED: 12/5/2023 7:40 PM 28. Which of the following dietary patterns is associated with reduced risk factors for metabolic syndrome? a. high-protein/low-carbohydrate b. low-protein/high-carbohydrate c. Asian style d. Mediterranean style e. Middle Eastern style ANSWER: d POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:48 PM DATE MODIFIED: 12/5/2023 7:49 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 29. Insulin resistance in muscle cells reduces glucose uptake and interferes with muscle storage of glucose as: a. fatty acid. b. glucagon. c. lipid. d. glycogen. e. protein.

ANSWER: d POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:49 PM DATE MODIFIED: 12/5/2023 7:51 PM 30. Which of the following statements about metabolically healthy obesity is true? a. The medical definition is an obese person with normal blood pressure. b. It is more prevalent in men as compared to women. c. The prevalence estimates range from 55 to 60%. d. The prevalence increases with age. e. It is characterized by lower ectopic fat deposition.

ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:51 PM DATE MODIFIED: 12/5/2023 7:52 PM 31. Overweight individuals have a BMI of _____ kg/m2. a. 25.0–29.9 b. 18.5–24.9 c. <18.5 d. 30.0–34.9 e. >35.0 ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 7:57 PM DATE MODIFIED: 12/5/2023 8:19 PM 32. Having a BMI of _____ classifies a person as obese. a. >25 b. >27 c. >26 d. >30 e. >40 ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 8:20 PM DATE MODIFIED: 12/5/2023 8:21 PM 33. Which of the following statements describes one way in which the gut microbiota regulates appetite? a. The gut microbiota causes hypoglycemia and lethargy. b. The gut microbiota influences the release of ghrelin. c. The gut microbiota influences the release of insulin. d. The gut microbiota causes an acute infection leading to weight loss. e. The gut microbiota promotes nausea and decreased oral intake.

ANSWER: b POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 8:21 PM DATE MODIFIED: 12/5/2023 8:22 PM 34. Which of the following types of obesity occurs when body weight is maintained above the set point because of sustained overeating? a. metabolic obesity Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 b. hedonic obesity c. moderate obesity d. chronic obesity e. severe obesity ANSWER: b POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 8:25 PM DATE MODIFIED: 12/5/2023 8:26 PM 35. A man who is fifty-five years old and has a BMI of 28.1 would be considered: a. underweight. b. normal weight. c. overweight. d. obese. e. extremely obese.

ANSWER: c POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 8:26 PM DATE MODIFIED: 12/5/2023 8:27 PM 36. BMI measures do not accurately represent body fatness for: a. athletes with a low percentage of muscle. b. individuals with negligible fat deposits. c. individuals with large, dense bones. d. men over the age of sixty-five. e. women over the age of sixty.

ANSWER: c POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to Copyright Cengage Learning. Powered by Cognero.

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Chapter 17

KEYWORDS: DATE CREATED: DATE MODIFIED:

nutrition assessment and intervention for adults.

Bloom's: Remember 12/5/2023 8:29 PM 12/5/2023 8:32 PM

37. The leading cause of death in all ages as of 2020 is: a. malnutrition. b. trauma. c. accidents. d. cardiovascular disease. e. cancer.

ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 8:32 PM DATE MODIFIED: 12/5/2023 8:33 PM 38. Which of the following biomechanical conditions is associated with overweight and obesity? a. urinary stress incontinence b. prediabetes c. polycystic ovary syndrome d. infertility e. endometrial cancer ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 8:33 PM DATE MODIFIED: 12/5/2023 8:35 PM 39. Macrovascular complications resulting from poorly controlled diabetes mellitus include: a. retinopathy. b. atherosclerosis. c. blindness. d. nephropathy.

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Chapter 17 e. neuropathy.

ANSWER: b POINTS: 1 REFERENCES: HIV Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.6 - Describe HIV and its physiological changes and how key components of nutrition assessment and intervention are tailored to the stage of disease.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:05 PM DATE MODIFIED: 12/5/2023 9:06 PM 40. If a female ate 200 extra calories per day in excess of her needs, approximately how many days would it take her to gain one pound if energy expenditure remained constant? a. 21 days b. 30 days c. 1.5 months (45 days) d. 2 month + 2 weeks (70 days) e. 1 month + 2 weeks (42 days) ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 9:06 PM DATE MODIFIED: 12/5/2023 9:07 PM 41. The component of weight management programs based on cognitive behavioral therapy that helps a client in examining their thought processes and recognizing dysfunctional thinking is called: a. maintenance. b. support system. c. realistic goals. d. cognitive restructuring. e. caloric deficit.

ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 DATE CREATED: DATE MODIFIED:

12/5/2023 9:07 PM 12/5/2023 9:08 PM

42. A simple, low-cost method that can be used to screen for metabolic syndrome in community or clinic settings is: a. random blood sugar finger-stick. b. waist circumference. c. waist-hip ratio. d. urine dipstick. e. basal body temperature.

ANSWER: b POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:08 PM DATE MODIFIED: 12/5/2023 9:10 PM 43. The American Diabetes Association recommends that adults should be screened for type 2 diabetes or prediabetes if they are thirty-five years old, or earlier if they are: a. underweight. b. obese. c. overweight. d. severely obese. e. malnourished.

ANSWER: c POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:10 PM DATE MODIFIED: 12/5/2023 9:11 PM 44. Metabolic syndrome is related to a cluster of metabolic abnormalities that include: a. low fasting blood glucose levels. b. abdominal obesity. c. low LDL levels. d. high HDL levels. e. low blood pressure.

ANSWER: b Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:12 PM DATE MODIFIED: 12/5/2023 9:13 PM 45. Small dense LDL particles contain more _____ that makes it more available for binding to the lining of arteries and entry into the endothelium. a. lipoprotein B b. cholesterol c. lipoprotein A d. apolipoprotein B e. apolipoprotein D ANSWER: d POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:13 PM DATE MODIFIED: 12/5/2023 9:20 PM 46. After losing some weight, Miya who is 5’3” tall, now weighs 180 pounds. What is her BMI? a. 27 b. 32 c. 35 d. 40 e. 22 ANSWER: b POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 9:20 PM DATE MODIFIED: 12/5/2023 9:21 PM 47. Miya's BMI is 33. She is categorized as: Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 a. an underweight individual. b. a normal weight individual. c. an overweight individual. d. an obese individual. e. a severely obese individual.

ANSWER: d POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:21 PM DATE MODIFIED: 12/5/2023 9:22 PM 48. A recent addition to screening procedures for asymptomatic patients is a CT scan that measures calcium deposits in _____ and produces a coronary artery calcium (CAC) score. a. veins b. capillaries c. arteries d. pancreas e. lungs ANSWER: c POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:22 PM DATE MODIFIED: 12/5/2023 9:23 PM 49. Which of the following terms applies to liquid meals, meal bars, or packaged meals? a. etiologic meals b. functional food c. low-calorie meals d. snack food e. meal replacements ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:28 PM DATE MODIFIED: 12/5/2023 9:39 PM 50. If you are counting carbohydrates in your diet plan, it is important to know that one slice of bread or 1/2 cup cooked cereal is equal to _____ g of carbohydrate. a. 5 b. 12 c. 15 d. 20 e. 25 ANSWER: c POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:40 PM DATE MODIFIED: 12/5/2023 9:42 PM 51. Kalene eats ½ bagel with one cup of canned fruit for breakfast each morning. How many grams of carbohydrate is she consuming? a. 60 grams b. 45 grams c. 30 grams d. 15 grams e. 75 grams ANSWER: a POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 9:42 PM DATE MODIFIED: 12/5/2023 9:45 PM Mr. Grom Sex: male

Hours of work: 50+/wk

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Chapter 17 Age: 64 Occupation: mechanical engineer Household members: wife, 60 years old Family history: coronary artery disease in mother; had a myocardial infarction at age 58 Smoker: yes; 30 years; 0.5 pack/day Height: 71" Weight: 205lb Waist circumference: 44 in.

Cholesterol: 210 mg/dL; HDL-C: 35 mg/dL; LDL-C: 150 mg/dL; VLDL: 50 mg/dL; TG: 160 mg/dL Blood pressure: 130/90 The diet history of Mr. Grom shows that he consumes dairy products such as whole milk, cheese, and ice cream regularly; a variety of protein-rich foods including pork, beef, poultry, and eggs; and large quantities of pasta and polenta. He and his wife also frequently eat breads, pretzels, and corn chips. Mr. Grom consumes a large variety of fruits including kiwi, bananas, peaches, and blueberries; however, many of these are added to smoothies.

52. What is Mr. Grom's BMI? a. 23.6 b. 28.7 c. 32.1 d. 37.1 e. 42.0 ANSWER: b POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 9:53 PM DATE MODIFIED: 12/7/2023 4:14 AM 53. Mr. Grom is: a. underweight. b. normal weight. c. overweight. d. obese. e. severely obese.

ANSWER: c POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 10:34 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 DATE MODIFIED:

12/7/2023 4:14 AM

54. Based on the information above, Mr. Grom is at risk of developing several cardiometabolic conditions, including: a. depression. b. sleep apnea. c. gastrointestinal reflux disease. d. colon cancer. e. non-alcoholic liver disease.

ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 10:45 PM DATE MODIFIED: 12/7/2023 4:15 AM 55. What dietary recommendations can you give to Mr. Grom to help decrease his risk factors? a. Decrease consumption of high-fat dairy products. b. Remove all fruit from the diet. c. Decrease fermentable fiber intake. d. Avoid lean cuts of beef. e. Increase consumption of high-fat dairy products.

ANSWER: a POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information for questions LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 1:04 AM DATE MODIFIED: 12/7/2023 4:15 AM 56. The two main factors believed to cause metabolic syndrome are central adiposity and: a. diabetes. b. insulin resistance. c. obesity. d. hypertension. e. heart disease.

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Chapter 17 ANSWER: b POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 10:49 PM DATE MODIFIED: 12/5/2023 11:01 PM 57. Patient-centered care for diabetes would likely include a: a. personal trainer. b. social worker. c. nurse. d. pharmacy student. e. speech therapist.

ANSWER: c POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 11:01 PM DATE MODIFIED: 12/5/2023 11:04 PM 58. Non-cardiometabolic and biomechanical conditions related to overweight, and obesity include: a. osteoarthritis. b. prediabetes. c. hypertension. d. sleep apnea. e. infertility.

ANSWER: e POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 11:04 PM DATE MODIFIED: 12/5/2023 11:07 PM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 59. A comorbidity is defined as: a. a chronic health condition. b. the presence of metastatic carcinogenesis. c. a primary diagnosis. d. a terminal illness. e. the presence of one or more diseases or conditions in addition to the primary diagnosis.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:09 PM DATE MODIFIED: 12/5/2023 11:09 PM 60. Inadequate blood supply to a local area due to partial or complete blockage of a blood vessel is referred to as: a. ischemia. b. hyperinsulinemia. c. dyslipidemia. d. hypertriglyceridemia. e. atherosclerosis.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:16 PM DATE MODIFIED: 12/6/2023 1:41 AM 61. Narrowing of blood vessels due to a buildup of plaque is called: a. ischemia. b. hyperinsulinemia. c. dyslipidemia. d. hypertriglyceridemia. e. atherosclerosis.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:19 PM DATE MODIFIED: 12/5/2023 11:20 PM 62. Abnormal blood levels of cholesterol and/or triglycerides resulting from altered lipid metabolism defines: a. dysglycemia. b. hyperinsulinemia. c. dyslipidemia. d. hypertriglyceridemia.

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Chapter 17 e. hyperglycemia.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:20 PM DATE MODIFIED: 12/5/2023 11:21 PM 63. Pharmacotherapy describes: a. minimizing drug toxicities by assessing bioavailability. b. curative treatment of disease through the use of drugs. c. prevention of disease through the use of drugs. d. treatment of disease through the use of drugs. e. avoiding the use of drugs during treatment.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:21 PM DATE MODIFIED: 12/5/2023 11:24 PM 64. The therapeutic lifestyle change describes: a. a vegetarian dietary pattern. b. a dietary approach for reducing CVD risk. c. an obesogenic dietary pattern. d. DASH approach. e. a very low-calorie dietary pattern.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:24 PM DATE MODIFIED: 12/5/2023 11:25 PM 65. Metabolic syndrome is defined as: a. abnormal blood levels of cholesterol and/or triglycerides resulting from altered lipid metabolism. b. the narrowing of blood vessels due to a buildup of plaque. c. hyperpigmentation of the skin at the back of the neck. d. a constellation of abnormalities that increases the risk of type 2 diabetes and CVD. e. high blood glucose levels resulting from the destruction of insulin-producing cells of the pancreas.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 DATE CREATED: 12/5/2023 11:26 PM DATE MODIFIED: 12/5/2023 11:26 PM 66. Hyperpigmentation of the skin at the back of the neck is called: a. skin tag. b. subcutaneous fat. c. buffalo hump. d. acanthosis nigricans. e. double chin.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:26 PM DATE MODIFIED: 12/5/2023 11:27 PM 67. Steatohepatitis is a term used to define: a. fat deposits in the spleen. b. inflamed fat deposits in the liver. c. protein nodules in the liver. d. fat malabsorption. e. inflammation in the adipose tissue.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:27 PM DATE MODIFIED: 12/5/2023 11:28 PM 68. A patient with high blood glucose levels resulting from the destruction of insulin-producing cells of the pancreas is diagnosed with: a. gestational diabetes. b. celiac disease. c. type 1 diabetes. d. hypoglycemia. e. type 2 diabetes.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:28 PM DATE MODIFIED: 12/5/2023 11:29 PM 69. A patient with high blood glucose levels due to the body's inability to use insulin normally or to produce enough insulin is diagnosed with: Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 a. gestational diabetes. b. celiac disease. c. type 1 diabetes. d. hypoglycemia. e. type 2 diabetes.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:29 PM DATE MODIFIED: 12/5/2023 11:30 PM 70. Hedonic obesity is defined as: a. a body weight set point that shifts to a higher level due to alterations of the energy balance system. b. a body weight maintained above set point due to sustained overeating. c. a metabolically healthy form of obesity. d. a metabolically unhealthy form of obesity. e. a body weight with a set point significantly lower than the basal metabolic rate.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 11:31 PM DATE MODIFIED: 12/5/2023 11:33 PM 71. Describe how diseases of adult years develop. Which of these conditions contribute to the leading causes of death in all ages?

ANSWER: Diseases that develop in adults result from the cumulative effects of lifestyle. Diets high in calories, saturated fats, sugar, and sodium all contribute to dietary imbalances leading to disease. Additionally, diets low in vegetables, fruits, and fiber add to the pathogenesis.

Lifestyle factors like tobacco, drug, and alcohol use and physical inactivity allow the development and progression of chronic diseases. The leading cause of death in all ages is heart disease followed by cancer. Stroke and diabetes are also in the top ten.

POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 12:07 AM DATE MODIFIED: 12/6/2023 12:08 AM 72. Discuss the cause of metabolic syndrome and identify two risk factors for developing metabolic syndrome. Provide recommendations that would decrease the risk of developing this syndrome.

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Chapter 17 ANSWER:

The underlying cause of metabolic syndrome is not entirely clear, but it is thought to result from central adiposity and insulin resistance. Insulin resistance refers to the diminished ability of cells to respond to the action of insulin in promoting the transport of glucose from blood into muscles and other tissues. To compensate, the pancreas produces more insulin, resulting in hyperinsulinemia. A sedentary lifestyle and a pro-inflammatory, atherogenic diet contribute to insulin resistance, while progressive weight gain, central obesity, inflammation, existing cancer, and HIV increase the risk.

Recommendations for decreasing the risk of developing this syndrome include following a Mediterranean-style diet, losing weight, and increasing physical activity.

POINTS: 1 REFERENCES: Metabolic Syndrome QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.3 - Describe metabolic syndrome and its assessment and effects.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 12:08 AM DATE MODIFIED: 12/6/2023 1:51 AM 73. Compare and contrast intermittent fasting and time-restricted eating. Define each and describe what is known about the roles of each approach in weight management.

ANSWER: Intermittent fasting: a regimen of reoccurring periods of fasting followed by periods of unrestricted eating.

Time-restricted eating: a dietary approach that consolidates all calorie intake to six- to twelve-hour periods during the active phase of the day, without necessarily altering diet quality and quantity.

Both dietary interventions have research supporting positive impacts on diabetes and cardiovascular disease; however, the lack of attention to food quality and quantity have been drawbacks to clinicians utilizing these interventions.

POINTS: 1 REFERENCES: Medical Nutrition Therapy for Weight Management QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24. 17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:10 AM DATE MODIFIED: 12/6/2023 12:12 AM 74. List the factors related to a client's motivation to engage in a weight-loss program and their ability to adhere to a treatment plan.

ANSWER: Several factors contribute to understanding the client's motivation to engage in a weight-loss program: reasons and motivation for weight reduction, previous weight-loss attempts, the patient's understanding of causes of obesity and how obesity contributes to several diseases, existing comorbidities, attitude toward physical activity, capacity to engage in physical activity, time available for weight-loss intervention, and financial considerations.

A patient's nutrition knowledge, food access, food selection, and functional capacity to Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 prepare food and engage in physical activity are all important for individualized treatment planning.

POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 12:16 AM DATE MODIFIED: 12/6/2023 1:55 AM 75. Discuss cognitive behavioral therapy for weight management. List all the twelve components of weight-management programs based on this type of therapy.

ANSWER: Cognitive behavioral therapy are programs that last for a period of twelve to sixteen weeks.

They are designed to build knowledge, modify beliefs and attitudes, and integrate new behaviors through a combination of skills training and analysis of behavior and thought processes over a period of several weeks. Key features are helping the client recognize and replace automatic and irrational thoughts and beliefs (cognitive restructuring) and increasing awareness and control of cues associated with eating (stimulus control).

The twelve components are 1) realistic goals, 2) caloric deficit, 3) meal plan, 4) skill development, 5) problem-solving techniques, 6) self-monitoring and self-management, 7) cognitive restructuring, 8) stress management, 9) support system, 10) regular exercise, 11) maintenance, and 12) long-term effectiveness.

POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:18 AM DATE MODIFIED: 12/6/2023 12:20 AM 76. List the main considerations in developing a diet plan (nutrition prescription) for an individual with diabetes.

ANSWER: The plan and nutrition intervention should: • • • •

Enable the individual to achieve glycemic and weight goals as well as lipid and blood pressure goals Be responsive to personal and cultural preferences, and maintain the pleasure of eating Provide practical guidance and tools for day-to-day meal planning, taking into account health literacy and numeracy, access to healthful choices, willingness, and ability to make behavioral changes, and barriers to change Promote and support healthful eating patterns, with a variety of food choices to meet basic nutrient needs (RDA and DRI), rather than focus on macro- or micronutrients

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Chapter 17 •

or single foods Include ongoing counseling and education and follow-up, and modify based on life circumstances, preferences, and disease course

POINTS: 1 REFERENCES: Overweight and Obesity QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.1 - Analyze the multiple causes of obesity and how they relate to nutrition assessment and intervention for adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:20 AM DATE MODIFIED: 12/6/2023 12:29 AM 77. Describe the central defect in type 2 diabetes and the adverse side effects high levels of blood glucose have on the body.

ANSWER: Defective production of insulin paired with insulin resistance is the defect in type 2 diabetes.

Short-term adverse effects of high glucose include frequent urination, increased thirst, increased hunger, fatigue, weight loss, blurred vision, increased susceptibility to infection, and delayed wound healing. Long-term effects include heart disease, hypertension, blindness, kidney failure, stroke, and the loss of limbs.

POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:22 AM DATE MODIFIED: 12/6/2023 12:24 AM 78. List the factors that are important for working with a patient with diabetes when determining their needs, tailoring a diabetes management plan, planning patient education and counseling, and monitoring progress over time.

ANSWER: In diabetes management, the following factors are important for determining the individual's needs, tailoring a diabetes management plan, planning patient education and counseling, and monitoring progress over time: • • • • •

Weight status Current eating pattern: types and amounts of food typically eaten throughout the day, especially types and amounts of carbohydrate Knowledge about diabetes and how food intake and physical activity relate to blood glucose changes Usual physical activity and opportunities and interests for increasing physical activity Laboratory values for glycemic control, self-monitored blood glucose records, and

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Chapter 17 • • • •

hypoglycemia or hyperglycemia events Medical history relevant to management of diabetes and comorbidities, CVD risk factors and disease, lipid profile, and blood pressure Medications for glycemic management and others, and supplement use Social, financial, and environmental factors impacting diabetes self-management Past education about and experience with meal planning, carbohydrate counting, or exchange lists, and attitudes about diabetes and expectations for medical management and outcomes

POINTS: 1 REFERENCES: Diabetes Mellitus QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.4 - Differentiate the types of diabetes and how they are diagnosed and managed.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:24 AM DATE MODIFIED: 12/6/2023 12:28 AM 79. Identify the key assessment components that are to be included in a nutrition assessment for a person at high risk for cardiovascular disease.

ANSWER: The key assessment components include: • • • • • •

Food and nutrition history to determine usual intake, especially amount and type of fat, fruits and vegetables, bread and grains, meat, fish, and dairy foods; meal and snack patterns; and supplement use Nutrition knowledge of healthy-eating recommendations and relationship of food choices to CVD risk, and attitudes about food choices and change Physical activity Anthropometric measurements of weight, height, BMI, waist circumference, and weight gain history Laboratory values for lipid profile and blood glucose Medical and social history to clarify other health and lifestyle factors that impact nutritional status, food choice and access, and motivation and ability to initiate and maintain lifestyle changes

POINTS: 1 REFERENCES: Cardiovascular Disease QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.2 - Explain how atherosclerosis is the basis for cardiovascular diseases and how assessment and intervention are used for prevention and treatment of CVD. KEYWORDS: Bloom's: Remember DATE CREATED: 12/6/2023 12:29 AM DATE MODIFIED: 12/6/2023 12:32 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 17 80. Describe the stages of carcinogenesis and relate how dietary elements can modify this process.

ANSWER: Carcinogenesis is the process by which normal cells are transformed into cancer cells. It is complex and moves through several stages. The stages are: 1. Activation (from inactive or quiescent state) 2. Initiation (injury or insult to DNA by a carcinogen such as free radicals, toxin, virus, or radiation) 3. Promotion (damaged DNA divides during a lag period, potentially over ten to thirty years) 4. Progression (uncontrolled growth of cancer cells) 5. Invasion and metastasis (spread to other tissues and organs) 6. Possible remission (successful treatment or reversal) Aflatoxins, red meat, and alcohol can promote damage, while cruciferous vegetables and phytoestrogens in soybeans can inhibit the process.

POINTS: 1 REFERENCES: Cancer QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.17.5 - Describe the development of cancer and contrast nutrition assessment and intervention priorities at each of the four stages of cancer care.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/6/2023 12:36 AM DATE MODIFIED: 12/6/2023 12:40 AM

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Chapter 18 1. Biological systems are very simple and can explain the mechanisms of aging with a single theory. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:53 PM DATE MODIFIED: 12/3/2023 11:55 PM 2. Nearly 20% of adults aged sixty-five and over have no natural teeth. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:55 PM DATE MODIFIED: 12/3/2023 11:57 PM 3. The functional status of an individual is a more indicative measure of health than chronological age. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/3/2023 11:57 PM DATE MODIFIED: 12/3/2023 11:58 PM 4. Body composition changes associated with aging are irreversible. a. True b. False Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 ANSWER: False POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/3/2023 11:59 PM DATE MODIFIED: 12/4/2023 12:00 AM 5. During illness or with the use of medications, both older and younger individuals have equally reduced ability to detect salty, bitter, sour, sweet, and savory tastes. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:00 AM DATE MODIFIED: 12/4/2023 12:01 AM 6. The 2020-2025 Dietary Guidelines for Americans were the first dietary guidelines that included specific recommendations for older adults. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dietary Recommendations for Older Adults QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.6 - Relate how enjoying a varied diet contributes to mental and physical well-being.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:02 AM DATE MODIFIED: 12/4/2023 12:02 AM 7. There is an increase in older adults worldwide. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:03 AM DATE MODIFIED: 12/4/2023 12:03 AM 8. Older people benefit from exercise as much as younger people. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.9 - Appreciate the heterogeneity of older adult populations and suggest two or more reasons to tailor health promotion.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:04 AM DATE MODIFIED: 12/4/2023 12:06 AM 9. A seventy-year-old woman who takes several prescription medications wants to join a water fitness class for seniors.

This woman should be seen by a doctor before beginning the exercise. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.9 - Appreciate the heterogeneity of older adult populations and suggest two or more reasons to tailor health promotion.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:06 AM DATE MODIFIED: 12/4/2023 12:06 AM 10. Magnesium toxicity can result from ingesting foods high in magnesium. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrient Recommendations Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:07 AM DATE MODIFIED: 12/4/2023 12:08 AM 11. Generously fortified breakfast cereals, power bars, and fortified beverages do not count as vitamin or mineral supplements. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:13 AM DATE MODIFIED: 12/4/2023 12:15 AM 12. Diet contributes to reducing the risk of disease and delaying death and also contributes to wellness. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:15 AM DATE MODIFIED: 12/4/2023 12:16 AM 13. Typically, older adults have a strong desire to: a. remain independent and living in their own home. b. have positive relationships. c. never visit a medical doctor. d. avoid purchasing over-the-counter or prescription medicines, creams, or vitamin supplements. e. eat well.

ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:17 AM DATE MODIFIED: 12/4/2023 12:19 AM 14. Which of the following health habits do older adults believe they must maintain in order to avoid losing autonomy and independence? a. no cigarettes and no alcohol b. alcohol in moderation but no smoking or secondhand smoke c. good nutrition and exercise d. daily exercise and moderate alcohol intake e. clean teeth and brisk walks ANSWER: c POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 12:19 AM DATE MODIFIED: 12/4/2023 12:21 AM 15. The Centers for Disease Control and Prevention suggests that longevity depends 51% on: a. environmental factors. b. geographical factors. c. disease condition. d. lifestyle factors. e. genetics.

ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.1 - Distinguish three or more reasons why functional status is a better indicator of health in older adults than chronological age.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:21 AM DATE MODIFIED: 12/4/2023 12:24 AM 16. Glycosylation is: Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 a. the binding of glucose to carbohydrates. b. the binding of glucose to proteins. c. the breaking down of glucose to simpler molecules. d. the digestion of glucose in the absence of oxygen. e. the synthesis of glucose in cells.

ANSWER: b POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:24 AM DATE MODIFIED: 12/7/2023 4:04 AM 17. Which of the following age-associated physiological system changes of the cardiovascular system affects nutritional health? a. blunted thirst regulation b. reduced work capacity c. reduced arterial stiffening d. reduced blood vessel elasticity e. increased stroke volume output ANSWER: d POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:26 AM DATE MODIFIED: 12/4/2023 12:28 AM 18. An age-associated physiological system change of the respiratory system that affects nutritional health is: a. increased arterial stiffening. b. reduced breathing capacity. c. increase in cortisol. d. reduced glucose tolerance. e. increased work capacity.

ANSWER: b POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:28 AM DATE MODIFIED: 12/4/2023 12:31 AM 19. Life expectancy has increased significantly since the 1900s. Today, life expectancy at birth in the United States is roughly: a. 73 years. b. 79 years. c. 83 years. d. 89 years. e. 93 years.

ANSWER: b POINTS: 1 REFERENCES: A Picture of the Aging Population: Vital Statistics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.2 - Discuss the distinctions between life expectancy and life span, and address implications for society of increases in both.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:32 AM DATE MODIFIED: 12/4/2023 12:36 AM 20. An example of a dietary antioxidant that may improve longevity by quenching free-radicals is: a. vitamin B12. b. zinc. c. vitamin E. d. vitamin D. e. iron ANSWER: c POINTS: 1 REFERENCES: A Picture of the Aging Population: Vital Statistics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.2 - Discuss the distinctions between life expectancy and life span, and address implications for society of increases in both.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:37 AM DATE MODIFIED: 12/4/2023 12:41 AM 21. Which of the following terms applies to the confluence of improved health and longevity? a. demographic mortality b. chronic resilience Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 c. health expectancy d. demographic transition e. world wellness ANSWER: d POINTS: 1 REFERENCES: A Picture of the Aging Population: Vital Statistics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.2 - Discuss the distinctions between life expectancy and life span, and address implications for society of increases in both.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:49 AM DATE MODIFIED: 12/4/2023 12:56 AM 22. Hayflick’s Theory of Limited Cell Replication indicates that cells replicate _____ times during the lifecycle. a. 100 b. 3 c. 15 d. 40-60 e. 110-120 ANSWER: d POINTS: 1 REFERENCES: A Picture of the Aging Population: Vital Statistics QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.2 - Discuss the distinctions between life expectancy and life span, and address implications for society of increases in both.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 12:56 AM DATE MODIFIED: 12/4/2023 1:00 AM 23. Genetics are thought to account for up to _____ of longevity. a. two-third b. one-fourth c. one-third d. one-half e. one-fifth ANSWER: c POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

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Chapter 18 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/4/2023 1:00 AM 12/4/2023 1:03 AM

24. Theories of aging can be examined from two perspectives, one of which is the _____ theory. a. natural selection b. "wear and tear" c. non-programmed aging d. caloric restriction e. genomic ANSWER: b POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:03 AM DATE MODIFIED: 12/4/2023 1:06 AM 25. Which of the following statements explains the molecular clock theory? a. Telomeres that cap the ends of chromosomes become shorter with each cell division, and their loss eventually stops the chromosomes from replicating. b. Mistakes in the replication of cells or buildup of damaging byproducts from biological processes eventually destroys the organism. c. The unstable oxygen formed normally during metabolism can damage cells by initiating reactions that break down cell membranes. d. Fast-paced living shortens one's life span. e. The genetic code directs cells to divide a certain number of times during their life span.

ANSWER: a POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 1:08 AM DATE MODIFIED: 12/4/2023 1:10 AM 26. On average, lean body mass decreases by _____ per decade from age thirty to seventy. a. 2-3% b. 4-5% c. 5-7% Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 d. 8-10% e. 12-13% ANSWER: a POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:10 AM DATE MODIFIED: 12/4/2023 1:12 AM 27. Of all the physiologic changes that occur during aging, the biggest effect on nutritional status and physical resilience is due to the shifts in the _____ system. a. endocrine b. musculoskeletal c. gastrointestinal d. nervous e. renal ANSWER: b POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:13 AM DATE MODIFIED: 12/4/2023 1:15 AM 28. Saliva is a _____ secretion. a. gastrointestinal b. musculoskeletal c. renal d. sebaceous e. nasal ANSWER: a POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

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Chapter 18 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Remember 12/4/2023 1:15 AM 12/4/2023 1:18 AM

29. The 2020-2025 Dietary Guidelines suggest that older adults should: a. increase dietary sodium. b. minimize added sugar. c. include alcohol in their meal plan. d. reduce intake of nutrient dense foods. e. increase saturated fat.

ANSWER: b POINTS: 1 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.9 - Appreciate the heterogeneity of older adult populations and suggest two or more reasons to tailor health promotion.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:18 AM DATE MODIFIED: 12/4/2023 1:21 AM 30. Older adults with a compromised _____ are particularly vulnerable to foodborne illness. a. diet plan b. circulatory system c. immune status d. metabolic system e. lifestyle ANSWER: c POINTS: 1 REFERENCES: Food Safety Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.8 - Explain how good food safety practices contribute to the health of older adults, and how increasing functional decline can be accommodated.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:21 AM DATE MODIFIED: 12/4/2023 1:23 AM 31. Weight and body mass index (BMI) peak between _____ years. a. 30 and 39 b. 40 and 49 c. 50 and 59 d. 60 and 69 e. 70 and 79 Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 ANSWER: c POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:24 AM DATE MODIFIED: 12/4/2023 1:28 AM 32. Resting energy expenditure is largely influenced by: a. body composition. b. calorie consumption. c. the weather. d. ethnicity. e. microbiota.

ANSWER: a POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:28 AM DATE MODIFIED: 12/4/2023 1:31 AM 33. Which of the following organizations ensures that a supplement is potent and pure? a. NSF b. USDA c. FDA d. WIC e. NSLP ANSWER: a POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:31 AM DATE MODIFIED: 12/4/2023 1:34 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 34. Dietary fiber reduces the risk of coronary heart disease, but older adults are more often concerned with the role of fiber for: a. decreasing the incidence of atherosclerosis. b. decreasing the incidence of type 2 diabetes. c. decreasing the risk of hypertension. d. gastrointestinal health. e. supplying essential nutrients.

ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:35 AM DATE MODIFIED: 12/4/2023 1:38 AM 35. According to the Dietary Guidelines for Americans, 2020-2025, what is the recommended intake of grains for a sixtyyear-old female following a 1600 calorie diet? a. 6.5 ounces b. 2 ounces c. 5 ounces d. 6 ounces e. <2 ounces ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:38 AM DATE MODIFIED: 12/4/2023 1:40 AM 36. Which of the following foods is a high-quality protein? a. brown rice b. seeds c. fish d. rye e. soy ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:41 AM DATE MODIFIED: 12/4/2023 1:43 AM 37. The recommended daily allowance of calcium for a male over seventy years of age is: a. 800 mg. b. 200 mg. c. 500 mg. d. 450 mg. e. 1200 mg.

ANSWER: e POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:46 AM DATE MODIFIED: 12/4/2023 1:49 AM 38. Age-associated physiological system changes related to the endocrine system that affect nutritional health include: a. reduced levels of estrogen. b. increased fat mass. c. increased levels of thyroid gland secretions. d. decreased cortisol production. e. increased secretion of growth hormone.

ANSWER: a POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:49 AM DATE MODIFIED: 12/4/2023 1:52 AM 39. Dietary recommendations for vitamin _____ are higher for older adults than for any other population group. a. A b. D Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 c. E d. K e. C ANSWER: b POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:52 AM DATE MODIFIED: 12/4/2023 1:54 AM 40. Vitamin D's main role is in the maintenance of blood _____ levels and in keeping bones strong and healthy. a. selenium b. glucose c. thiamin d. calcium e. potassium ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 1:54 AM DATE MODIFIED: 12/4/2023 1:57 AM 41. At higher doses, vitamin _____ may increase all-cause mortality and is linked to longer blood-clotting times and tendency to hemorrhage. a. B12 b. K c. A d. E e. D ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing Copyright Cengage Learning. Powered by Cognero.

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Chapter 18

KEYWORDS: DATE CREATED: DATE MODIFIED:

five or more nutrients of concern for older populations.

Bloom's: Remember 12/4/2023 1:57 AM 12/6/2023 1:17 AM

42. Dehydration can be a symptom of which of the following nutrient toxicities? a. iron b. selenium c. magnesium d. copper e. vitamin D ANSWER: c POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:00 AM DATE MODIFIED: 12/4/2023 2:03 AM 43. Signs of magnesium toxicity include: a. abdominal pain. b. vomiting. c. decreased appetite. d. impaired nerve activity. e. nausea.

ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:03 AM DATE MODIFIED: 12/4/2023 2:05 AM 44. Older adults improve the nutrient density of their carbohydrate intake by: a. consuming vitamin B supplements. b. consuming multivitamin supplements. c. consuming fats. d. consuming protein.

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Chapter 18 e. consuming fiber-rich food.

ANSWER: e POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:05 AM DATE MODIFIED: 12/4/2023 2:07 AM 45. The final step in the MUST screening tool's five-step assessment of nutritional status is to: a. use height and weight measurement to calculate BMI. b. score unplanned weight loss. c. assign an acute disease effect score. d. sum scores to determine overall risk of malnutrition. e. use the score to plan management.

ANSWER: e POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:08 AM DATE MODIFIED: 12/4/2023 2:10 AM 46. Macronutrient recommendations for adults aged seventy-plus are: a. 40-60% of energy from carbohydrates, 25-35% of energy from fats, and 10-35% of energy from proteins. b. 35-55% of energy from carbohydrates, 20-35% of energy from fats, and 10-35% of energy from proteins. c. 50-70% of energy from carbohydrates, 20-35% of energy from fats, and 10-35% of energy from proteins. d. 45 -65% of energy from carbohydrates, 20-35% of energy from fats, and 10-35% of energy from proteins. e. 50-65% of energy from carbohydrates, 25-40% of energy from fats, and 10-35% of energy from proteins.

ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:11 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 DATE MODIFIED:

12/4/2023 2:13 AM

47. Which of the following protein sources has the maximum true digestibility in humans? a. seeds b. beans c. corns d. eggs e. nuts ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:14 AM DATE MODIFIED: 12/4/2023 2:16 AM 48. Title IIIC of the Older Americans Act is a community-based nutrition program that provides: a. congregate and home-delivered meals. b. congregate nutritional supplements. c. home-delivered nutritional supplements. d. home-delivered groceries. e. congregate groceries.

ANSWER: a POINTS: 1 REFERENCES: Community Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.10 - Describe one or more nutrition programs serving older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:16 AM DATE MODIFIED: 12/4/2023 2:18 AM 49. Which of the following components of physical fitness benefit older adults by maintaining and building muscle mass and also reducing the risk of a number of age-related diseases such as heart disease, osteoporosis, and arthritis? a. muscle stretching b. swimming c. aerobic activity d. cognitive performance e. strength training ANSWER: e POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 REFERENCES: Physical Activity Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.9 - Appreciate the heterogeneity of older adult populations and suggest two or more reasons to tailor health promotion.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:19 AM DATE MODIFIED: 12/4/2023 2:21 AM 50. The "Blue Zone" communities of healthy old residents include: a. New Zealand. b. Australia. c. the Netherlands. d. Costa Rica. e. Canada.

ANSWER: d POINTS: 1 REFERENCES: Community Food and Nutrition Programs QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.10 - Describe one or more nutrition programs serving older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 2:21 AM DATE MODIFIED: 12/4/2023 2:24 AM 51. Healthy teeth are protected by a(n) _____ layer. a. vitamin b. fibrous c. mucus d. bacterial e. enamel ANSWER: e POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 3:40 AM DATE MODIFIED: 12/4/2023 3:43 AM Mrs. Ha is fifty-nine years old, is 5′5″ tall, and has a medium frame. She is a physically active woman. She reports that she has lost twenty pounds in the last six months and now weighs 140 pounds. She complains of poor appetite. She eats two meals a day and is complaining that food has lost its taste, and when she eats, she feels something sticking in her Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 throat, pain, and discomfort; she has ill-fitting dentures that she does not wear very often.

52. What could be a reason for her loss of taste? a. fewer meals eaten b. dentures covering her palate c. weight gain d. depression e. dysphagia ANSWER: b POINTS: 1 REFERENCES: Physiological changes QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following case study to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 3:43 AM DATE MODIFIED: 12/8/2023 7:50 AM 53. Which of the following supplements is she most likely to take to improve her health? a. functional fiber supplements b. probiotic supplement c. multivitamin supplements d. zinc supplements e. vitamin B12 supplements ANSWER: c POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following case study to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 3:54 AM DATE MODIFIED: 12/8/2023 7:50 AM 54. Mrs. Ha is at risk of nutritional deficiency due to: a. a high BMI. b. depression. c. problems with her dentures. d. a low BMI. e. food insecurity.

ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following case study to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 3:59 AM DATE MODIFIED: 12/8/2023 7:50 AM 55. According to USDA food intake patterns, if Mrs. Ha maintains an 1800-calorie diet, how many cups of fruits should she consume every day? a. 3 cups b. 1.5 cups c. 1 cup d. 1/2 cup e. 4 cups ANSWER: b POINTS: 1 REFERENCES: Dietary Recommendations for Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following case study to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.18.6 - Relate how enjoying a varied diet contributes to mental and physical well-being.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 4:03 AM DATE MODIFIED: 12/8/2023 7:51 AM 56. Which of the following fields of study examines the interplay between genetics and nutrition? a. applied genetics b. programmed aging c. nutritional genomics d. chromosomal replication e. Hayflick's theory ANSWER: c POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Remember Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 DATE CREATED: DATE MODIFIED:

12/4/2023 4:05 AM 12/4/2023 4:07 AM

57. Two substances that are better absorbed in synthetic or purified form are folic acid and: a. pantothenic acid. b. vitamin E. c. vitamin B6. d. vitamin C. e. vitamin B12.

ANSWER: e POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:07 AM DATE MODIFIED: 12/4/2023 4:10 AM 58. When height and weight cannot be measured, alternative calculations using the ulna, knee height, and _____ are suggested. a. thigh circumference b. mid-upper-arm circumference c. waist circumference d. waist-to-hip ratio e. wrist circumference ANSWER: b POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:10 AM DATE MODIFIED: 12/4/2023 4:13 AM 59. The NSI DETERMINE checklist encompasses: a. diseases that predominantly affect the elderly. b. warning signs of poor nutritional health. c. a list of community nutritional health programs and services. d. a list of private and public health care centers. e. warning signs of poor mental health arising from poor nutrition.

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Chapter 18 ANSWER: b POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:13 AM DATE MODIFIED: 12/4/2023 4:15 AM 60. Which of the following statements describes the most common reason that vitamin B12 deficiency occurs in older adults? a. Diets are frequently low in vitamin B12 because oral problems and financial difficulties limit meat intake and meats are the best dietary sources of vitamin B12. b. Older adults have inefficient digestive systems and slow metabolism. c. Older adults’ diets primarily provide synthetic forms of vitamin B12, which are less absorbable than the protein-bound form found naturally in foods. d. Older adults have a higher incidence of bacterial overgrowth, which decreases the secretion of hydrochloric acid. e. Vitamin B12 supplements are expensive, and many older adults cannot afford them.

ANSWER: d POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 4:15 AM DATE MODIFIED: 12/4/2023 4:18 AM 61. Caloric restriction in animals has been shown to: a. promote age-related diseases. b. shorten life span. c. increase longevity. d. accelerate muscle loss. e. accelerate gray matter atrophy.

ANSWER: c POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable Copyright Cengage Learning. Powered by Cognero.

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Chapter 18

KEYWORDS: DATE CREATED: DATE MODIFIED:

consequences of aging."

Bloom's: Understand 12/4/2023 4:18 AM 12/4/2023 4:20 AM

62. The term polypharmacy refers to the use of: a. multiple counselors. b. multiple doctors. c. multiple medicines. d. over-the-counter drugs. e. prescription drugs.

ANSWER: c POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 4:20 AM DATE MODIFIED: 12/6/2023 1:36 AM 63. The maximum number of years someone might live is called their: a. life expectancy. b. compression of morbidity. c. life span. d. comorbidity. e. resilience.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:22 AM DATE MODIFIED: 12/4/2023 4:24 AM 64. The average number of years of life remaining for persons in a population cohort or group is referred to as: a. life expectancy. b. compression of morbidity. c. life span. d. comorbidity. e. resilience.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 HAS VARIABLES: False DATE CREATED: 12/4/2023 4:24 AM DATE MODIFIED: 12/4/2023 4:25 AM 65. A person who reaches 100 years of age or more is called: a. a resilient adult. b. an elderly adult. c. a centenarian. d. a supercentenarian. e. a blue zone resident.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:26 AM DATE MODIFIED: 12/4/2023 4:26 AM 66. Of all the physiologic changes that occur during aging, the biggest effect on nutritional status is: a. an increase in bone density. b. an increase in total body water. c. a decline in adipose tissue. d. a decline in lean body mass. e. an increase in lean body mass.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:27 AM DATE MODIFIED: 12/4/2023 4:28 AM 67. A caplike structure that protects the ends of chromosomes is called a: a. gene. b. telomere. c. helix. d. cell membrane. e. genetic code.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:29 AM DATE MODIFIED: 12/4/2023 4:30 AM 68. Compression of morbidity refers to: Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 a. allowing elderly patients to care for themselves. b. improving communication at end of life. c. minimizing the period of illness to focus on recovery. d. lengthening the period of illness and decreased functional capabilities. e. shortening the period of illness and decreased functional capabilities.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:30 AM DATE MODIFIED: 12/4/2023 4:32 AM 69. Which of the following terms refers to the ability to carry out activities of daily life? a. functional status b. activities of daily living c. quality of life d. life expectancy e. resilience ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:32 AM DATE MODIFIED: 12/4/2023 4:33 AM 70. The sum of fat-free body tissues including muscle, mineral as in bone, and water is called: a. sarcopenia. b. muscle mass. c. lean body mass. d. obesity. e. adiposity.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 4:34 AM DATE MODIFIED: 12/4/2023 4:35 AM 71. Bacterial overgrowth causing inflammation of the stomach and decreased secretion of hydrochloric acid (HCl) is referred to as: a. peritonitis. b. atrophic gastritis. c. gingivitis. d. hepatitis.

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Chapter 18 e. pancreatitis.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:28 AM DATE MODIFIED: 12/4/2023 5:29 AM 72. Which of the following organizations administers the Older Americans Act Nutrition Programs (OAANP), previously called the Elderly Nutrition Program? a. WIC b. HHS c. NSLP d. FDA e. USDA ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 5:30 AM DATE MODIFIED: 12/4/2023 5:31 AM 73. Explain programmed aging.

ANSWER: Hayflick’s theory of limited cell replications proposed that all cells contain a genetic code allowing a limited number of cell replications prior to death. This is referred to as replicative senescence. Alternatively, there is the molecular clock theory that describes aging as a molecular clock where telomeres cap the end of the cell cycle. Telomeres cap each chromosome, and as replication persists, the loss of telomere stops replication. The evidence supporting programmed aging theory suggests that there is limited variation in lifespan within species. Lifestyle modifications such as nutrition, medical care, and other demographic factors can impact quality of life. However, lifespan within species stays constant.

POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:31 AM DATE MODIFIED: 12/4/2023 5:33 AM 74. Discuss the theories of aging and how caloric restriction may serve to prolong life.

ANSWER: (answers may vary) Theories of aging can be examined from two perspectives: programmed aging theories and Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 "wear-and-tear" theories.

Programmed aging theories include Hayflick's theory of limited cell replication and the molecular clock theory. Wear-and-tear theories of aging include the free-radical or oxidative stress theory and the rate of living theory.

Studies have shown that caloric restriction, especially in midlife, results in longer life spans.

One mechanism might be that it leads to changes in cell signaling pathways that induce metabolic reprogramming and subsequent life extension.

POINTS: 1 REFERENCES: Theories of Aging QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.3 - Defend the statement: "Diseases and disabilities are not inevitable consequences of aging."

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:34 AM DATE MODIFIED: 12/4/2023 5:35 AM 75. Is weight gain with aging inevitable? Discuss ways to maintain lean body mass as one ages.

ANSWER: (answers may vary) Weight gain is not inevitable, although there is a decline in fat-free or lean body mass of 2% to 3% per decade from age thirty to seventy, even when weight is stable. This leads to the loss of up to 15% muscle mass. Simultaneously, visceral body fat increases. Physical activity and regular exercise can delay the onset or progression of chronic disease as well as mitigate the effects of a sedentary lifestyle. Weight-bearing and resistance exercise increase lean muscle mass and bone density.

POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:36 AM DATE MODIFIED: 12/4/2023 5:38 AM 76. Discuss the changes in thirst as people age. What have researchers found when studying older versus younger men, and what is the mechanism behind this change?

ANSWER: (answers may vary) Elderly people do not seem to notice thirst as clearly as younger people do. Research showed that the thirst-regulating mechanism of older adults was less effective than that of younger individuals. Younger men reported being thirsty and having dry mouth after fluid deprivation, while older men reported no change. Younger people made up for fluid loss in twenty-four hours, while older people did not drink enough to achieve their prior state of hydration. It appears that dehydration occurs more quickly after fluid deprivation and that rehydration is less effective because of lower thirst sensation and reduced renal water conservation capacity.

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Chapter 18 POINTS: 1 REFERENCES: Physiological Changes QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.4 - List five physiological changes occurring at ages 70+ and describe nutritional implications for each.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:38 AM DATE MODIFIED: 12/4/2023 5:40 AM 77. What does the Nutrition Screening Initiative DETERMINE stand for, and how is it used?

ANSWER: The acronym stands for "disease, eating poorly, tooth loss/mouth pain, economic hardship, reduced social contact, multiple medicines, involuntary weight loss or gain, needs assistance in self-care, and elder years above 80."

This is a screening tool to "determine" if an older adult may be at nutritional risk. The advantage of this screener is that it alerts older adults and caregivers of potential nutritional risk factors and could lead to interventions to prevent malnutrition.

POINTS: 1 REFERENCES: Nutritional Risk Factors QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.5 - Describe the relative effectiveness of two nutrition screening and assessment tools.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 5:40 AM DATE MODIFIED: 12/4/2023 5:42 AM 78. Discuss the five questions important to determine protein adequacy for an individual elderly adult. Identify the top protein sources.

ANSWER: The five questions include: 1. Based on total energy requirements, how much protein will meet the individual’s need?

2. Are enough calories eaten so that protein does not have to be used for energy?

3. If marginal amounts of protein are eaten, is the protein of high quality?

4. Are there additional needs—wound healing, tissue repair, surgery, fracture, infection?

5. Is the individual exercising?

The top protein sources include meat, eggs, milk, fish, soy protein, beans, rice, oats and oatmeal, lentils, corn, and wheat.

POINTS: 1 REFERENCES: Nutrient Recommendations QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.7 - Compare nutrient recommendations of old and young adults, citing five or more nutrients of concern for older populations.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 18 DATE CREATED: DATE MODIFIED:

12/4/2023 5:42 AM 12/4/2023 5:44 AM

79. Identify the 4 Cs of nutrition education. Discuss how nutrition education is different from education in general and adaptations that can be made for older learners.

ANSWER: (answers may vary) The 4 Cs of nutrition education include commitment, cognitive processing, capability, and confidence.

1. Commitment. Commitment means being motivated to adopt health-promoting behaviors and intending to adopt and maintain a new food behavior.

2. Cognitive processing. Understanding how a food behavior contributes to health and planning how it will fit into your life constitutes cognitive processing.

3. Capability. Acquiring the skills to practice new food behaviors is part of nutrition education. An example is learning to identify whole-grain breads or to prepare vegetables when intending to adopt a high-fiber diet.

4. Confidence. “Nothing breeds success like success!” The best predictor that someone will practice new dietary habits is their personal confidence in being able to do so.

Nutrition education is different from education in general because its goal is to change dietary behaviors. Changing behavior is more difficult than just memorizing or learning information.

Education for older learners is best designed around their personal limitations, such as declines in visual acuity and hearing loss. These may include such things as using larger type sizes, using fonts that are more easily readable, using bold type and high contrast, avoidance of colored paper and print, and a reading level of fifth to eighth grade for general audiences.

POINTS: 1 REFERENCES: Nutrition Policy and Intervention for Risk Reduction QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.18.9 - Appreciate the heterogeneity of older adult populations and suggest two or more reasons to tailor health promotion.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:04 AM DATE MODIFIED: 12/4/2023 6:06 AM

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Chapter 19 1. Medical nutrition therapy (MNT) as part of a comprehensive treatment plan can encourage health-promoting food choices once diseases have been diagnosed. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Introduction: The Importance of Nutrition QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 11/30/2023 5:11 AM DATE MODIFIED: 11/30/2023 5:14 AM 2. Quality of life is a measure of pain satisfaction while hospitalized. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Nutrition and Health QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:16 AM DATE MODIFIED: 12/4/2023 6:17 AM 3. Diabetes diagnosis criteria and management goals for older adults are different from those of younger adults. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:18 AM DATE MODIFIED: 12/4/2023 6:19 AM 4. Patient with osteoporosis should double the DRI for calcium to prevent further decline in bone density. a. True Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 b. False ANSWER: False POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:20 AM DATE MODIFIED: 12/4/2023 6:21 AM 5. The National Heart, Lung, and Blood Institute guidelines and the World Health Organization (WHO) define extreme obesity as a BMI of 35.5 or higher. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:22 AM DATE MODIFIED: 12/4/2023 6:28 AM 6. Osteoporosis has been inversely linked to osteoarthritis. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Inflammatory Diseases: Osteoarthritis QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.10 - Describe key nutritional approaches to osteoarthritis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:29 AM DATE MODIFIED: 12/4/2023 6:29 AM 7. Elevated methylmalonic acid in the elderly are related to vitamin B12 deficiency. a. True b. False ANSWER: True Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:31 AM DATE MODIFIED: 12/4/2023 6:31 AM 8. Calcium and mineral supplements reduce the risk of constipation. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:32 AM DATE MODIFIED: 12/4/2023 6:33 AM 9. The percentage of total body water shrinks from infancy to old age. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Dehydration QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.14 - List three or more signs of dehydration and explain why maintaining hydration status is important for the health of an older person.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:34 AM DATE MODIFIED: 12/4/2023 6:34 AM 10. Impairment of hunger and appetite regulation contribute to the difficulty to maintain good nutritional habits in those with Alzheimer's disease. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Cognitive Impairment, Dementia and Alzheimer's Disease Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.11 - Describe key nutritional approaches to cognitive impairment, dementia, and Alzheimer's diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:36 AM DATE MODIFIED: 12/4/2023 6:36 AM 11. A client with a blood pressure of 110/90 mmHg would be accurately diagnosed with hypertension. a. True b. False ANSWER: True POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:37 AM DATE MODIFIED: 12/4/2023 6:37 AM 12. In older adults, BMI is an adequate indicator of excess body fat associated with morbidity and mortality. a. True b. False ANSWER: False POINTS: 1 REFERENCES: Obesity QUESTION TYPE: True / False HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:38 AM DATE MODIFIED: 12/4/2023 6:38 AM 13. The top three contributors to death in the U.S. include: a. heart disease, cancer, and COVID-19. b. heart disease, diabetes mellitus, and COVID-19. c. heart disease, cancer, and nephritis. d. heart disease, unintentional injury, and influenza. e. heart disease, cancer, and Alzheimer disease.

ANSWER: a POINTS: 1 Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 REFERENCES: Nutrition and Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:40 AM DATE MODIFIED: 12/4/2023 6:40 AM 14. In free-living older adults, nutritional risk status was found to be the most important predictor of: a. total number of physician visits. b. home visits by physicians. c. ambulatory surgery rates. d. medication rates. e. total number of pharmacy visits.

ANSWER: a POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 6:41 AM DATE MODIFIED: 12/4/2023 6:46 AM 15. What percentage of older people aged sixty-five and over consider their health to be good to excellent? a. 25% b. 33% c. 50% d. 77% e. 5% ANSWER: d POINTS: 1 REFERENCES: Introduction QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:47 AM DATE MODIFIED: 12/4/2023 6:47 AM 16. Which of the following statements represents the physical activity recommendations by the 2019 AHA/ACC guidelines for older adults?

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Chapter 19 a. No physical activity guidelines were included in 2019. b. If unable to meet physical activity guidelines, it is acceptable to be sedentary. c. Engage in at least 150 minutes of moderate-intensity exercise per week. d. Engage in at least 150 minutes of vigorous-intensity exercise per week. e. Engage in at least 300 minutes of moderate-intensity exercise per week.

ANSWER: c POINTS: 1 REFERENCES: Heart Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.2 - Describe key nutritional approaches to heart disease in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:48 AM DATE MODIFIED: 12/4/2023 6:50 AM 17. The two leading causes of death among the elderly are heart disease and: a. cancer. b. influenza. c. arthritis. d. Alzheimer's disease. e. diabetes.

ANSWER: a POINTS: 1 REFERENCES: Nutrition and Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:53 AM DATE MODIFIED: 12/4/2023 6:54 AM 18. All cancer types are more common among: a. men 65-74. b. men 75+. c. women 65-74. d. women 75+. e. men and women <65 years of age.

ANSWER: b POINTS: 1 REFERENCES: Nutrition and Health QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 LEARNING OBJECTIVES: NTLC.BRWN.24.19.1 - Describe key nutritional approaches to the most prevalent chronic diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:56 AM DATE MODIFIED: 12/4/2023 6:57 AM 19. An estimated 60% to 80% of dementia cases are related to: a. pernicious anemia. b. stroke. c. alcoholism. d. Alzheimer's disease. e. thiamin deficiency.

ANSWER: d POINTS: 1 REFERENCES: Cognitive Impairment, Dementia and Alzheimer's Disease QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.11 - Describe key nutritional approaches to cognitive impairment, dementia, and Alzheimer's diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 6:58 AM DATE MODIFIED: 12/7/2023 7:38 AM 20. The risk factors for stroke include: a. short-term high blood pressure. b. excessive use of alcohol. c. consistent physical activity. d. caffeine. e. a history of GERD. ANSWER: b POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:00 AM DATE MODIFIED: 12/4/2023 7:01 AM 21. When a weakened blood vessel ruptures, _____ occurs. a. a hemorrhagic stroke b. carotid artery disease c. an ischemic stroke Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 d. atrial fibrillation e. sarcopenia ANSWER: a POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 7:05 AM DATE MODIFIED: 12/4/2023 7:06 AM 22. WHO defines grade 3 thinness as having a: a. BMI of 17.0-18.49. b. BMI of 18.5-19.99. c. BMI of 20.0-21.49. d. BMI of 16.0-16.99. e. BMI of < 16.00.

ANSWER: e POINTS: 1 REFERENCES: Low Body Weight/Unintentional Weight Loss QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.13 - Explain the challenges faced by underweight individuals and the consequences of sarcopenia on day-to-day functioning.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:09 AM DATE MODIFIED: 12/4/2023 7:11 AM 23. The only chronic condition that has higher prevalence in older adults than arthritis is: a. diabetes. b. hypertension. c. cancer. d. stroke. e. osteoporosis.

ANSWER: b POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 DATE CREATED: DATE MODIFIED:

12/4/2023 7:19 AM 12/4/2023 7:48 AM

24. Which of the following blood tests can be used to assess blood sugar regulation? a. hemoglobin b. hematocrit c. hemoglobin A1C d. blood triglycerides e. random finger stick ANSWER: c POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 7:49 AM DATE MODIFIED: 12/4/2023 7:50 AM 25. A reasonable hemoglobin A1C goal for healthy adults aged sixty-five and older is less than: a. 3%. b. 7.5%. c. 10%. d. 12%. e. 15%.

ANSWER: b POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 7:51 AM DATE MODIFIED: 12/4/2023 7:51 AM 26. A piece of a blood clot formed elsewhere that travels to the brain is called: a. ischemia. b. aneurysm. c. cerebral embolism. d. thrombus. e. aphasia.

ANSWER: c Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:46 AM DATE MODIFIED: 12/4/2023 8:47 AM 27. Which of the following readings corresponds to the blood pressure of an elderly woman who is diagnosed with hypertension? a. 60 mm Hg/70 mm Hg b. 120 mm Hg/80 mm Hg c. 100 mm Hg/85 mm Hg d. 88 mm Hg/88 mm Hg e. 135 mm Hg/95 mm Hg ANSWER: e POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:48 AM DATE MODIFIED: 12/4/2023 8:49 AM 28. In the DASH sodium study, the greatest overall blood pressure reduction occurred in the subjects who: a. reduced sodium intake to no more than 2400 mg/day. b. reduced sodium intake to no more than 1500 mg/day. c. lost 10% to 15% of their body weight. d. increased aerobic activity. e. had the highest blood pressure.

ANSWER: b POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:49 AM DATE MODIFIED: 12/4/2023 8:50 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 29. Overweight is defined as having a body mass index of: a. 18.5-24.9. b. 25-29.9. c. ≥32.9. d. ≥35.0. e. ≥40.5 ANSWER: b POINTS: 1 REFERENCES: Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 8:51 AM DATE MODIFIED: 12/4/2023 8:55 AM 30. Which of the following conditions is characterized by degeneration of the heart muscle, leading to irregular contractions? a. carotid artery disease b. atrial fibrillation c. cerebral embolism d. aneurysm e. ischemia ANSWER: b POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:56 AM DATE MODIFIED: 12/4/2023 8:57 AM 31. Risk factors for osteoporosis include: a. excess calcium intake. b. moderate alcohol consumption. c. being overweight. d. sarcopenia. e. high levels of testosterone.

ANSWER: d POINTS: 1 REFERENCES: Osteoporosis Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 8:58 AM DATE MODIFIED: 12/4/2023 8:59 AM 32. The final stage of the grieving process is: a. denial. b. reestablishment. c. guilt. d. loss. e. disorganization.

ANSWER: b POINTS: 1 REFERENCES: Bereavement QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.15 - Explain how social support during bereavement can help the survivor to stay healthy.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:00 AM DATE MODIFIED: 12/4/2023 9:01 AM 33. Which of the following substances can contribute to a drop in blood sugar? a. aspirin b. caffeine c. theophylline d. antacids e. amoxicillin ANSWER: a POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:02 AM DATE MODIFIED: 12/4/2023 9:03 AM 34. Development of osteoporosis is delayed when an individual develops: a. smaller, lighter bones during youth. b. an active lifestyle.

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Chapter 19 c. lean body mass during early adulthood. d. bigger, denser bones during youth. e. adequate fat mass during early adulthood.

ANSWER: d POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:04 AM DATE MODIFIED: 12/4/2023 9:05 AM 35. Zaid consumes two servings of dairy per day which averages approximately 800 mg calcium per day. What is the recommended calcium dose to allow him to meet the DRI for calcium? a. 1000 mg/day b. 400 mg/day c. 1200 mg/day d. 300 mg/day e. 800 mg/day ANSWER: b POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:20 AM DATE MODIFIED: 12/4/2023 9:21 AM 36. Nutrition advice for people who are taking blood-thinning medication because of a stroke is to: a. maintain a stable vitamin K intake. b. avoid all foods with vitamin K. c. eat vitamin K-rich foods only in the evening and take medication in the morning. d. take a supplement of vitamin C along with their medications. e. eat large amounts of vitamin C during every meal.

ANSWER: a POINTS: 1 REFERENCES: Polypharmacy: Prescription and Over-the-Counter Medications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.12 - Understand how comorbidities and polypharmacy increase Copyright Cengage Learning. Powered by Cognero.

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Chapter 19

KEYWORDS: DATE CREATED: DATE MODIFIED:

nutritional risk in older adults.

Bloom's: Understand 12/4/2023 9:22 AM 12/4/2023 9:23 AM

37. Which of the following behaviors prevents muscle loss? a. excess intake of animal protein b. strength training, adequate protein consumption, and good sleep quality c. excess intake of calcium supplements d. sedentary lifestyle e. excess intake of sodium ANSWER: b POINTS: 1 REFERENCES: Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:24 AM DATE MODIFIED: 12/4/2023 9:25 AM 38. The most common GI-related diagnosis given in clinic visits is: a. constipation. b. GERD. c. diarrhea. d. food intolerance. e. malabsorption.

ANSWER: b POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 9:26 AM DATE MODIFIED: 12/4/2023 9:27 AM 39. The main symptoms of GERD are heartburn and: a. nausea. b. vomiting. c. diarrhea. d. abdominal pain.

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Chapter 19 e. acid regurgitation.

ANSWER: e POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 9:28 AM DATE MODIFIED: 12/4/2023 9:29 AM 40. Guidelines for treating dehydration in older adults include providing roughly _____ of the overall fluid deficit each day in the form of water or a 5% glucose solution. a. 10-15% b. 15-25% c. 25-33% d. 35-50% e. 50-75% ANSWER: c POINTS: 1 REFERENCES: Dehydration QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.14 - List three or more signs of dehydration and explain why maintaining hydration status is important for the health of an older person.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 9:30 AM DATE MODIFIED: 12/4/2023 9:30 AM 41. To prevent vitamin B12 deficiency, it is recommended that adults aged fifty-one and over obtain their vitamin B12 from: a. a diet high in animal protein. b. a diet featuring leafy green and cruciferous vegetables. c. fortified foods and/or supplements. d. a primarily vegetarian diet. e. drinking nondairy (soy, nut) milk products.

ANSWER: c POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

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Chapter 19 KEYWORDS: DATE CREATED: DATE MODIFIED:

Bloom's: Understand 12/4/2023 9:32 AM 12/4/2023 9:36 AM

42. Normal bowel movement patterns include those that have: a. one bowel movement each week. b. one bowel movement each month. c. four bowel movements per day. d. greater than twenty-two bowel movements per week. e. two to three bowel movements per day.

ANSWER: e POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:37 AM DATE MODIFIED: 12/4/2023 9:38 AM 43. The first remedy advised for osteoarthritis is: a. weight loss if overweight. b. an anti-inflammatory eating pattern. c. chondroitin and glucosamine supplements to relieve inflammation. d. gamma-linolenic acid supplements to help reduce pain and stiffness. e. physical therapy.

ANSWER: a POINTS: 1 REFERENCES: Inflammatory Diseases: Osteoarthritis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.10 - Describe key nutritional approaches to osteoarthritis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:39 AM DATE MODIFIED: 12/4/2023 9:40 AM 44. Sarcopenia refers to: a. lack of appetite. b. muscle wasting. c. porous bones. d. shrinking height. e. loss of saliva.

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Chapter 19 ANSWER: b POINTS: 1 REFERENCES: Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:41 AM DATE MODIFIED: 12/4/2023 9:42 AM 45. One of the seven signs and symptoms associated with dehydration in the elderly is: a. taste changes. b. speech difficulty. c. swollen tongue. d. increased body weight. e. lower-body weakness.

ANSWER: b POINTS: 1 REFERENCES: Dehydration QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.14 - List three or more signs of dehydration and explain why maintaining hydration status is important for the health of an older person.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:43 AM DATE MODIFIED: 12/4/2023 9:44 AM 46. Dual-energy X-ray absorptiometry measures: a. hypertension. b. blood sugar levels. c. body mass index. d. lean body mass. e. bone density.

ANSWER: e POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 9:51 AM DATE MODIFIED: 12/4/2023 9:53 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 47. The BMI range associated with the lowest mortality in older adults is: a. <18.5. b. <23. c. 24.0–30.9. d. 28.0–32.5. e. 29.5–33.0.

ANSWER: c POINTS: 1 REFERENCES: Obesity QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.6 - Explain how sarcopenia combined with obesity affects fitness and weight management in older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 9:54 AM DATE MODIFIED: 12/4/2023 9:56 AM 48. Parathyroid hormone levels are increased by: a. low phosphate levels. b. high phosphate levels. c. high calcium levels. d. high vitamin D levels. e. low iron stores.

ANSWER: b POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:05 AM DATE MODIFIED: 12/4/2023 10:06 AM 49. Which of the following conditions causes a change in brain chemistry that can affect memory and the ability to maintain high-level functioning? a. diverticulitis b. physical trauma c. vascular dementia d. dehydration e. depression ANSWER: e POINTS: 1 REFERENCES: Cognitive Impairment, Dementia and Alzheimer's Disease Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.11 - Describe key nutritional approaches to cognitive impairment, dementia, and Alzheimer's diseases of adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:07 AM DATE MODIFIED: 12/4/2023 10:08 AM 50. The DASH diet, the Prudent Pattern, and the Mediterranean Diet are eating patterns associated with reduced _____ incidence. a. hypertension b. stroke c. diabetes d. osteoporosis e. osteoarthritis ANSWER: b POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:09 AM DATE MODIFIED: 12/4/2023 10:10 AM 51. The use of xanthine derivatives such as theophylline for the treatment of COPD may result in: a. decreased liver enzymes. b. heartburn. c. hyperglycemia. d. nausea. e. inflammation.

ANSWER: d POINTS: 1 REFERENCES: Polypharmacy: Prescription and Over-the-Counter Medications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.12 - Understand how comorbidities and polypharmacy increase nutritional risk in older adults.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:14 AM DATE MODIFIED: 12/4/2023 10:15 AM 52. A factor that may prevent a patient with diabetes from achieving tight blood sugar control includes: Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 a. the use of medications that decrease the risk of hypoglycemia. b. being overweight. c. declining cognitive function. d. a new support system. e. the likelihood for self-care.

ANSWER: c POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:16 AM DATE MODIFIED: 12/4/2023 10:17 AM 53. Bone mass density that is _____ standard deviations below the adult normal denotes osteopenia. a. >0.5 b. 0.5-0.99 c. <2.5 d. >2.5 e. 3.1 ANSWER: c POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:18 AM DATE MODIFIED: 12/4/2023 10:20 AM 54. The percentage of older persons who die within a year of breaking a hip is: a. 2-10%. b. 10-20%. c. 20-28%. d. 25-30%. e. 30-35%.

ANSWER: b POINTS: 1 REFERENCES: Osteoporosis QUESTION TYPE: Multiple Choice HAS VARIABLES: False Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 LEARNING OBJECTIVES: NTLC.BRWN.24.19.7 - Describe key nutritional approaches to osteoporosis in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:22 AM DATE MODIFIED: 12/4/2023 10:23 AM 55. Lipid-lowering medications constituted about _____ of all prescriptions in 2015-2016. a. 25% b. 33% c. 47% d. 50% e. 70% ANSWER: d POINTS: 1 REFERENCES: Polypharmacy: Prescription and Over-the-Counter Medications QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.12 - Understand how comorbidities and polypharmacy increase nutritional risk in older adults.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/4/2023 10:24 AM DATE MODIFIED: 12/4/2023 10:25 AM 56. Among the effects of dehydration is: a. increase in the resting heart rate. b. lack of thirst. c. susceptibility to arthritis. d. frequency of urination. e. decrease in the resting heart rate.

ANSWER: a POINTS: 1 REFERENCES: Dehydration QUESTION TYPE: Multiple Choice HAS VARIABLES: False LEARNING OBJECTIVES: NTLC.BRWN.24.19.14 - List three or more signs of dehydration and explain why maintaining hydration status is important for the health of an older person.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:26 AM DATE MODIFIED: 12/4/2023 10:27 AM An eighty-year-old female client reports that she has lost thirty pounds in the last six months and now weighs 100 pounds; she is 5′2″. She complains that food has lost its taste, and when she does eat, she develops severe heartburn. She is now in your office for assessment. Her daily intake is 1100 calories with thirty grams of protein. A sampling of her typical daily menu is as follows: 1 cup low-fat milk 1/3 cup cooked brown rice 1 medium orange 1/2 cup cooked bell peppers Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 1 slice bread + 2 Tbsp butter 1 cup black coffee + 3 Tbsp sugar

2 oz ground turkey 1 cup apple juice 1 oz pepper jack cheese 2 scotch on the rocks before dinner

57. When refeeding this patient, which of the following steps should be taken? a. avoid thiamin supplementation b. reduce protein intake to <0.75 g/kg/day c. add dietary fiber d. rehydrate slowly e. increase added sugar and added fat ANSWER: d POINTS: 1 REFERENCES: Low Body Weight/Unintentional Weight Loss QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.19.13 - Explain the challenges faced by underweight individuals and the consequences of sarcopenia on day-to-day functioning.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/4/2023 10:31 AM DATE MODIFIED: 12/8/2023 8:00 AM 58. How does this client's current weight compare to her usual weight? a. She is 65% of her usual body weight. b. She is 77% of her usual body weight. c. She is 85% of her usual body weight. d. She is 91% of her usual body weight. e. She is 110% of her usual body weight.

ANSWER: b POINTS: 1 REFERENCES: Low Body Weight/Unintentional Weight Loss QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.20.19.13 - Explain the challenges faced by underweight individuals and the consequences of sarcopenia on day-to-day functioning.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 10:40 AM DATE MODIFIED: 12/8/2023 8:00 AM 59. How does the client's intake compare to her estimated protein needs? a. It is low; based on her current weight, she should be consuming at least 100 g per day. b. It is high; based on her current weight, she should be consuming at least 25 g per day. c. It is low; based on her current weight, she should be consuming between 70 and 99 g per day.

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Chapter 19 d. It is low; based on her current weight, she should be consuming between 45 and 70 g per day. e. Client's intake is adequate to meet her needs based on her current weight and calorie intake.

ANSWER: d POINTS: 1 REFERENCES: Low Body Weight/Unintentional Weight Loss QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.19.13 - Explain the challenges faced by underweight individuals and the consequences of sarcopenia on day-to-day functioning.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 10:42 AM DATE MODIFIED: 12/8/2023 8:01 AM 60. Which of the following diet-related activities would likely help with the client's heartburn? a. consuming just one drink before dinner b. consuming just one cup of coffee after dinner c. restricting herself to a low-fat diet d. eating a light breakfast but a big supper e. a thirty-minute nap after eating ANSWER: c POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 10:49 AM DATE MODIFIED: 12/8/2023 8:01 AM 61. Given her heartburn, what food choice should the client avoid? a. milk b. cooked bell peppers c. ground turkey d. brown rice e. dairy products ANSWER: e POINTS: 1 REFERENCES: Low Body Weight/Unintentional Weight Loss QUESTION TYPE: Multiple Choice HAS VARIABLES: False PREFACE NAME: Use the following information to answer questions Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 LEARNING OBJECTIVES: NTLC.BRWN.24.19.13 - Explain the challenges faced by underweight individuals and the consequences of sarcopenia on day-to-day functioning.

KEYWORDS: Bloom's: Apply DATE CREATED: 12/4/2023 10:53 AM DATE MODIFIED: 12/8/2023 8:02 AM 62. Another term for a blood clot is: a. obstruction. b. cyst. c. tumor. d. nodule. e. thrombus.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 10:54 AM DATE MODIFIED: 12/4/2023 10:55 AM 63. Molecules that degrade the major collagen of tendon and bone are: a. glycosylated hemoglobin A1C. b. telopeptides. c. cytokines. d. chromosomes. e. telomeres.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 10:55 AM DATE MODIFIED: 12/4/2023 10:56 AM 64. A bent upper spine is called: a. kyphosis. b. dysphagia. c. xerostomia. d. dysgeusia. e. sarcopenia.

ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 10:58 AM DATE MODIFIED: 12/4/2023 10:59 AM Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 65. Dry mouth is termed: a. kyphosis. b. dysphagia. c. xerostomia. d. dysgeusia. e. sarcopenia.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:00 AM DATE MODIFIED: 12/4/2023 11:01 AM 66. Periodontal disease is a result of: a. polypharmacy. b. improper medication management. c. xerostomia. d. a bacterial infection of the gingiva. e. a bacterial infection of the salivary glands.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:01 AM DATE MODIFIED: 12/4/2023 11:02 AM 67. Pain of the tongue is termed: a. kyphosis. b. dysphagia. c. xerostomia. d. dysgeusia. e. glossodynia.

ANSWER: e POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:03 AM DATE MODIFIED: 12/4/2023 11:04 AM 68. Loss of taste is termed: a. kyphosis. b. dysphagia. c. xerostomia. d. dysgeusia.

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Chapter 19 e. glossodynia.

ANSWER: d POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:04 AM DATE MODIFIED: 12/4/2023 11:05 AM 69. Which of the following definitions best matches with gastroesophageal reflux disease? a. reflux of stomach contents into the esophagus b. reflux of stomach contents into the lungs c. reflux of small bowel contents into the esophagus d. reflux of small bowel contents into the stomach e. reflux of large bowel contents into the small bowel ANSWER: a POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:05 AM DATE MODIFIED: 12/4/2023 11:07 AM 70. The lower esophageal sphincter (LES) is the muscle enabling closure of the: a. junction between the pharynx and the esophagus. b. junction between the small intestine and the common bile duct. c. junction between the esophagus and stomach. d. junction between the small intestine and stomach. e. junction between the small and large intestine.

ANSWER: c POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/4/2023 11:07 AM DATE MODIFIED: 12/4/2023 11:08 AM 71. Cobalamin is another name for: a. vitamin C. b. selenium. c. vitamin B6. d. riboflavin. e. vitamin B12.

ANSWER: POINTS: QUESTION TYPE: HAS VARIABLES:

e 1 Multiple Choice False

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Chapter 19 DATE CREATED: 12/5/2023 4:25 AM DATE MODIFIED: 12/5/2023 4:26 AM 72. Which of the following statements related to ghrelin is true? a. Ghrelin is an exogenous hormone given as injections. b. Ghrelin is a signaling protein that stimulates appetite. c. Circulating ghrelin levels are highest in older adults. d. Ghrelin is a signaling protein that stimulates satiety. e. Ghrelin regulation does not change throughout the life cycle.

ANSWER: b POINTS: 1 QUESTION TYPE: Multiple Choice HAS VARIABLES: False DATE CREATED: 12/5/2023 4:27 AM DATE MODIFIED: 12/5/2023 4:28 AM 73. Describe the risk of osteoporosis for older adults between men and women. Discuss the how the diagnosis is made.

ANSWER: Osteoporosis means “porous bone” that can result from an imbalance of nutrients, shifts in hormones, or both. Bone loss occurs when the estrogen of testosterone declines. Women are at a great risk, as menopause can rapidly deplete bone mass. Larger frames and the slow, gradual decline in testosterone usually contribute to a lower risk in males. A dual-energy Xray absorptiometry is used to diagnosis osteoporosis and a bone mass density 2.5 or more standard deviations away diagnoses osteoporosis.

POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 4:28 AM DATE MODIFIED: 12/5/2023 4:29 AM 74. What are the effects of stroke?

ANSWER: Strokes deprive the brain of needed oxygen and other nutrients, causing brain and nerve cells to die. As a result, stroke leads to loss of function for parts of the body controlled by the oxygen-deprived cells. For example, stroke victims' bodies may become paralyzed in either the left or the right side, or they may become unable to speak, walk, or swallow. Nutrition is likely to be affected in the stroke aftermath.

POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and Copyright Cengage Learning. Powered by Cognero.

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Chapter 19

KEYWORDS: DATE CREATED: DATE MODIFIED:

related diseases in adults 65+, recognizing the heterogeneity of older populations.

Bloom's: Understand 12/5/2023 4:30 AM 12/5/2023 4:30 AM

75. Discuss nutritional risk factors for constipation and list a few nutritional remedies for treating it.

ANSWER: Nutritional risk factors for constipation include dehydration; medications, such as opioid and nonsteroidal anti-inflammatory drugs; calcium and other mineral supplements and antacids; and diets low in fiber.

Nutritional remedies include those that increase dietary fiber in tandem with increased fluid.

One needs fiber, fluid, and muscle tone to promote bowel movements. In the presence of dehydration, adding fluid improves constipation. Insoluble fiber sources include bran and cellulose in fruits and vegetables; these fibers are fermented by the colonic bacteria, producing gas. Integrating activity and exercise training can improve peristalsis and alleviate constipation; it may also relieve bloating and flatulence.

POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 4:31 AM DATE MODIFIED: 12/5/2023 4:32 AM 76. List nutritional strategies to normalize blood pressure for older adults. Discuss some highlights and features of the DASH diet.

ANSWER: Nutritional strategies to normalize blood pressure include weight management, moderation of alcohol intake for those who drink, and limiting sodium intake while maintaining adequate potassium, magnesium, and calcium intakes. There is an emphasis on whole grains, low-fat dairy, and mono- and polyunsaturated fats in addition to increasing fruits and vegetables.

The DASH diet features significantly decreased sodium intake; the goal is to consume less than 1500 mg per day. Choosing foods with less processing can help, as approximately 75% of dietary sodium is attributable to manufacturing and preservation processes.

The DASH diet leads to a decrease in heart failure for middle-aged and older women.

POINTS: 1 REFERENCES: Hypertension QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.4 - Describe key nutritional approaches to hypertension in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 4:34 AM DATE MODIFIED: 12/5/2023 4:34 AM

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Chapter 19 77. Discuss special concerns for self-management training in older adults with diabetes.

ANSWER: Special concerns for older adults with diabetes include the following: 1. Carbohydrate and fiber recommendations do not change for old age. The primary goal is to maintain a consistent carbohydrate intake and monitor blood glucose response.

2. For people with diabetic kidney disease, reducing the amount of dietary protein below the recommended daily allowance of 0.8 g/kg/day is not recommended.

3. Assess dietary adequacy and supplement with vitamins and minerals to meet ageappropriate nutrient Dietary Reference Intake.

4. Monitor functional status and modify the care plan as appropriate for the psychosocial and physical needs of an aging individual.

5. Ask about special foods and alternative and complementary therapies.

6. Sugar alcohols in candies and gums are sweeter than sucrose and fructose and have fewer calories per gram.

POINTS: 1 REFERENCES: Diabetes: Special Concerns for Older Adults QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.5 - Describe key nutritional approaches to diabetes in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 4:35 AM DATE MODIFIED: 12/5/2023 4:36 AM 78. Define a stroke and a transient ischemic attack. List five factors that can lead to a stroke.

ANSWER: A stroke and a TIA are reduced cerebral blood flow that leads to ischemia. The following factors place an individual at higher risk for stroke: ● Long-term high blood pressure (either systolic or diastolic) ● Family history ● African American, Asian, and Hispanic ethnicity ● Physical inactivity ● Cigarette smoking (doubles the risk of ischemic strokes) ● Comorbid conditions, including diabetes mellitus, carotid artery disease, atrial fibrillation, TIAs, sickle cell anemia, and depression ● Living in poverty ● Excessive use of alcohol; use of cocaine and illicit intravenous drugs POINTS: 1 REFERENCES: Stroke QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.3 - Describe key nutritional approaches to addressing strokes and related diseases in adults 65+, recognizing the heterogeneity of older populations.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 4:37 AM DATE MODIFIED: 12/5/2023 4:38 AM 79. Define the two types of vitamin B12 deficiency. Describe the necessary laboratory assessments and how a vitamin B12 Copyright Cengage Learning. Powered by Cognero.

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Chapter 19 deficiency is determined. Identify the DRI of vitamin B12 for older adults.

ANSWER: The two types of vitamin B12 deficiency are as follows: 1. Pernicious anemia: Macrocytic megaloblastic anemia, which is due to lack of intrinsic factor being released from the stomach cell wall 2. Atrophic gastritis: Prolonged inflammation, followed by the atrophied stomach mucosa secreting less acid The DRI for adults of all ages is 2.4 mcg/day.

To accurately assess vitamin B12 status, the clinician should consider checking a serum vitamin B12 level or a methylmalonic acid. A low serum vitamin B12 level and/or an elevated methylmalonic acid level can confirm a deficiency. Since vitamin B12 deficiency can lead to anemia, a low hemoglobin and hematocrit and an elevated mean corpuscular volume is characteristic of a vitamin B12 deficiency.

POINTS: 1 REFERENCES: Gastrointestinal Diseases QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.9 - Describe the three most common GI problems of older adults, along with nutritional management strategies to ameliorate each condition.

KEYWORDS: Bloom's: Understand DATE CREATED: 12/5/2023 4:39 AM DATE MODIFIED: 12/5/2023 4:40 AM 80. Name three characteristics that may place some elderly persons at an increased risk for dehydration. Identify five of the seven symptoms of dehydration.

ANSWER: (answers may vary) Older people are less sensitive in detecting thirst; aging kidneys may lose the ability to concentrate urine; antidiuretic hormone may become less effective; swallowing problems, depression, or dementia may cause individuals to avoid food or drink; and fear of incontinence may lead to decreased fluid intake.

The seven signs and symptoms of dehydration are upper-body muscle weakness, speech difficulty, confusion, dry mucous membranes in the nose and mouth, longitudinal tongue furrows, dry tongue, and sunken appearance of eyes in their sockets.

POINTS: 1 REFERENCES: Dehydration QUESTION TYPE: Subjective Short Answer HAS VARIABLES: False STUDENT ENTRY MODE: Basic LEARNING OBJECTIVES: NTLC.BRWN.24.19.14 - List three or more signs of dehydration and explain why maintaining hydration status is important for the health of an older person.

KEYWORDS: Bloom's: Remember DATE CREATED: 12/5/2023 4:41 AM DATE MODIFIED: 12/5/2023 4:42 AM

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Chapter 20 There are no printable questions.

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