Deck 13: Child and Preadolescent Nutrition: Conditions and Interventions
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Deck 13: Child and Preadolescent Nutrition: Conditions and Interventions
1
Scoliosis is a secondary condition that interferes with accurate measurement of stature.
True
2
Epilepsy and seizures are different disorders.
False
3
The Americans with Disabilities Act requires all school cafeteria lines to accommodate wheelchairs.
True
4
U.S. educators consider asthma, learning disabilities, ADHD, and speech problems the most prevalent chronic conditions in children.
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5
Conditions that slow growth or decrease muscle size generally result in lower energy needs.
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6
Some alternative therapies, such as herbal remedies and nutritional supplements, have questionable effectiveness and are perhaps even harmful to children.
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7
Autism spectrum disorder is a lifelong developmental disability, characterized by limited patterns of behavior, activity, or interests.
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8
Children with special health care needs are found to use complementary and alternative medicine at a higher rate than healthy children.
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9
A child suffering from celiac disease should strictly avoid intake of protein.
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10
The incidence of type 1 and type 2 diabetes in children has steadily declined in the past 20 years.
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11
Children with neurologic impairment and developmental disabilities are at higher risk for osteopenia due to low mineral intakes and lack of weight-bearing activity.
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12
Advocates for those with disabilities prefer the word disabilities to the word handicapped .
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13
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.
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14
According to the CDC, the prevalence of autism spectrum disorder has been steadily decreasing.
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15
Many children with CF have slow growth and are lower in weight and shorter than expected.
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16
Certain nutritional supplements have been found to effectively treat Autism Spectrum Disorders.
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17
Children with diabetes mellitus have higher protein needs than typical children.
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18
A diet high in protein is needed for chronic-constipation management.
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19
A specialty growth chart has been developed for a number of conditions, including Prader-Willi syndrome.
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20
A child suffering from phenylketonuria should follow a special diet until adolescence, after which he or she can consume protein-rich meats or dairy products.
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21
Every time a child with CF eats a meal or snack, he or she must take pills containing _____.
A) enzymes
B) insulin
C) vitamin K
D) vitamin C
E) calcium
A) enzymes
B) insulin
C) vitamin K
D) vitamin C
E) calcium
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22
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
A) cystic fibrosis
B) Turner syndrome
C) juvenile rheumatoid arthritis
D) Rett syndrome
E) spina bifida
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23
Which of the following is a form of dwarfism?
A) Turner syndrome
B) achondroplasia
C) sickle-cell disease
D) Marfan syndrome
E) Prader-Willi syndrome
A) Turner syndrome
B) achondroplasia
C) sickle-cell disease
D) Marfan syndrome
E) Prader-Willi syndrome
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24
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
A) autism spectrum disorder
B) attention-deficit hyperactivity disorder
C) asthma
D) Down syndrome
E) phenylketonuria
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25
Specialty neurology clinics administer the ketogenic diet for uncontrolled seizures.
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26
A child with _____ is at higher risk for osteopenia.
A) diabetes mellitus
B) Down syndrome
C) asthma
D) CP
E) HIV
A) diabetes mellitus
B) Down syndrome
C) asthma
D) CP
E) HIV
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27
Energy needs in children with special health care needs are related to activity level as affected by _____.
A) body composition
B) underlying health conditions
C) water consumption
D) long-term use of prescribed medications
E) body mass index
A) body composition
B) underlying health conditions
C) water consumption
D) long-term use of prescribed medications
E) body mass index
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28
Prevalence rates of _____ are decreasing over time in the United States.
A) childhood mental health problems
B) ASD
C) obesity
D) lead poisoning
E) consequences of concussions
A) childhood mental health problems
B) ASD
C) obesity
D) lead poisoning
E) consequences of concussions
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29
Complete nutritional supplements administered by gastrostomy are required to be supplied by the Child Nutrition Program.
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30
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
A) juvenile rheumatoid arthritis
B) type 1 diabetes
C) spina bifida
D) measles
E) type 2 diabetes
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31
Children with a gastrostomy can't eat anything orally.
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32
Higher protein may be recommended for wound healing and the prevention of _____ while in a cast after surgery.
A) blood infections
B) muscular atrophy
C) PKU
D) skin breakdown
E) osteoporosis
A) blood infections
B) muscular atrophy
C) PKU
D) skin breakdown
E) osteoporosis
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33
Many chronic health conditions carry lower risks for dehydration due to side effects of prescribed medications.
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34
Which of the following statements is true of galactosemia?
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.
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.
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35
A child with CP is generally not eligible for supplemental social insurance because treatments prevent decline in learning abilities.
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36
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
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
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37
Which of the following conditions is characterized by tall stature?
A) diabetes
B) juvenile rheumatoid arthritis
C) spina bifida
D) Down syndrome
E) Marfan syndrome
A) diabetes
B) juvenile rheumatoid arthritis
C) spina bifida
D) Down syndrome
E) Marfan syndrome
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38
Which entity 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
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
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39
_____ is(are) characterized by abnormal electrical activity in the brain.
A) Phenylketonuria
B) Cystic fibrosis
C) Celiac disease
D) Cerebral palsy
E) Seizures
A) Phenylketonuria
B) Cystic fibrosis
C) Celiac disease
D) Cerebral palsy
E) Seizures
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40
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
A) Down syndrome
B) achondroplasia
C) type 1 diabetes
D) Fragile X syndrome
E) Prader-Willi syndrome
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41
Seizures decrease when brain metabolism is switched from the usual fuel, _____, to _____ from fat metabolism.
A) fructose; amino acids
B) amino acids; glucose
C) glucose; ketones
D) galactose; amino acids
E) ketones; sucrose
A) fructose; amino acids
B) amino acids; glucose
C) glucose; ketones
D) galactose; amino acids
E) ketones; sucrose
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42
T he most common type of medicatio ns used to treat children with A D H D are _____ .
A) analgesics
B) diuretics
C) SSRIs
D) stimulants
E) laxatives
A) analgesics
B) diuretics
C) SSRIs
D) stimulants
E) laxatives
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43
A side effect of psychostimulants is _____.
A) low fat stores
B) insulin resistance
C) hypertension
D) rapid weight gain
E) decreased appetite
A) low fat stores
B) insulin resistance
C) hypertension
D) rapid weight gain
E) decreased appetite
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44
Phenylketonuria is an inherited genetic condition that causes _____.
A) an increase in phenylalanine levels in the body
B) osteoporosis
C) excretion of excess ketones in urine
D) an increase in blood glucose levels
E) constipation because of muscle coordination problems in the gastrointestinal tract
A) an increase in phenylalanine levels in the body
B) osteoporosis
C) excretion of excess ketones in urine
D) an increase in blood glucose levels
E) constipation because of muscle coordination problems in the gastrointestinal tract
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45
A major nutrition-related consequence of CF is _____.
A) malabsorption of 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
A) malabsorption of 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
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46
_____ 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
A) Diabetes mellitus
B) Celiac disease
C) HIV
D) Cerebral palsy
E) Cystic fibrosis
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47
Which resource 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
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
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48
The number of 4- to 17-year-old children whose parents report that their child has been diagnosed with ADHD is increasing by approximately _____ percent per year.
A) 3
B) 5
C) 7
D) 9
E) 11
A) 3
B) 5
C) 7
D) 9
E) 11
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49
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
A) diabetes
B) osteoporosis
C) PKU
D) cystic fibrosis
E) pediatric HIV
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50
Athetosis generally affects those with _____.
A) PKU
B) cerebral palsy
C) diabetes mellitus
D) celiac disease
E) ADHD
A) PKU
B) cerebral palsy
C) diabetes mellitus
D) celiac disease
E) ADHD
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51
Galactosemia will most likely affect intake of _____.
A) calcium
B) vitamin C
C) vitamin E
D) vitamin B 12
E) iron
A) calcium
B) vitamin C
C) vitamin E
D) vitamin B 12
E) iron
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52
Phenylketonuria is an inborn error of metabolism that affects the ability to metabolize _____.
A) insulin
B) tryptophan
C) phenylalanine
D) ketones
E) gluten
A) insulin
B) tryptophan
C) phenylalanine
D) ketones
E) gluten
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53
A psychostimulant would most likely be given to children with _____.
A) seizures
B) ADHD
C) PKU
D) type 1 diabetes
E) CP
A) seizures
B) ADHD
C) PKU
D) type 1 diabetes
E) CP
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54
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
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
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55
Type 1 diabetes is related to immune function and results in virtually no _____ production.
A) secretin
B) leptin
C) cortisol
D) glucose
E) insulin
A) secretin
B) leptin
C) cortisol
D) glucose
E) insulin
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56
Vitamin _____ may be prescribed above the DRI for some children with spina bifida who have frequent bladder infections.
A) A
B) D
C) K
D) C
E) E
A) A
B) D
C) K
D) C
E) E
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57
Which choice would most likely be the best breakfast for a child on a ketogenic diet?
A) a bowl of frosted Mini-Wheats, milk, and orange juice
B) oatmeal with milk, raisins, and brown sugar
C) scrambled eggs with bacon
D) toast and jelly with a glass of grape juice
E) a doughnut with a glass of chocolate milk
A) a bowl of frosted Mini-Wheats, milk, and orange juice
B) oatmeal with milk, raisins, and brown sugar
C) scrambled eggs with bacon
D) toast and jelly with a glass of grape juice
E) a doughnut with a glass of chocolate milk
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58
A child with _____ is generally not eligible for Supplemental Social Insurance because treatments prevent decline in learning abilities.
A) intellectual disability
B) a severe form of CF
C) a severe form of CP
D) a severe form of seizures
E) treated PKU
A) intellectual disability
B) a severe form of CF
C) a severe form of CP
D) a severe form of seizures
E) treated PKU
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59
Which condition 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
A) celiac disease
B) galactosemia
C) spina bifida
D) type 2 diabetes
E) ADHD
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60
A ketogenic diet severely limits intake of _____.
A) fats
B) carbohydrates
C) proteins
D) cholesterol
E) fat-soluble vitamins
A) fats
B) carbohydrates
C) proteins
D) cholesterol
E) fat-soluble vitamins
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61
Match between columns
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62
What is a ketogenic diet, and why is it used?
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63
Discuss why certain children with special health care needs have a harder time meeting the DRI for vitamins and minerals.
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64
What is type 1 diabetes, and how is it managed in children?
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65
Discuss why protein is important and when higher protein intake may be recommended.
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66
What are inborn errors of metabolism?
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