Deck 12: Child and Preadolescent Nutrition

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Question
Children who are at risk for vitamin D deficiency include those with increased skin pigmentation.
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Question
Preadolescence is generally defined as 9-11 years of age for girls and 10-12 years of age for boys.
Question
The RDA for iron for children aged 4-8 years is 8 mg/day.
Question
Overweight and obese children should be treated with a focus on attaining an ideal body weight.
Question
Iron deficiency is equally as common a problem in middle childhood as it is in the toddler age group.
Question
In order to control screen time for children, it is recommended that televisions and other screens be removed from children's bedrooms.
Question
Sticky carbohydrate-containing foods, such as raisins, are strong caries promoters.
Question
Potential consequences of a weight-loss program in childhood include the beginnings of eating disorders.
Question
During the school-age years, growth velocity is as great as it was during infancy.
Question
The average age of BMI rebound is 6.0-6.3 years.
Question
The "CDC Growth Charts: United States" are the recommended tool for monitoring the growth of a child.
Question
Parents who have difficulty controlling their own intakes seem to impose fewer restrictions on their children.
Question
It is against USDA regulations to sell competitive foods of minimal nutritional value to students at times other than mealtimes or in other areas of the school, outside of food-service areas.
Question
Simple sugars are better choices than complex carbohydrates for overall health and nutrition.
Question
When encouraging physical activity for school-age and preadolescent children, the emphasis should be placed on being competitive rather than having fun.
Question
Research has indicated that early "dieting or unhealthy weight controlling behaviors " may actually be a risk factor for the development of obesity.
Question
Snacks contribute significantly to a child's daily intake, during middle childhood.
Question
Children with BMI-for-age percentiles > 99th percentile are more likely to have more than one chronic disease risk factor.
Question
Children who consume vegetarian and vegan diets are at a higher risk for becoming obese and may be at a lower risk for some nutrient deficiencies.
Question
BMI is constant throughout childhood.
Question
The RDA for zinc is _____ mg/day for children aged 9-13 years.

A) 5
B) 8
C) 11
D) 14
E) 17
Question
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
Question
Which of the following 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
Question
What is the adequate intake of linoleic acid for a 10-year-old boy?

A) 19 g/day
B) 5 g/day
C) 12 g/day
D) 30 g/day
E) 45 g/day
Question
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
Question
The concrete operational stage of development is characterized by _____.

A) being able to classify, reclassify, and generalize
B) the tendency of children to focus on only one aspect of a situation at one time
C) being able to have less rational cause/effect reasoning
D) an extreme egocentrism
E) the belief of children that inanimate objects have human feelings
Question
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
Question
The recommended total fiber intake for a 13-year-old boy is _____ g/day.

A) 27
B) 29
C) 31
D) 33
E) 35
Question
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
C) one-third
D) one-half
E) two-thirds
Question
A child's stature or standing height should be measured without _____.

A) eyeglasses
B) shoes
C) socks
D) clothes
E) scales
Question
Children with a BMI-for-age that is between the 85th and 94th percentile are classified as _____.

A) severely underweight
B) underweight
C) healthy weight
D) overweight
E) obese
Question
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
Question
Adequate nutrition and healthy eating behaviors may reduce the risk of a child developing a chronic condition such as _____ later in life.

A) type 2 diabetes
B) lupus
C) celiac disease
D) multiple sclerosis
E) osteoarthritis
Question
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
Question
Based on the DRIs, the recommended protein intake for school-age children is _____ g of protein per kg body weight per day for 4- to 13-year-old girls and boys.

A) 0.75
B) 0.80
C) 0.85
D) 0.90
E) 0.95
Question
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
Question
The children in families who regularly ate three or more meals together weekly were 35 percent _____.

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
Question
The American Academy of Pediatrics recommends screening for _____   in children who consume a strict vegetarian diet.

A) iron deficiency anemia
B) sickle cell disease
C) celiac disease
D) failure to thrive
E) rickets
Question
Which food will most likely enhance iron absorption?

A) grapefruit
B) skim milk
C) corn
D) carrots
E) portabella mushrooms
Question
Which of the following is true of the determinants of childhood physical activity?

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.
Question
Which food would be the best choice for a parent trying to increase fiber in her or his child's diet?

A) energy bar
B) broccoli
C) apple juice
D) white rice
E) soy milk
Question
Which health consequence has the lowest association with an increased BMI-for-age?

A) hyperlipidemia
B) COPD
C) higher concentrations of liver enzymes
D) hypertension
E) abnormal glucose tolerance
Question
What is the adequate intake of total fiber for an 8-year-old girl?

A) 31 g/day
B) 25 g/day
C) 45 g/day
D) 23.3 g/day
E) 20.1 g/day
Question
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
Question
According to the American Heart Association and the AAP, the recommended total fat intake is _____ percent of total calories in children and adolescents.

A)
B) 15-25
C) 25-35
D) 35-45
E) 45-55
Question
According to the AHA and the AAP, children over 2 years of age should limit _____ to

A) saturated fats
B) monounsaturated fats
C) polyunsaturated fats
D) trans fatty acids
E) cholesterol
Question
Fats and _____ may have a protective effect on tooth enamel.

A) simple carbohydrates
B) complex carbohydrates
C) proteins
D) dairy products
E) simple sugars
Question
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 B 12
C) vitamin B 6
D) vitamin E
E) sodium
Question
Which term 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
Question
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
Question
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
Question
During their school years, children have spurts of growth that coincide with periods of _____.

A) less sleep and more physical activity
B) more sleep and less physical activity
C) more indoor activities
D) increased appetite and intake
E) fewer indoor activities
Question
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
Question
Which program 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
Question
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
Question
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
Question
According to data from 2007 to 2008, the average Healthy Eating Index score for children aged 2-17 years was 49.8 out of 100, indicating that _____.

A) they were overweight
B) their diets needed improvement
C) about 66% of their calories were coming from fat
D) 66% of these children ate fast food everyday
E) they were at risk for developing diabetes
Question
The RDA for zinc is _____ mg/day for children aged 4-8 years.

A) 5
B) 8
C) 10
D) 15
E) 25
Question
The human body requires optimal intake of _____  to support optimal growth and development.

A) sodium
B) Vitamin D
C) refined carbohydrates
D) alpha-linoleic acid
E) saturated fats
Question
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
Question
What are the three behavior-oriented strategies through which team nutrition operates?
Question
Match between columns
Commodity program
Children between the ages of 5 and 10 years
Commodity program
The amount of energy needed by the body in a state of rest
Commodity program
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Commodity program
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Commodity program
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Commodity program
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Commodity program
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Commodity program
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Commodity program
Contracts between schools and soft-drink companies
Commodity program
A USDA program in which food products are sent to schools for use in the child nutrition programs
Competitive foods
Children between the ages of 5 and 10 years
Competitive foods
The amount of energy needed by the body in a state of rest
Competitive foods
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Competitive foods
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Competitive foods
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Competitive foods
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Competitive foods
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Competitive foods
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Competitive foods
Contracts between schools and soft-drink companies
Competitive foods
A USDA program in which food products are sent to schools for use in the child nutrition programs
Dietary fiber
Children between the ages of 5 and 10 years
Dietary fiber
The amount of energy needed by the body in a state of rest
Dietary fiber
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Dietary fiber
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Dietary fiber
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Dietary fiber
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Dietary fiber
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Dietary fiber
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Dietary fiber
Contracts between schools and soft-drink companies
Dietary fiber
A USDA program in which food products are sent to schools for use in the child nutrition programs
Functional fiber
Children between the ages of 5 and 10 years
Functional fiber
The amount of energy needed by the body in a state of rest
Functional fiber
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Functional fiber
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Functional fiber
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Functional fiber
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Functional fiber
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Functional fiber
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Functional fiber
Contracts between schools and soft-drink companies
Functional fiber
A USDA program in which food products are sent to schools for use in the child nutrition programs
Pouring rights
Children between the ages of 5 and 10 years
Pouring rights
The amount of energy needed by the body in a state of rest
Pouring rights
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Pouring rights
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Pouring rights
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Pouring rights
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Pouring rights
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Pouring rights
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Pouring rights
Contracts between schools and soft-drink companies
Pouring rights
A USDA program in which food products are sent to schools for use in the child nutrition programs
Resting energy expenditure
Children between the ages of 5 and 10 years
Resting energy expenditure
The amount of energy needed by the body in a state of rest
Resting energy expenditure
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Resting energy expenditure
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Resting energy expenditure
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Resting energy expenditure
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Resting energy expenditure
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Resting energy expenditure
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Resting energy expenditure
Contracts between schools and soft-drink companies
Resting energy expenditure
A USDA program in which food products are sent to schools for use in the child nutrition programs
Lactose malabsorption
Children between the ages of 5 and 10 years
Lactose malabsorption
The amount of energy needed by the body in a state of rest
Lactose malabsorption
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Lactose malabsorption
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Lactose malabsorption
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Lactose malabsorption
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Lactose malabsorption
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Lactose malabsorption
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Lactose malabsorption
Contracts between schools and soft-drink companies
Lactose malabsorption
A USDA program in which food products are sent to schools for use in the child nutrition programs
Middle childhood
Children between the ages of 5 and 10 years
Middle childhood
The amount of energy needed by the body in a state of rest
Middle childhood
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Middle childhood
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Middle childhood
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Middle childhood
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Middle childhood
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Middle childhood
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Middle childhood
Contracts between schools and soft-drink companies
Middle childhood
A USDA program in which food products are sent to schools for use in the child nutrition programs
HEI
Children between the ages of 5 and 10 years
HEI
The amount of energy needed by the body in a state of rest
HEI
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
HEI
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
HEI
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
HEI
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
HEI
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
HEI
Foods sold to children in food service areas during meal times that compete with the federal meal programs
HEI
Contracts between schools and soft-drink companies
HEI
A USDA program in which food products are sent to schools for use in the child nutrition programs
Lactose intolerance
Children between the ages of 5 and 10 years
Lactose intolerance
The amount of energy needed by the body in a state of rest
Lactose intolerance
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Lactose intolerance
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Lactose intolerance
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Lactose intolerance
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Lactose intolerance
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Lactose intolerance
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Lactose intolerance
Contracts between schools and soft-drink companies
Lactose intolerance
A USDA program in which food products are sent to schools for use in the child nutrition programs
Question
Jane is an 8-year-old girl who weighs 25.6 kg and enjoys lots of outdoor activities. She likes fruit but does not like vegetables or milk.  
According to Jane's food dislikes, the intake of which nutrient is most likely low for her?

A) protein
B) calcium
C) vitamin D
D) iron
E) fiber
Question
For children from 8 to less than 12 years of age, a hemoglobin value

A) 11.9
B) 12.5
C) 13.2
D) 14.0
E) 15.4
Question
The impact of advertising on nutrition choices has been evaluated. What do the findings tell us about advertising's effect on children?
Question
What are the five requirements a school must meet in order to participate in the National School Lunch Program?
Question
Jane is an 8-year-old girl who weighs 25.6 kg and enjoys lots of outdoor activities. She likes fruit but does not like vegetables or milk.  
How many grams of protein per day are recommended for Jane?

A) 20.48
B) 21.76
C) 23.04
D) 24.32
E) 25.60
Question
The AAP 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.
Question
What is the RDA for calcium for school-age children aged 9-13 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
Question
What causes secondary lactase deficiency? Do dairy products have to be completely avoided?
Question
Identify a common characteristic of an overweight child.

A) short stature
B) advanced bone age
C) delayed sexual maturity
D) lower bone density
E) glucose intolerance
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Deck 12: Child and Preadolescent Nutrition
1
Children who are at risk for vitamin D deficiency include those with increased skin pigmentation.
True
2
Preadolescence is generally defined as 9-11 years of age for girls and 10-12 years of age for boys.
True
3
The RDA for iron for children aged 4-8 years is 8 mg/day.
False
4
Overweight and obese children should be treated with a focus on attaining an ideal body weight.
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5
Iron deficiency is equally as common a problem in middle childhood as it is in the toddler age group.
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6
In order to control screen time for children, it is recommended that televisions and other screens be removed from children's bedrooms.
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7
Sticky carbohydrate-containing foods, such as raisins, are strong caries promoters.
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8
Potential consequences of a weight-loss program in childhood include the beginnings of eating disorders.
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9
During the school-age years, growth velocity is as great as it was during infancy.
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10
The average age of BMI rebound is 6.0-6.3 years.
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11
The "CDC Growth Charts: United States" are the recommended tool for monitoring the growth of a child.
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12
Parents who have difficulty controlling their own intakes seem to impose fewer restrictions on their children.
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13
It is against USDA regulations to sell competitive foods of minimal nutritional value to students at times other than mealtimes or in other areas of the school, outside of food-service areas.
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14
Simple sugars are better choices than complex carbohydrates for overall health and nutrition.
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15
When encouraging physical activity for school-age and preadolescent children, the emphasis should be placed on being competitive rather than having fun.
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16
Research has indicated that early "dieting or unhealthy weight controlling behaviors " may actually be a risk factor for the development of obesity.
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17
Snacks contribute significantly to a child's daily intake, during middle childhood.
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18
Children with BMI-for-age percentiles > 99th percentile are more likely to have more than one chronic disease risk factor.
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19
Children who consume vegetarian and vegan diets are at a higher risk for becoming obese and may be at a lower risk for some nutrient deficiencies.
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20
BMI is constant throughout childhood.
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21
The RDA for zinc is _____ mg/day for children aged 9-13 years.

A) 5
B) 8
C) 11
D) 14
E) 17
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22
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
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23
Which of the following 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
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24
What is the adequate intake of linoleic acid for a 10-year-old boy?

A) 19 g/day
B) 5 g/day
C) 12 g/day
D) 30 g/day
E) 45 g/day
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25
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
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26
The concrete operational stage of development is characterized by _____.

A) being able to classify, reclassify, and generalize
B) the tendency of children to focus on only one aspect of a situation at one time
C) being able to have less rational cause/effect reasoning
D) an extreme egocentrism
E) the belief of children that inanimate objects have human feelings
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k this deck
27
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
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28
The recommended total fiber intake for a 13-year-old boy is _____ g/day.

A) 27
B) 29
C) 31
D) 33
E) 35
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29
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
C) one-third
D) one-half
E) two-thirds
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30
A child's stature or standing height should be measured without _____.

A) eyeglasses
B) shoes
C) socks
D) clothes
E) scales
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31
Children with a BMI-for-age that is between the 85th and 94th percentile are classified as _____.

A) severely underweight
B) underweight
C) healthy weight
D) overweight
E) obese
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32
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
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33
Adequate nutrition and healthy eating behaviors may reduce the risk of a child developing a chronic condition such as _____ later in life.

A) type 2 diabetes
B) lupus
C) celiac disease
D) multiple sclerosis
E) osteoarthritis
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34
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
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35
Based on the DRIs, the recommended protein intake for school-age children is _____ g of protein per kg body weight per day for 4- to 13-year-old girls and boys.

A) 0.75
B) 0.80
C) 0.85
D) 0.90
E) 0.95
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36
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
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37
The children in families who regularly ate three or more meals together weekly were 35 percent _____.

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
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38
The American Academy of Pediatrics recommends screening for _____   in children who consume a strict vegetarian diet.

A) iron deficiency anemia
B) sickle cell disease
C) celiac disease
D) failure to thrive
E) rickets
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39
Which food will most likely enhance iron absorption?

A) grapefruit
B) skim milk
C) corn
D) carrots
E) portabella mushrooms
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40
Which of the following is true of the determinants of childhood physical activity?

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.
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41
Which food would be the best choice for a parent trying to increase fiber in her or his child's diet?

A) energy bar
B) broccoli
C) apple juice
D) white rice
E) soy milk
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42
Which health consequence has the lowest association with an increased BMI-for-age?

A) hyperlipidemia
B) COPD
C) higher concentrations of liver enzymes
D) hypertension
E) abnormal glucose tolerance
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43
What is the adequate intake of total fiber for an 8-year-old girl?

A) 31 g/day
B) 25 g/day
C) 45 g/day
D) 23.3 g/day
E) 20.1 g/day
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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
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45
According to the American Heart Association and the AAP, the recommended total fat intake is _____ percent of total calories in children and adolescents.

A)
B) 15-25
C) 25-35
D) 35-45
E) 45-55
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46
According to the AHA and the AAP, children over 2 years of age should limit _____ to

A) saturated fats
B) monounsaturated fats
C) polyunsaturated fats
D) trans fatty acids
E) cholesterol
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47
Fats and _____ may have a protective effect on tooth enamel.

A) simple carbohydrates
B) complex carbohydrates
C) proteins
D) dairy products
E) simple sugars
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48
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 B 12
C) vitamin B 6
D) vitamin E
E) sodium
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49
Which term 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
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50
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
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51
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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52
During their school years, children have spurts of growth that coincide with periods of _____.

A) less sleep and more physical activity
B) more sleep and less physical activity
C) more indoor activities
D) increased appetite and intake
E) fewer indoor activities
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53
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
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54
Which program 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
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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
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56
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
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57
According to data from 2007 to 2008, the average Healthy Eating Index score for children aged 2-17 years was 49.8 out of 100, indicating that _____.

A) they were overweight
B) their diets needed improvement
C) about 66% of their calories were coming from fat
D) 66% of these children ate fast food everyday
E) they were at risk for developing diabetes
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58
The RDA for zinc is _____ mg/day for children aged 4-8 years.

A) 5
B) 8
C) 10
D) 15
E) 25
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59
The human body requires optimal intake of _____  to support optimal growth and development.

A) sodium
B) Vitamin D
C) refined carbohydrates
D) alpha-linoleic acid
E) saturated fats
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60
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
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61
What are the three behavior-oriented strategies through which team nutrition operates?
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62
Match between columns
Commodity program
Children between the ages of 5 and 10 years
Commodity program
The amount of energy needed by the body in a state of rest
Commodity program
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Commodity program
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Commodity program
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Commodity program
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Commodity program
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Commodity program
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Commodity program
Contracts between schools and soft-drink companies
Commodity program
A USDA program in which food products are sent to schools for use in the child nutrition programs
Competitive foods
Children between the ages of 5 and 10 years
Competitive foods
The amount of energy needed by the body in a state of rest
Competitive foods
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Competitive foods
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Competitive foods
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Competitive foods
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Competitive foods
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Competitive foods
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Competitive foods
Contracts between schools and soft-drink companies
Competitive foods
A USDA program in which food products are sent to schools for use in the child nutrition programs
Dietary fiber
Children between the ages of 5 and 10 years
Dietary fiber
The amount of energy needed by the body in a state of rest
Dietary fiber
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Dietary fiber
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Dietary fiber
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Dietary fiber
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Dietary fiber
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Dietary fiber
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Dietary fiber
Contracts between schools and soft-drink companies
Dietary fiber
A USDA program in which food products are sent to schools for use in the child nutrition programs
Functional fiber
Children between the ages of 5 and 10 years
Functional fiber
The amount of energy needed by the body in a state of rest
Functional fiber
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Functional fiber
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Functional fiber
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Functional fiber
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Functional fiber
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Functional fiber
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Functional fiber
Contracts between schools and soft-drink companies
Functional fiber
A USDA program in which food products are sent to schools for use in the child nutrition programs
Pouring rights
Children between the ages of 5 and 10 years
Pouring rights
The amount of energy needed by the body in a state of rest
Pouring rights
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Pouring rights
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Pouring rights
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Pouring rights
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Pouring rights
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Pouring rights
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Pouring rights
Contracts between schools and soft-drink companies
Pouring rights
A USDA program in which food products are sent to schools for use in the child nutrition programs
Resting energy expenditure
Children between the ages of 5 and 10 years
Resting energy expenditure
The amount of energy needed by the body in a state of rest
Resting energy expenditure
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Resting energy expenditure
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Resting energy expenditure
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Resting energy expenditure
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Resting energy expenditure
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Resting energy expenditure
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Resting energy expenditure
Contracts between schools and soft-drink companies
Resting energy expenditure
A USDA program in which food products are sent to schools for use in the child nutrition programs
Lactose malabsorption
Children between the ages of 5 and 10 years
Lactose malabsorption
The amount of energy needed by the body in a state of rest
Lactose malabsorption
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Lactose malabsorption
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Lactose malabsorption
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Lactose malabsorption
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Lactose malabsorption
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Lactose malabsorption
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Lactose malabsorption
Contracts between schools and soft-drink companies
Lactose malabsorption
A USDA program in which food products are sent to schools for use in the child nutrition programs
Middle childhood
Children between the ages of 5 and 10 years
Middle childhood
The amount of energy needed by the body in a state of rest
Middle childhood
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Middle childhood
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Middle childhood
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Middle childhood
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Middle childhood
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Middle childhood
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Middle childhood
Contracts between schools and soft-drink companies
Middle childhood
A USDA program in which food products are sent to schools for use in the child nutrition programs
HEI
Children between the ages of 5 and 10 years
HEI
The amount of energy needed by the body in a state of rest
HEI
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
HEI
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
HEI
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
HEI
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
HEI
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
HEI
Foods sold to children in food service areas during meal times that compete with the federal meal programs
HEI
Contracts between schools and soft-drink companies
HEI
A USDA program in which food products are sent to schools for use in the child nutrition programs
Lactose intolerance
Children between the ages of 5 and 10 years
Lactose intolerance
The amount of energy needed by the body in a state of rest
Lactose intolerance
Complex carbohydrates and lignins naturally occurring in the plant cell wall that cannot be broken down by human digestive enzymes
Lactose intolerance
Nondigestible carbohydrates including plant, animal, or commercially produced sources that have beneficial effects in humans
Lactose intolerance
Measures the degree to which an individual's diet conforms to the Dietary Guidelines for Americans and uses the food-group standards found in MyPlate
Lactose intolerance
A clinical syndrome of one or more gastrointestinal symptoms after consumption of lactose
Lactose intolerance
A disorder that is caused by reduced digestion of lactose because of the low availability of the enzyme lactase
Lactose intolerance
Foods sold to children in food service areas during meal times that compete with the federal meal programs
Lactose intolerance
Contracts between schools and soft-drink companies
Lactose intolerance
A USDA program in which food products are sent to schools for use in the child nutrition programs
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63
Jane is an 8-year-old girl who weighs 25.6 kg and enjoys lots of outdoor activities. She likes fruit but does not like vegetables or milk.  
According to Jane's food dislikes, the intake of which nutrient is most likely low for her?

A) protein
B) calcium
C) vitamin D
D) iron
E) fiber
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64
For children from 8 to less than 12 years of age, a hemoglobin value

A) 11.9
B) 12.5
C) 13.2
D) 14.0
E) 15.4
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65
The impact of advertising on nutrition choices has been evaluated. What do the findings tell us about advertising's effect on children?
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66
What are the five requirements a school must meet in order to participate in the National School Lunch Program?
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67
Jane is an 8-year-old girl who weighs 25.6 kg and enjoys lots of outdoor activities. She likes fruit but does not like vegetables or milk.  
How many grams of protein per day are recommended for Jane?

A) 20.48
B) 21.76
C) 23.04
D) 24.32
E) 25.60
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68
The AAP 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.
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69
What is the RDA for calcium for school-age children aged 9-13 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
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70
What causes secondary lactase deficiency? Do dairy products have to be completely avoided?
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71
Identify a common characteristic of an overweight child.

A) short stature
B) advanced bone age
C) delayed sexual maturity
D) lower bone density
E) glucose intolerance
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