Nutrition And Diet Therapy 6th Edition by Carroll A. Lutz and Erin E. Mazur – Test Bank

Chapter 11: Life Cycle Nutrition: Infancy, Childhood, and Adolescence

1. Caution is urged in feeding infants the following foods because of the chance of provoking allergy:
1. Broccoli, cabbage, and cauliflower
2. Eggs, milk, and wheat
3. Grapefruit, strawberries, and tomatoes
4. Peanuts, tuna, and veal

Ans: 2
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1. The most common food allergies for children include eggs, milk, peanuts, soybeans, and wheat.
2. The most common food allergies for children include eggs, milk, peanuts, soybeans, and wheat.
3. The most common food allergies for children include eggs, milk, peanuts, soybeans, and wheat.
4. The most common food allergies for children include eggs, milk, peanuts, soybeans, and wheat.
KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Comprehension

2. Which of the following are not recommended for infants younger than 1 year old?
1. Bananas, strained fruits, and strained turkey
2. Egg white, honey, and nuts
3. Egg yolk, oatmeal, and rice cereal
4. Prune juice, sweet potatoes, and tomatoes

Ans: 2
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1. Bite-sized pieces of banana would be allowed around 10 months of age; strained fruits are given around 6 or 7 months of age; strained meats are given around 7 or 8 months of age.
2. Egg whites because of potential allergy, honey because of the risk for botulism, and nuts because of potential allergy should be given only after an infant is 1 year of age.
3. Egg yolk may be given at 10 months; oatmeal may be given after 4 months of age and the infant has been offered rice cereal first; rice cereal is the first cereal given to infants, at around 4 months of age.
4. Stained fruits and juices may be given to an infant before age 1 year.
KEY: Integrated Process: Nursing Process | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application

3. An infant is expected to ______ its birth weight by 1 year of age.
1. Double
2. Triple
3. Quadruple
4. Quintuple

Ans: 2
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1. An infant’s birth weight is expected to double by 4 to 6 months of age and triple by 1 year.
2. An infant’s birth weight is expected to double by 4 to 6 months of age and triple by 1 year.
3. An infant’s birth weight is expected to double by 4 to 6 months of age and triple by 1 year.
4. An infant’s birth weight is expected to double by 4 to 6 months of age and triple by 1 year.
KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge

4. Feeding an infant when he or she is hungry will help the infant achieve the developmental task of:
1. Identity
2. Integrity
3. Intimacy
4. Trust

Ans: 4
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1. The developmental task of infancy is trust.
2. The developmental task of infancy is trust.
3. The developmental task of infancy is trust.
4. The developmental task of infancy is trust.
KEY: Integrated Process: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Knowledge

5. Which of the following is a suggested order for introducing new foods to the infant’s diet?
1. Infant cereal, formula, pureed fruits, strained vegetables, and strained meats
2. Formula, infant cereal, strained vegetables, strained fruits, and strained meats
3. Infant fruits, infant cereal, strained meats, strained vegetables, and cow’s milk
4. Formula, infant cereal, strained fruits, strained meats, and strained vegetables

Ans: 2
Feedback
1. The typical progression of food introduction for an infant is formula, cereal, strained vegetables, strained fruits, and lastly, strained meats.
2. The typical progression of food introduction for an infant is formula, cereal, strained vegetables, strained fruits, and lastly, strained meats.
3. The typical progression of food introduction for an infant is formula, cereal, strained vegetables, strained fruits, and lastly, strained meats.
4. The typical progression of food introduction for an infant is formula, cereal, strained vegetables, strained fruits, and lastly, strained meats.
KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

6. The food that most often causes choking accidents in infants is:
1. Celery
2. Grapes
3. Hot dogs
4. Peanuts

Ans: 3
Feedback
1. Celery may be a cause of choking in children, but hot dogs are most often the cause in infants.
2. Grapes are a common cause of choking in 2-year-olds.
3. Hot dogs are the food most often involved in choking incidents with infants
4. Peanuts are a common cause of choking in 2-year-olds.
KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application

7. The nurse instructs the parents of an infant with diarrhea to see medical intervention for which of the following?
1. Has more than five stools in 24 hours
2. Develops a fever of 99°F
3. Moist mucous membranes
4. Exhibits decreased urine output.

Ans: 4
Feedback
1. The parents should seek medical intervention if the infant is experiencing high output, including frequent and substantial volumes of diarrhea.
2. The parents should seek medical care if the infant has a fever of 100.4° if less than 3 months of age or greater than 102.2° if the child is aged 3 to 36 months.
3. The parents should seek medical care if the infant shows signs of dehydration, such as dry mucous membranes. Moist mucous membranes suggest adequate hydration.
4. The parents should seek medical care if the infant has decreased urine output, which suggests dehydration.
KEY: Integrated Process: Teaching/Learning | Client Need: Physiological Integrity: Reduction of Risk Potential | Cognitive Level: Application

8. A toddler and his or her parents may have conflicts over eating habits, which is characteristic of the toddler’s developmental task of:
1. Autonomy
2. Generativity
3. Intimacy
4. Trust

Ans: 1
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1. Autonomy or independence is the psychosocial developmental task of the toddler.
2. Autonomy or independence is the psychosocial developmental task of the toddler.
3. Autonomy or independence is the psychosocial developmental task of the toddler.
4. Autonomy or independence is the psychosocial developmental task of the toddler. Trust is the developmental task of infancy.
KEY: Integrated Process: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Comprehension

9. By the time a child is 1 year old, his or her stomach capacity is about:
1. 1 oz
2. ½ cup
3. 1 cup
4. 1½ cups

Ans: 3
Feedback
1. A 1-year-old’s stomach holds just 1 cup, necessitating small servings.
2. A 1-year-old’s stomach holds just 1 cup, necessitating small servings.
3. A 1-year-old’s stomach holds just 1 cup, necessitating small servings.
4. A 1-year-old’s stomach holds just 1 cup, necessitating small servings.
KEY: Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Knowledge

10. Ms. M is being seen in the well-baby clinic with Tamara, who is 21 months old. Ms. M says Tamara is eating well, mainly pureed junior foods. The nurse will base her teaching on which of the following concepts?
1. Attempting to feed herself is too difficult at this age for Tamara.
2. Giving Tamara table foods would be much less expensive for Ms. M.
3. Processing removes much of the iron in canned foods, so this meal pattern puts Tamara at risk of anemia.
4. Varying textures is believed to aid speech development.

Ans: 4
Feedback
1. During toddler years, fine motor control improves, which allows toddlers to use eating utensils with more finesse.
2. By 12 months of age, the child should begin to consume table foods prepared according to the child’s ability.
3. Processed foods should be avoided because they are high in fat, sugar, and sodium, not because of the risk for anemia.
4. Varying textures is believed to aid in speech development.
KEY: Integrated Process: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application