Term
What do these abbreviations stand for:
TEE
BEE
PAL |
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Definition
TEE: Total Energy Expenditure
BEE: Basal Energy Expenditure, BMR over 24 hrs
PAL: Physical activity level
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Term
BOARD QUESTION
How is EER (kcal/day) calculated? |
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Definition
| EER= TEE + energy deposition |
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Term
How are energy requirements determined for:
0-3 months
4-6 months
7-12 month
13-35 months
36 months & up |
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Definition
0 – 3 months (89x weight (kg) – 100) + 175
4- 6 months 89 x weight – 100) + 56
7 -12 months 89 x weight – 100) + 22
13 -35 months (89 x weight – 100) + 20
36 months and up
88.5 – 61.9 x age + physical activity coefficent x (26.7 x weight + 903 x height in meters )+ 20 |
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Term
| What are the nutritional guidelines for Boys? |
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Definition
Boys
0-3 months 107 kcal/kg/day
3 months 95 kcal/kg/day
4 – 12 months 82 kcal/kg/day |
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Term
| What are the nutritional requirements for girls? |
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Definition
Girls
0-3 months 104 kcal/kg/day
3 months 95 kcal/kg/day
4- 12 months 82 kcal/kg/day
Toddlers to Adolescence
Estimate 40 calories for every inch of height |
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Term
| What are the benefits of breast feeding? |
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Definition
Mothers milk is the best!
Provides for all of a babies nutritional needs in first 6 months of life
Changes to meet baby’s needs
Easier to digest
Cost
Helps protect by passing antibodies: lower incidence of AOM, asthma, GI illness, atopic dermatitis, and allergies |
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Term
| What are the benefits of breast feeding to Mom? |
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Definition
stimulates oxytocin to contract uterus
promotes bonding
lower incidence certain types breast and ovarian cancer |
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Term
| What does Tri-Visol supplement for? |
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Definition
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Term
| What are the contraindications for breast feeding? |
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Definition
HIV Infection
Active TB
Certain types of chemotherapy
Consider certain types of medications
Pump n Dump
Some may be dose dependent
Iodine therapy
SSRI’s and the new AAP statement (can be used)
Breast Cancer
Illicit drug use
Galactosemia : Inability to process milk proteins |
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Term
| What are some common breast feeding problems? |
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Definition
Transitions
GER
Latch & Position
Milk production |
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Term
| What are some reasons mom does not want to breast feed? |
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Definition
Ask questions!
Examination of mom and baby
Observe mom and baby breast feeding
Lactation Consult
Support
Treatment and education
Latch and positioning are the number one problem |
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Term
| What are some causes of blood in children's stool? |
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Definition
Celiac disease: inability to process glutens
Toddlers Diarrhea
AGE: Acute Gastroenterits
Milk Protein Intolerance
Allergies
CF: affects ability to absorb in GI tract; if child born in summer months you will usually see GI symptoms before lung symptoms |
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Term
| How many servings of fruits & veggies & proteins and milk for toddlers? |
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Definition
fruits & veggies at least 5 servings
proteins 3 servings (fish, chicken, meat, eggs)
limited juice
24 oz milk/day |
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Term
| Why do Tanner 2 children need Ca++ supplements? |
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Definition
| For bone & growth development |
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Term
| How should providers discuss the topic of intake? |
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Definition
Avoid the word diet
Address the obvious
Addres emotional issues
Be realistic
Discuss physical activity |
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Term
| What are some pearl for infant & toddler counseling? |
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Definition
Cereal does not mean sleep
Advancing too fast or to slow is a problem
No one died from eating too may chicken nuggets
Juice is not food
Chocolate milk is just as good!
Pediasure is not your friend
Always encourage new things |
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Term
| What are some nutritional counseling for school age to adolescences? |
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Definition
Lead by example
5, 2, 1, almost none
(5 fruits & veggies, 2 hrs screen time, 1hr physical activity, 0 soda)
Wii fit and other exercise
Sodas is not its own food group
Carbs are not the only food group
Early screenings
Eating disorders |
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Term
| Why do boys nee more energy then girls before 3 mts of age? |
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Definition
| boys have lower fat stores than girls |
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Term
What are the nutrients in breast milk:
__ kc/oz
__ grams of proteins
__ grams of fat
__ grams of carbs |
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Definition
20 kc/oz
11 grams of proteins
38 grams of fat
72 grams of carbs
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Term
What's the best position for baby to breast feed?
think in relationship to nipple |
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Definition
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Term
| What could cause a latch problem? |
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Definition
| short frenulum "tongue tie" |
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Term
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Definition
| inability to process milk |
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Term
| What is the #1 reason for baby to have GERD? |
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Definition
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Term
| What is the "hallmark" of milk protein intolerance? |
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Definition
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Term
What are some causes for milk production issues?
(3) |
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Definition
implants and reductions
C section vs vaginal delivery
prematurity vs full term |
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Term
| Why would formula brand matter? (2) |
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Definition
WIC (Women Infant Children) program
Allergy |
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Term
What type of children would nee the following formulas:
Casein Hydrosolate
Amino Acid Base
High Calorie |
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Definition
Casein Hydrosolate: milk and protein intolerance; milk and soy allergy
Amino Acid Base: milk soy and protein allergy (ie. eosinophilic disorders)
High Calorie: 24 kcal o rmore
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Term
True or False
Allergy testing <5 yo is unreliable. |
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Definition
TRUE
need to do by blood not by sticks on back of hand |
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Term
| A parent says they want to start adding cereal to child's formula so child sleeps. What should you say? |
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Definition
NOT TRUE
This can cause more problems such as:
constipation
allergy
risk of aspriation
bulking calorie intake |
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Term
| What are indications you look for to know your child is ready for cereal? |
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Definition
head control!!
can baby lift head up when on their stomach?
Can babysit and wibble wobble and un sit unsupported? |
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Term
| Why is pediasure not a good substitute for regular meals? |
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Definition
Eating promotes speech and motor.
Pediasure for meals can slow development. |
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