WGU Nutrition D440 Competed Study Guide Exam 289
Questions with Verified Answers
Underweight - CORRECT ANSWER BMI under 18.5
Normal weight - CORRECT ANSWER 18.5-24.9
Overweight - CORRECT ANSWER 25-29.9
Obese - CORRECT ANSWER BMI over 30
Extremely Obese - CORRECT ANSWER BMI > 35
Calculate BMI - CORRECT ANSWER weight (kg) / height (m^2)
weight management strategies and actions - CORRECT ANSWER Management of
the eating behavior (food diary, where why, how, and how much)
Promoting physical activity to increase energy output
Pursuit of emotional (stress), social, and psychologic health
Define problem behavior
Record and Analyze Baseline Behavior
Plan a Behavior Management Strategy
How do we assess nutritional status? - CORRECT ANSWER Physical appearance
(health of eyes and hair)
anthropometric measurements (weight, body composition)
biochemical markers (blood lipid levels, iron status)
What is recommended for an infant diet during the first year of life? - CORRECT
ANSWER Breastfeed for at least the first full year of life, and supplement with a
vitamin K shot at birth and daily vitamin D drops
,What is recommended for a child who is not breastfeeding? - CORRECT ANSWER
Use iron-fortified formula for any infant who is not breastfeeding
What age should water and juice be avoided? - CORRECT ANSWER Water and
juice are unnecessary for the breastfed infants during the first 6 months of life
When should you introduce cow's milk? - CORRECT ANSWER at the end of the
first year. Provide whole milk, not reduced-fat or fat-free milk, until 2 years of age
What allergens should be avoided as first solid foods? - CORRECT ANSWER wheat,
egg white, citrus juice, and nuts
What should you not give a child under one year of age to avoid botulism toxicity?
- CORRECT ANSWER Honey and corn syrup
Which foods should be avoided until children are older because they are a
choking hazard? - CORRECT ANSWER hot dogs, nuts, grapes, carrots, popcorn,
cherries, peanut butter, and round candy
What are the energy needs of an infant? - CORRECT ANSWER 80-120 calories per
kg of body weight
What protein source do babies need the first 6 months of life? - CORRECT
ANSWER breastmilk
What protein sources do babies need after 6 months of life? - CORRECT ANSWER
Ground turkey, chicken, cheese, yogurt, and other dairy products
What percent of daily calories are recommended for carbohydrates? - CORRECT
ANSWER 45-65%
What percent of daily calories are recommended for fats? - CORRECT ANSWER
20-35%
What percent of daily calories are recommended for proteins? - CORRECT
ANSWER 10-35%
,What is needed prenatally for a client? - CORRECT ANSWER Folate, Vitamin D, and
Choline
What are some risks with teen pregnancy? - CORRECT ANSWER increased rates of
low birth weight, preterm delivery, and infant mortality.
How many calorie should be added to a diet of a pregnant woman in the first
trimester? - CORRECT ANSWER none
How many calories should be added to a diet of a pregnant woman in the second
trimester? - CORRECT ANSWER +300 kcal/day
How many calories should be added to the diet of a pregnant woman in the third
trimester? - CORRECT ANSWER +500 kcal/day
What is the carb requirement for the diet of a pregnant woman? - CORRECT
ANSWER Minimum carb req. increases from 130 g/day to 175 g/day. Focus on
whole grains, legumes, fruits, and vegetables.
What is the fat requirement for the diet of a pregnant woman? - CORRECT
ANSWER Minimum fat req. increases from 12 g/d to 13 g/d
What is the alpha-linolenic acid requirement for the diet of a pregnant woman? -
CORRECT ANSWER alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d -
What foods can add alpha-linolenic acid to the diet? - CORRECT ANSWER flax,
chia, canola, walnut, soybean oil
How much protein should be consumed in the diet of a pregnant woman? -
CORRECT ANSWER Protein - 46 g/day to 71 g/day
What protein should pregnant women consume to meet their daily
requirements? - CORRECT ANSWER - eggs, milks, beef, poultry, fish, pork, cheese,
soy products, and other animal products
What additional nutrients are needed for the diet of a pregnant woman? -
CORRECT ANSWER Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
, What is the role of folic acid in pregnancy? - CORRECT ANSWER Folic acid -
Important for DNA synthesis, cell division, and hemoglobin synthesis
When is folic acid most important for a developing fetus? - CORRECT ANSWER
Important 2 months prior to week 6 of gestation to ensure adequate nutrient
availability in the endometrial lining of the uterus for embryonic tissue
development.
What does folic acid do for the developing fetus? - CORRECT ANSWER The neural
tube forms during the critical period from 21 to 28 days gestation and it grows
into the mature infant's spinal column and its network of nerves. Full closure of
the neural tube requires sufficient folate.
What is the recommended calorie increase for a breastfeeding mom during the
first six months of breastfeeding? - CORRECT ANSWER 1st 6 months: 330 kcal/day
(plus 170 kcal/day from maternal stores)
What is the recommended calorie increase for a breastfeeding mom after the first
6 months of breastfeeding? - CORRECT ANSWER 400 kcal/day
What is the recommended fluid intake for breastfeeding mothers? - CORRECT
ANSWER 3L/day
What considerations do you need to take when doing nutritional education to
clients of differing religions and cultures? - CORRECT ANSWER Consider food
restrictions on certain days, certain foods, liquids (alcohol and caffeine), how the
food is prepared (certain foods mixed and how the food is cooked)
What is dysphagia and where is it typically seen? - CORRECT ANSWER Difficulty
swallowing - chronic, common among patients with Alzheimer's, Parkinson's, and
stroke complications, head and neck cancer, tooth loss, xerostomia,
neurodegenerative, neuromuscular disorders, post-intubation trauma, muscular
weakness of the larynx
What are some behaviors seen in patients with dysphagia? - CORRECT ANSWER
Reluctance to eat certain food consistencies or any food at all.