Chapter 13: Health Problems During Infancy

Chapter 13: Health Problems During Infancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Rickets is caused by a deficiency in:

a.	vitamin A.
b.	vitamin C.
c.	folic acid and iron.
d.	vitamin D and calcium.

 

 

ANS:  D

Fat-soluble vitamin D and calcium are necessary in adequate amounts to prevent rickets. No correlation exists between rickets and folic acid, iron, or vitamins A and C.

 

DIF:    Cognitive Level: Knowledge            REF:   pp. 521,522

TOP:   Nursing Process: Assessment

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential

 

2. Which of the following factors will decrease iron absorption and therefore should not be given at the same time as an iron supplement?

a.	Milk
b.	Fruit juice
c.	Multivitamin
d.	Meat, fish, poultry

 

 

ANS:  A

Many foods interfere with iron absorption and should be avoided when the iron is consumed. These foods include phosphates found in milk, phytates found in cereals, and oxalates found in many vegetables. Vitamin C–containing juices enhance the absorption of iron. Multivitamins may contain iron; no contraindication exists to taking the two together. Meat, fish, and poultry do not affect absorption.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 523             TOP:   Nursing Process: Planning

MSC:  Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their children. Which of the following is most likely lacking in their particular diet?

a.	Fat
b.	Protein
c.	Vitamins C and A
d.	Complete protein

 

 

ANS:  D

The vegetarian diet can be extremely healthy, meeting the overall nutrition objectives outlined in Healthy People 2010. Parents should be taught about food preparation to ensure that complete proteins are available for growth. When parents use a strict vegetarian diet, a likelihood exists of inadequate protein for growth and calories for energy. Fat and vitamins C and A are readily available from vegetable sources. Plant proteins are available. Foods must be combined to provide complete proteins for growth.

 

DIF:    Cognitive Level: Application           REF:   p. 523

TOP:   Integrated Process: Teaching/Learning

MSC:  Client Needs: Physiological Integrity: Basic Care and Comfort

 

4. An 8-year-old child is on a pure vegetarian (vegan) diet. This diet requires supplementation with which of the following?

a.	Niacin
b.	Folic acid
c.	Vitamins D and B12
d.	Vitamins C and E

 

 

ANS:  C

Pure vegetarian (vegan) diets eliminate any food of animal origin, including milk and eggs. These diets require supplementation with many vitamins, especially B₆, B₁₂, riboflavin, vitamin D, iron, and zinc. Niacin, folic acid, and vitamins C and E are readily obtainable from foods of vegetable origin.

 

DIF:    Cognitive Level: Application           REF:   p. 524             TOP:   Nursing Process: Planning

MSC:   Client Needs: Physiological Integrity: Basic Care and Comfort