Question 1

Infants normally increase their birth length by ____% during the first year of life.

Accepted Answer

The answer of Infants normally increase their birth length by...

Question 2

Mrs. Hartzell is a 34-year-old patient who has presented for nutritional counseling because she is a vegetarian. Deficiency of which of the following is a concern in the vegetarian diet?

Accepted Answer

The nutrients that may be deficient in a vegetarian diet, if not carefully planned, include proteins, calcium, iron, vitamin B₁₂, and vitamin D.

Question 3

Ms. Davis is a 27-year-old patient with a BMI of 33. Based on her BMI, your diagnosis would be:

Accepted Answer

An obese BMI is 30 to 39.9. A normal BMI is less than 24. An overweight BMI is 25 to 29.9. An extremely obese BMI is greater than 40.

Question 4

An 11-year-old boy is brought in for an annual physical examination by his mother. The boy's height is 60 inches. You suspect Marfan syndrome because the boy's arm span is greater than _______________ inches.

Accepted Answer

The answer of An 11-year-old boy is brought in for...

Question 5

Which of the following is the most accurate reflection of an individual's food intake?

Accepted Answer

The food diary is a record of intake as it happens, making this method the most accurate reflection of an individual's food intake.

Question 6

A pregnant woman of normal prepregnancy weight should be expected to gain how much weight per week during the second and third trimesters of pregnancy?

Accepted Answer

Expected weight gain in the first trimester is variable, between 1 and 2 kg (2 to 4 pounds); however, in the second and third trimesters, weekly weight gain should be around 0.45 kg (1 pound) per week.

Question 7

Which statement regarding female pubertal changes is true?

Accepted Answer

In two-thirds of the population of girls, breasts begin to develop before pubic hair. Peak height velocity actually occurs about 1 year before menarche, breast asymmetry is common, and menarche occurs after Tanner breast stage 2. Peak height velocity will not occur after menarche. Breast asymmetry is not an abnormal finding. Menarche does not generally occur by Tanner breast stage 2.

Question 8

Which is the most vital nutrient?

Accepted Answer

Water is the most vital nutrient. A person can exist without food for several weeks but without water for only a few days.

Question 9

What is the youngest age at which pubic hair growth in the male may be considered normal?

Accepted Answer

In males, sexual development before 9 years of age is precocious puberty and is considered an abnormal finding; sexual development after 9 years of age is considered normal puberty.

Question 10

In clinical practice, the Ballard Assessment Tool is used to assess a newborn's:

Accepted Answer

The Ballard Assessment Tool assesses six physical and six neuromuscular characteristics and is administered within 36 hours of birth to confirm the newborn's gestational age.

Question 11

A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are signs of:

Accepted Answer

A prominent forehead, large nose, large jaw, and elongation of the facial bones and extremities are all prominent characteristics of acromegaly; a prominent forehead can also occur with achondroplasia, but hypoplasia of the midface differentiates the two.

Question 12

Which are signs and symptoms of hydrocephalus? (Select all that apply.)

Accepted Answer

Signs and symptoms of hydrocephalus include hyperreflexia, difficulty holding head up, irritability, lack of energy, rapidly increasing head circumference, and poor feeding. Early closed suture lines and inability to meet expected height and weight do not indicate hydrocephalus.

Question 13

Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient?

Accepted Answer

Carbohydrates, protein, and fat are referred to as macronutrients because they are required in large amounts. Iron, thiamin, and calcium are minerals.

Question 14

Round face, preauricular fat, hyperpigmentation, and "buffalo hump" in the posterior cervical area are associated with:

Accepted Answer

Round face, preauricular fat, hyperpigmentation, and a buffalo hump in the posterior cervical area are all commonly associated with Cushing syndrome; the buffalo hump distinguishes Cushing syndrome from the other choices.

Question 15

The term large for gestational age (LGA) indicates that an infant is larger than ____% of infants born at the same number of weeks' gestation.

Accepted Answer

The answer of The term large for gestational age (LGA)...

Question 16

Which situation poses the most concern?

Accepted Answer

Over time, interval measurements should demonstrate that the child has established a growth pattern, indicated by consistently following a percentile curve on the growth chart. Greatest concern is for the child who is trending down in a more dramatic fashion. Children who suddenly fall below or rise above their established percentile growth curve should be examined more closely to determine the cause.

Question 17

Ms. Otten is a 45-year-old patient who presents with a complaint of weight gain. Which medication is frequently associated with weight gain?

Accepted Answer

Medications that contribute to weight gain include steroids, oral contraceptives, antidepressants, and insulin.

Question 18

A 17-year-old girl presents to the clinic for a sports physical. Physical examination findings reveal bradycardia, multiple erosions of tooth enamel, and scars on her knuckles. She appears healthy otherwise. You should ask her if she:

Accepted Answer

In young adults, usually female, bradycardia, knuckle scars, and tooth decay are signs of chronic, self-induced vomiting characteristic of bulimia. Amenorrhea can occur from increased physical activity or anorexia. Constipation and cold intolerance are usually symptoms of anorexia nervosa.

Question 19

The upper-to-lower segment ratio should be calculated:

Accepted Answer

The upper-to-lower segment ratio is calculated when a child is suspected of having a growth problem or unusual body proportions.

Quiz 8: Growth, Measurement, and Nutrition