Chapter 11 Nutrition

25 July 2022
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question
The function of the ________ is to transfer nutrients and oxygen from the maternal blood to the fetal blood.
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(a)amniotic sac (b)placenta (c)uterus (d)oviduct (b)placenta
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An infant born at term, weighing 4.5 lb at birth, is considered ________.
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(a)large for gestational age (b)premature (c)very low birth weight (d)low birth weight (d)low birth weight
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Newborn infants receive an injection of ________ to prevent the possibility of hemorrhage.
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(a)iron (b)folate (c)vitamin D (d)vitamin K (d)vitamin K
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A woman who enters pregnancy with excess weight (BMI > 30) should ________.
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(a)lose about 5 to 10 lb during her pregnancy (b)gain about 11 to 20 lb during her pregnancy (c)not gain any additional weight during her pregnancy (d)limit her intake to 1200 Calories/day (b)gain about 11 to 20 lb during her pregnancy
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Which of the following is associated with preeclampsia?
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(a)a rise in blood pressure (b)edema (c)protein in the urine (d)all of the above (d)all of the above
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The recommended intake for ________ is the same for non-pregnant and pregnant women.
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(a)calcium (b)iron (c)protein (d)zinc (a)calcium
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During which weeks of development is exposure to a teratogen most likely to result in a heart defect in an embryo or a fetus?
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(a)the first 3 weeks (b)about 3 to 7 weeks (c)7 to 8 weeks (d)any time after 9 weeks (b)about 3 to 7 weeks
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The hormone responsible for the let-down of milk is ________.
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(a)estrogen (b)prolactin (c)progesterone (d)oxytocin (d)oxytocin
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Solid food should be introduced into an infant's diet ________.
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(a)within 2 weeks of birth (b)around 4 to 6 months of age (c)at 9 months of age (d)after 1 year of age (b)around 4 to 6 months of age
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The leading cause of preventable birth defects and intellectual disability is ________ during pregnancy.
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(a)coffee consumption (b)tobacco use (c)alcohol consumption (d)cocaine use (c)alcohol consumption
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According to this growth chart, a 15-month-old infant who weighs 21 lb is at about the ________ percentile for weight.
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(a)5th (b)10th (c)25th (d)50th (b)10th
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Colostrum is ________.
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(a)a type of infant formula that is fortified with omega-3 fatty acids (b)the first stool passed by the infant after delivery (c)the first fluid produced by the breast after delivery (d)the mature milk produced in the later part of a feeding (c)the first fluid produced by the breast after delivery
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Which of the following statements about breast milk is false?
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(a)It contains immune factors that protect the baby from infections. (b)It provides about 50% of calories from fat. (c)It contains a high concentration of iron. (d)The proteins it contains are easily digested. (c)It contains a high concentration of iron.
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During the second and third trimesters of pregnancy, a woman needs to double her protein intake, over the RDA for a non-pregnant woman, to meet the needs of the growing fetus.
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False
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Once a woman knows she is pregnant, she should stop exercising.
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False
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Nutrients and oxygen are transferred from mother to fetus through the embryo.
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False
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Honey can cause botulism poisoning in children younger than 1 year of age.
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True
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Approximately half of the calories in breastfed infants come from fat, whereas in adults, about half of the daily calories typically come from carbohydrates.
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True
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No amount of alcohol is considered safe for consumption during pregnancy.
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True
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All of the following are signs of preeclampsia EXCEPT:
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glucose in the urine**** high blood pressure protein in the urine fluid retention
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Solid food can be introduced into the infant's diet at ___ months of age.
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2-3 mos 7-8 mos 9-12 mos 4-6 mos****
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During the first 6 months of lactation, a woman's calorie needs increase by about ______ calories per day, over her nonpregnant, nonlactating requirements.
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50 175 330**** 600
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In the first few weeks following fertilization, the embryo is nourished by the:
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placenta ovaries corpus lutem lining of the uterus****
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Which of the following statements about breast milk is FALSE?
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Breast milk contains antibodies that provide immune protection to infant. Hormones present in breast-milk make the infant grow larger much more quickly as compared to formula-fed infants.**** The strong suckling required for breast feeding contributes to speech development. Enzymes in breast milk prevent the growth of harmful microorganisms in the infant's colon.
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Colostrum is
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a type of infant formula that is fortified with omega-3 fatty acids. the mature milk produced in the later part of a feeding. the first stool passed by the infant after delivery. the first fluid produced by the breast after delivery.****
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The hormone responsible for the let-down of milk is
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oxytocin.
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The recommended intake for ______________ is the same for nonpregnant and pregnant women.
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protein zinc calcium**** iron
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Newborn infants receive an injection of _______________ to prevent the possibility of hemorrhage.
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iron vitamin K**** folate vitamin D
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An infant born at term, weighing 4.5 lb at birth, is considered
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large for gestational age. premature. very low birth weight. low birth weight.****
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The function of the _________ is to transfer nutrients and oxygen from the maternal blood to the fetal blood.
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oviduct amniotic sac placenta**** uterus
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A baby is affected by gestational diabetes in the following ways EXCEPT:
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The growing fetus receives more glucose The growing fetus receives fewer calories**** The growing fetus is at risk for a difficulty delivery The growing fetus is at risk for being large for gestational age
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Of the following, the nutrients that are important to prevent anemia include:
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B2 and B3 biotin and B12 Calcium and vitamin D Iron and folic acid****
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In the first few weeks following fertilization, the embryo is nourished by the:
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lining of the uterus
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Which of the following fatty acids are essential for the development of the infant's retina and brain?
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DHA trans fatty acids ARA DHA and ARA****
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The most commonly recommended first food for infants is
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iron-fortified infant rice cereal.**** iron-fortified infant multi-grain cereal. strained peaches. strained peas.
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Which of the following statements about feeding infants is true?
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The microorganisms that cause colds are passed from the mother to infant in breast milk. HIV infection is passed from the mother to infant in breast milk.**** Nicotine from cigarettes is not passed from the mother to infant in breast milk. Breastfeeding leads to decreased bone density in the lactating mother.
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_______ is the nutrient that is most commonly deficient in infants who are consuming adequate energy and protein.
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Calcium Iron Vitamin D**** Zinc
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As a general rule of thumb, an infant should ______ her birthweight by her first birthday.
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double triple**** quadruple Weight gain in infancy is not compared to birthweight
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While the recommended fat intake for adults is 20% to 35% of energy intake, a healthy infant up to six months of age consmes roughly ____% of energy from fat.
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15 70 55**** 10
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Which of the following statements about breast milk is FALSE?
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It contains immune factors that protect the baby from infections. It contains a high concentration of iron.**** It contains proteins that are easy to digest. It provides about 50% of calories from fat.
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The function of the ____ is to transfer nutrients and oxygen from the maternal blood to the fetal blood.
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uterus amniotic sac placenta**** oviduct ovary breast
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Which of the following statements is correct about maternal weight gain during pregnancy?
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An equal amount of weight should be gained each month during the pregnancy. No additional weight gain is expected after the second trimester. Most of the weight gain should be in the first trimester. Little weight gain is expected during the first trimester.****
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Physical activity during pregancy
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should be limited to five minutes per day. can include several short bouts of intense exercise three days each week. should be avoided during the first trimester. should include low intensity, low impact exercise for women who were not active before pregnancy.****
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Which of these can be discomforts experienced during pregnancy?
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edema heartburn constipation morning sickness hemorrhoids All of these can be discomforts experienced during pregnancy.****
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Hypertensive disorders of pregnancy
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account for more than 12% of pregnancy-related maternal deaths in the U.S.**** occur most often in women between the ages of 20-32. are mostly related to having hypertension before the pregnancy. are not related to preeclampsia.
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Gestational diabetes
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develops during pregnancy. is common in obese women. usually resolves after birth. is associated with babies at risk of being large for gestational age. All of these are true about gestational diabetes. ****
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Compared to a non-preganant female, a pregnant women needs more of all of the following EXCEPT
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energy. protein. vitamin E.**** carbohydrate. water.
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Early in pregnancy, a woman especially needs adequate amounts of _____ due to rapid cell division.
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folate**** water iodine fluoride selenium
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Which of the following statements is true?
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It is not necessary to increase the total fat intake during pregnancy.**** A pregnant woman needs to eat twice as much food as a non-pregnant woman. During pregnancy, the need for extra calories is greatest during the first trimester. A pregnant woman does not need to increase her intake of carbohydrates during pregnancy. All of these are true.
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The need for _____ increases during pregnancy.
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sodium potassium chloride water**** All of these should be increased during pregnancy.
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Alcohol should be avoided during pregnancy.
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TRUE
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To prevent choking, which foods should be avoided in the diets of infants and toddlers?
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applesauce and apple juice raw carrots, hot dogs, and grapes**** cereals and fresh bananas cooked potatoes wheat cereal
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All of the following are benefits of breast-feeding EXCEPT
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it reduces the risk of cancer for the mother. the suckling helps with the development of facial muscles, speech development, and the correct formation of the teeth. it reduces the incidence of ear infections, respiratory illness, and asthma. it enhances the immune system of the infant. All of these are benefits of breast-feeding.****
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Which of these factors increase risk during pregnancy?
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being exposed to a teratogen being a teenager too much vitamin A being poor being over 35 years old having a history of miscarriages getting pregnant sooner than 18 months of giving birth before All of these increase risk during pregnancy.****
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Which statement is true?
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Prolactin, a hormone, causes let-down. Vitamin C in breast milk can come from the mother's stores. An infant should triple his/her weight by four months of age. Rice cereal mixed with breast milk or formula is a good first choice for food for an infant because it is easy to digest and is not likely to cause food allergies.**** A concern unique to feeding breast milk is that it may not contain enough fat in a well-nourished mother.
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Dieting during pregnancy is advised for a woman who is obese.
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false
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During pregnancy, a woman needs more
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Thiamin
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Which of the following nutrients should make up the majority of an infant's diet during the first 6 months of life?
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fats
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During pregnancy, a woman needs more ___ than a nonpregnant woman.
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The need for ENERGY PROTEIN ESSENTIAL FATTY ACIDS WATER CARBOHYDRATE INCREASES.
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Rapid weight loss is NOT recommended during lactation because it can decrease milk production.
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TRUE
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Cow's milk should never be fed to infants because it is too high in ______ and too low in ______.
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protein, iron
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Prenatal supplements typically include
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iron
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To avoid dehydration and ensure adequate breast milk production, women who are breastfeeding should consume about _____cup(s) of additional fluid each day.
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4 cups
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The fetus gets nourished by
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transferring nutrients from the placenta.
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Preeclampsia
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is characterized by high blood pressure. can develop into eclampsia which is life-threatening to the mother. involves the excretion of protein in the urine. can be dangerous to the fetus because it reduces blood flow to the placenta. involves fluid retention and a weight gain of several pounds in a few days in the mother.
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Which of the changes does NOT occur in the mother during pregnancy?
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Her blood volume increase by about 50%. The amount of body fat increases. There is an equal amount of weight gained in each trimester.****NOT The uterus enlarges. The placenta forms. The breasts develop to prepare for lactation.
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A premature baby is
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one who is born before 37 weeks of gestation. at risk for being low birth weight or very low birth weight. at increased risk for illness. at increased risk for early death. Correct! All of these are true.
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During lactation, a woman's need for water ________ compared to water needs during pregnancy.
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INCREASES
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Oxytocin causes let-down to occur.
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TRUE
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Pregnant women should avoid
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swordfish, mackerel, and shark. excess caffeine. unpasteurized milk, soft cheeses, and uncooked hot dogs. cat feces and soil.
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Gestational diabetes
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causes a baby to more likely develop diabetes later in life as an adult.
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Which of the following statements is FALSE?
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Many women start pregnancy with diminished iron stores. The RDA for iron during pregnancy is about 150% of that for non-pregnant women. The majority of the iron transferred from the mother to the fetus occurs in the last trimester. Meeting increased iron needs is achieved most easily through the increased consumption of whole-grain products and spinach.****FALSE
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Implantation occurs when the embryo burrows into the lining of the uterus.
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TRUE
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Of the following, what is the MOST likely cause of morning sickness during pregnancy?
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the hormonal changes associated with pregnancy
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Which of the following statements about the placenta is FALSE?
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The placenta formed from both maternal and embryonic tissues. For the majority of the pregnancy, the placenta will nourish the fetus. Correct! The placenta nourishes the embryo from fertilization onward.****FALSE The placenta secretes hormones that are necessary to sustain the pregnancy.
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During puberty, boys add more lean mass while girls add more fat.
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true
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Adults have higher energy needs than teens.
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false
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Watching TV encourages snacking and reduces amount of physical activity.
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true
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Moderate alcohol intake can increase HDL levels.
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true
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The Dietary Guidelines defines "moderate alcohol consumption" as no more than one drink per day for men.
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false
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As compared to adults aged 31-70 years old, adults age 71 and older have higher needs for which of the following nutrients:
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vitamin D
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Lead toxicity is more common in low-income children because:
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Lead is often found in the paint on the walls of their older homes
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Which is not a symptom of alcohol toxicity?
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reduced risk of heart disease*******NOT****** Impaired physical abilities Impaired mental abilities Impaired large muscle control
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Older adults are at risk for malnutrition due to the following EXCEPT:
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The physical changes that occur with age Absence of disease******NOT****** Psychological factors Economic factors
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Children's energy and protein requirements __________ as they age.
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INCREASE
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____________ is a type of alcoholic liver disease that results in irreversible scarring.
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Cirrhosis
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The DETERMINE checklist is used to
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assess the risk of malnutrition in older adults.
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For which of the following is the recommended intake lower in older adults than in younger adults?
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calories
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Life expectancy refers to
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the average age to which people in a population live.
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Which of the following could contribute to low calcium status in children and teens?
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replacing milk with soda all of the choices are correct**************** spending too little time outdoors being lactose intolerant eating a vegan diet
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Which of the following statements about alcohol is true?
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Moderate alcohol consumption lowers HDL cholesterol levels. Alcohol consumption can reduce the risk of cancer. Alcohol consumption can contribute to malnutrition.******TRUE****** Alcohol is absorbed faster on a full stomach than on an empty stomach.
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Which of the following statements about energy requirements is true?
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Energy needs are lower in older adults than in younger adults.******TRUE******** Energy needs per kilogram of body weight increase as children grow. Total energy needs are higher in childhood than in any other time of life. Energy needs are the same for adolescent boys and girls.
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Iron and calcium ______________ are likely to be deficient in an adolescent's diet.
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Iron and calcium
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Television affects the nutritional status of children by
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reducing the time spent engaged in physical activity. all of the choices are correct**********. exposing them to new snack foods. providing an environment that encourages snacking
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Older adults are at risk for malnutrition due to the following EXCEPT:
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The physical changes that occur with age Absence of disease*******EXCEPT Psychological factors Economic factors
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Children's food preferences are learned through repeated exposure to a new food. A new food may need to be offered _____times before the child will accept it.
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8-10
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The primary mechanism by which moderate consumption of alcohol lowers cardiovascular disease risk is that it
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INCREASES HDL
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Binge drinking is defined as _____ or more drinks at one time for men and _____ or more drinks at one time for women.
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5, 4