Nutritional Care & Intervention Flashcards
7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutritional Care & Intervention flashcards as text
A preterm infant at 28 weeks gestation requires parenteral amino acid supplementation. What is the recommended initial amino acid dose to promote anabolism?
Answer: 2.0-2.5 g/kg/day
Preterm infants should receive 2.0-2.5 g/kg/day of amino acids from the first day of life to achieve positive nitrogen balance and replicate intrauterine accretion rates.
A child with phenylketonuria (PKU) is transitioning to adult care. Which dietary strategy remains essential throughout life?
Answer: Strict low-phenylalanine diet must continue lifelong
Lifelong adherence to a low-phenylalanine diet is necessary in PKU to prevent cognitive decline, neuropsychiatric symptoms, and white matter changes in adults.
In a child with neurological impairment and dysphagia, a modified texture diet is prescribed. According to IDDSI framework, what level describes 'minced and moist' foods?
Answer: Level 5
IDDSI Level 5 describes minced and moist foods, which require minimal chewing and are appropriate for individuals with mild-moderate chewing or swallowing difficulties.
A 4-year-old with celiac disease continues to have villous atrophy despite reported gluten-free diet adherence. What is the most common reason for persistent mucosal damage?
Answer: Hidden gluten contamination in the diet
The most common cause of persistent villous atrophy in children diagnosed with celiac disease is inadvertent gluten exposure through cross-contamination or hidden gluten in processed foods.
Which parameter is most useful for monitoring long-term protein status in a child receiving home parenteral nutrition?
Answer: Serum prealbumin (transthyretin)
Prealbumin (transthyretin) has a short half-life of 2-3 days, making it a more sensitive marker of current protein status than albumin, which reflects status over weeks.
A toddler is diagnosed with iron deficiency anemia. What dietary counseling should accompany iron supplementation?
Answer: Take iron with vitamin C-rich foods or juice to enhance absorption
Vitamin C (ascorbic acid) enhances non-heme iron absorption by reducing ferric iron to the more bioavailable ferrous form and should be consumed concurrently with iron supplements.
A 9-year-old on a ketogenic diet for epilepsy develops kidney stones. Which dietary adjustment is most directly indicated?
Answer: Increase fluid intake and add oral citrate supplementation
Adequate hydration and oral citrate (potassium citrate) supplementation are the primary interventions to prevent and manage nephrolithiasis in children on the ketogenic diet.