1. Melanie Jaeger Tutoring 5/6/17
Pediatric Nutrition
Melanie Jaeger
Tutoring 5/6/17

2. Which of the following statements is false?
Neonates should lose weight after birth and regain it by 2 weeks.
The AAP recommends exclusive breastfeeding for the first 3 months of life.
Infants should be placed on their backs to sleep and be given a pacifier during sleep.
Breastfeeding reduces maternal risk of ovarian and breast cancer. B

3. Breast milk stored in the fridge should be thrown out after how long?
8 hours
24 hours
5 days
2 weeks C

4. Which of the following is true about breastmilk composition?
Colostrum is 60:40 whey-casein.
Colostrum is released in the first 24 hours postpartum.
Mature milk contains more protein than colostrum.
Fore feedings have lower fat content than hind feedings. D

5. You are counseling new parents about how to prepare formula from a concentrated liquid. Which of the following would be appropriate to tell them?
The stock bottle of concentrated liquid formula can be stored in the fridge for up to 7 days after opening.
Either use boiled tap water or unboiled bottled water to make formula.
Heat formula in a water bath, on the stove top or in the microwave.
Bottles of formula can be pre-made and stored in the fridge for up to 24 hours. D

6. Which of the following children would NOT need Vitamin D supplementation?
6 month old infant who is exclusively breastfed.
A 6 month old infant who eats five 8oz (240 mL) bottles of formula every day.
A 5 year old child who drinks two 8oz cups of Vitamin D fortified milk per day.
An 18 month old child who is still breastfed but also drinks two 8 oz cups of Vitamin D milk each day. B

7. Which of the following children WOULD need iron supplementation?
8 month old born at 39 weeks GA who is being formula-fed.
9 month old who is breastfed but also eats fortified cereal.
6 month old born at 32 weeks who is being formula-fed.
4 year old who eats a normal diet. C

8. What are the fluid requirements for a 12 month old who weighs 12 kg?
1540 mL/day
1000 mL/day
1100 mL/day
1440 mL/day C

9. What are the protein requirements for an infant born at 39 weeks getting TPN? She weighs 3.5 kg.
12.25 g/day
2.8 g/day
7 g/day
9 g/day D

10. Which of the following is true about cysteine and carnitine?
The addition of cysteine to TPN decreases the amount of Ca and phos that can be added to the TPN.
The normal dose of carnitine is 25 mg/kg/day.
The normal dose of cysteine is 40 mg/g of pediatric amino acid.
Cysteine has a pH around 7. C

11. YD is a 3 week old neonate born at 30 weeks. He is currently 2. 1 kg
YD is a 3 week old neonate born at 30 weeks. He is currently 2.1 kg. PN was started yesterday and is not yet at goal. How much should his dextrose be advanced by tomorrow?
10.5 g
4.2 g
5% of current dextrose
21 g B

12. What is the correct ratio of calcium and phosphorous dosing?
1.7 mg Ca: 2 mg P
1.7 mg Ca: 1 mg P
1 mg Ca: 1.7 P
2 mg Ca: 1.7 mg P B

13. Which of the following is false about TNAs?
Cannot use 0.2 micron filter
Increased risk of bacterial and fungal infection
Limits Ca and phos that can be added
Recommended for use in infants D