ch.13

Question 1

what are factors that affect growth for middle childhood?

give 3

Answer 1

• age of condition onset
• secondary conditions
• activity/inactivity level

Question 2

ketogenic diet definition

Answer 2

high fat, low carb meal plan in which ketones are made from metabolic pathways used in converting fat as a source of energy

Question 3

what is cystic fibrosis?

Answer 3

common lethal genetic condition that interferes with lung function and causes decreased absorption

Question 4

MNT fofr cystic fibrosis?

give 5.

Answer 4

1. cal and protein increase 2 to 4 fold
2. enzyme taken w meals to aid w digesting
3. frequent meals and snacks
4. fat sol vit supplements
5. gastrostomy feeding at night may be needed to boost energy intake

Question 5

what is diabetes mellitus?

Answer 5

disorder in insulin and blood glucose regulation

Question 6

what are the 2 types of diabetes and what do they mean?

Answer 6

type 1: almost no insulin production

type 2: associated w obesity, insulin not used

Question 7

what are treatment/intervention options for diabetes?

give 3

Answer 7

1. appropriate timing an composition of meals and snacks
2. insulin injection for type 1 only
3. summer camps for diabetic kids

Question 8

what are seizures?

Answer 8

uncontrollable electrical disturbances in the brain; results from ranging from mild blinking to severe jerking

Question 9

what is postictal state?

Answer 9

time after sieizure of altered consciousness

Question 10

what are treatment options for seizures?

give2.

Answer 10

• medications (but may affect growth and/or appetite)

- follow a ketogenic diet (low carbs)

Question 11

what is cerebral palsy?

what is the most common type?

Answer 11

group of disorders with impaired muscle activity and coordination

spastic quadriplegia

Question 12

what are the nutrition concerns for cerebral palsy?

give 2

Answer 12

1. slow growth

2. difficulty eating and feeding

Question 13

what is athetosis

Answer 13

uncontrolled movement which increases energy expenditure

Question 14

what are nutrition interventions for CB?

give 5.

Answer 14

1. stimulate oral feeding
2. promote healthy eating at school
3. adjust menus and timing of meals and snacks at home.school to meet nutr needs that min fatigue during meals
4. assessing and adjusting childs diet overtime
5. use adapted self feeding utensils and feeding equipment etc

Question 15

what is PKU?

Answer 15

phenylketonuria

• an inborn error of metabolism
• body lacks enzyme needed to metabolize phenylanaline

Question 16

what is food intervention for PKU?

Answer 16

treatment includes avoiding eggs, meat, dairy, nuts, and soy

Question 17

what is adhd

Answer 17

attention deficit hyperactivity disorder

• most common neurobehavioral issue
• chaotic feeding times bc kid wont stay seated

Question 18

nutrition intervention for adhd

Answer 18

medications: adderal or ritalin (both may increase appetite or growth)
and appetite returns to normal when not on medications

Question 19

what are nutrition concerns of pediatric HIV?

give 4.

Answer 19

1. antiretroviral therapy depresses appetite and food intake
2. control food-related infection
3. access to determine need for complete nutr supplements
4. refer to food banks

Question 20

what does children will be children mean for special needs children?

Answer 20

• expectations that child will be more independent in food making choices, assisting w meal prep, participating at meal times w family members
• spending time in reg classrooms
• treat child as a child first
• need others to take responsibility of food choices for them