MNT Study Guide 2

Question 1

GFR 30-59 for 6-12 months; protein 0.6-0.8

Answer 1

Stage 3 CKD

Question 2

GFR 15-29 for 1-3 months; protein 0.6-0.8

Answer 2

Stage 4 CKD

Question 3

GFR less than 15, decrease protein 20g

Answer 3

Late stage renal disease

Question 4

Dialysis requirements

Answer 4

-Increased protein
-less NA, Ph, Pot

Question 5

high Phos foods

Answer 5

cola, beans, baked goods, corn, peas, milk, seeds

Question 6

high Pot foods

Answer 6

potatoes, fish, banana, broc, OJ, meat

Question 7

high Sod foods

Answer 7

breads/cereals, meat/processed meat, takeaway (pizza, pasteries, etc)

Question 8

Refeeding syndrome labs

Answer 8

-Low phos
-low cal
-low mag (<0.6 mmol)
-hyperglycemia
-low B1

Question 9

Refeeding MNT

Answer 9

-correct electrolytes first
-slow feeding, 20 kcal/kg/d
-1.2-1.5 g/kg protein

Question 10

Anorexia labs

Answer 10

WBC, RBC, PMP

Question 11

No less than 1200 cal/day

Answer 11

Anorexia MNT

Question 12

COPD/Steroid deficiencies

Answer 12

-Cal
-Vit D
(osteoporosis)
-fatty acids
-amino acids

Question 13

CF MNT

Answer 13

-40% or 100 g fat/day
-high salt
-fat sol vit
-PERT (enzymes)

Question 14

Normal glucose ranges

Answer 14

4-7.8 mm/L

Question 15

Diabetes fasting glucose

Answer 15

Higher than 7

Question 16

GTT diabetes

Answer 16

Higher than 11

Question 17

HbA1C diabetes

Answer 17

6.5% or higher

Question 18

HbA1C prediabetes

Answer 18

5.7-6.4%

Question 19

Hypoglycemia BG

Answer 19

below 4 mmol/L

Question 20

Hypogly step 1

Answer 20

15 g fast acting carbs

-jelly beans
-half can coke
-half gl fruit juice

Question 21

Effective weight management

Answer 21

5-10% of OG weight reduced for 2 years

Question 22

Waist circumference risks

Answer 22

94 cm+ (men)
80 cm + (women)

Question 23

Reduced energy diet

Answer 23

minus 500-1,000 cal/d
weight loss of .5-1 kg/w

Question 24

Low energy diet

Answer 24

max 1,200 kcal/day
weight loss of .3-.5 kg/w

Question 25

Kwashiorkor (protein def) signs

Answer 25

-pot belly
-fatty liver
-poor appetite

Question 26

Marasmus (starvation) signs

Answer 26

-severe wasting
-bones stick out
-hungry

Question 27

Twins weight gain

Answer 27

16-20 kg

Question 28

Trimester 2 WG

Answer 28

+330 cal/day

Question 29

Trimester 3

Answer 29

+450 cal/day

Question 30

Preg food/nut

Answer 30

-+2.5 serves grains
-+1 serve meat
-iron 27
-Ca 1,000

Question 31

1-7 days after birth, high protein

Answer 31

Colostrum

Question 32

8-20 days milk

Answer 32

transitional milk

Question 33

20+ days milk, 65-75 cal/ml

Answer 33

mature milk

Question 34

Breastfeeding only def

Answer 34

iron & zinc

Question 35

Baby first food

Answer 35

iron!!
fort cereals, pureed meats

Question 36

How often to feed baby

Answer 36

-min 6 feeds
-ideal 8-12 feeds/24 hours

Question 37

Listeria considerations

Answer 37

-reheat deli meat to 75C
-no precut fruit/salads esp rockmelon
-no soft dairy
-no raw seafood
-no sprouts

Question 38

Listeriosis risks

Answer 38

miscarriage, premie, stillborn

Question 39

Iron inhibitors

Answer 39

-cal
-zinc
-mag
-copper
-coffee & tea
-phytates

Question 40

Non-heme iron sources

Answer 40

-dark leafy greens
-fort cereals, rice
-beans, soy

Question 41

Vit C sources

Answer 41

guava
current
red/gr pepp
kiwi
orange
papaya
strawberries
broc
kale