Question

In: Nursing

Twins Silvia and Lynette are now 6 years old. Time has flown for parents Brett and...

Twins Silvia and Lynette are now 6 years old. Time has flown for parents Brett and Brenna. Raising twins is an adventure for sure. While identical in appearance at birth, the twins have always had unique personalities, and now they're developing into their own little people. Silvia, who seemed to grow on air for a good chunk of her toddler years, is now the taller of the two, while Lynette is the one with the smaller appetite at the moment. Both girls have thinned out in the last few years, which Brenna and Brett attribute to their nonstop playing.

1. Silvia begins to put on a little more weight and, about a month later, Lynette follows the same trend. Their bodies are increasing in body fat percentage. It is not drastic, neither parent is alarmed, and they feel it is normal and want to support a healthy body image for both girls. The increase in body fat that occurs around 6 years of age and prepares the body for the changes of adolescence is known as ____________.

a. BMI rebound

b. weight rebound

c. structural maturation

d. adipose restructuring

e. developmental stores

2. Brenna and Brett are amazed at how fast the girls have grown. Since both parents work full time, they feel like sometimes they are not doing enough to provide proper nutrition for the girls. Brenna has the girls drink a cup of milk with dinner to ensure they are at least getting some calcium. However, a cup of milk has only about 300 mg of calcium, which Brenna feels is below the recommendation. What is the recommendation of dietary calcium per day?

a. 100 mg/day

b. 1000 mg/day

c. 1300 mg/day

d. 10 mg/day

3. Brenna comes home after a long shift at work. Not only did she have an employee quit unexpectedly, she also had to deal with stressors from her boss wanting her to get ahead of another project. At home, she walks in the front door to yet another unforeseen stressor: the girls run up to her asking to go out to lunch. Brett informs Brenna that the girls have seen multiple commercials for pizza and now are dying to go out and eat pizza.

True or False: Advertisements to children can have an impact on food preference.

a. True

b. False

4. At first, Brenna and Brett were happy to see that the girls had gained weight to be within a healthy weight range. Over the past year, however, they have noticed that the girls have been especially picky in foods that they will eat, mostly gravitating towards fast foods and processed foods.

True or False: Based on their recent weight gain, Sylvia and Lynette are exceeding total calories, which is common for children ages 6 to 11.

a. True

b. False

5. Oh no! Lynette has proven the statistic that one in two children ages 6 to 9 will develop dental decay in their primary or permanent teeth. She has a cavity at their latest dental appointment that requires a filling. Fortunately, it's not in a permanent tooth. What can Brett and Brenna do to help ensure that neither of the girls get any more cavities?

a. Brush teeth immediately after having gummy or sticky foods.

b. Choose snacks that are a combination of carbohydrates, proteins, and fats.

c. Have regular meal and snacks times instead of continual snacking throughout the day.

d. Rinse or brush teeth after eating.

e. All of these are correct.

6. While neither parent is worried about the girls' recent weight gains, they are being mindful to watch for any signs that the girls are gaining too much weight. While healthy food is the norm in their household, the girls are in control of their own intake while eating out, such as at school events and at their grandparents' house.

True or False: Beyond consumption of healthy and unhealthy foods, the American Academy of Pediatrics recommends that children have no more than 2 hours of screen time daily to reduce their amount of sedentary time.

a. True b. False

Solutions

Expert Solution

1. a. BMI rebound

The increase in body fat that occurs around 6 years of age and prepares the body for the changes of adolescence is known as body mass index rebound

2. b. 1000 mg/day

Recommended Dietary Allowance (RDA) of calcium for most of the age group is 1000 mg except for people older than 51 years which is 1200 mg

3. a. True

There is a huge impact of advertisement over the food preference of childrens and that is why big companies like KFC, McDonalds, Dominos attract a huge population of childrens from all around the world by making fancy and sometimes hyperbole advertisements

4. a. True

As it is already mentioned that the girls have been especially picky in foods that they will eat, mostly gravitating towards fast foods and processed foods, hence it is quite evident that they are exceeding their total calories

5. e. All of these are correct.

All the mentioned activities are very good for dental health of childrens as well as adults

6. a. True

Though this value is as low as 1 hour of screen time daily of younger childrens but on an average it is accepted that children should have no more than 2 hours of screen time daily to reduce their amount of sedentary time.


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