Question

Brett and Brenna's twin girls are doing very well. They haven't had any health complications since jaundice in the beginning of their second week. Unfortunately, a friend of the family, Marleen, had a very high-risk pregnancy that resulted in her son, Ervin, being born at 32 weeks of age. He has several health complications and is currently in the NICU. Brett and Brenna want to help any way they can.

1. Marleen is a single mother who barely makes ends meet. She is concerned about caring for Ervin being preterm, and has asked Brett and Brenna if there are any nutrition-related services to help her and Ervin once they are out of the NICU. Which of the following might Brett and Brenna recommend?

a. Food Stamps

b. Early Head Start

c. WIC

d. Both WIC and Early Head Start

e. All of these are correct.

2. Shortly after birth, Ervin was taken to the NICU for care because he was preterm. He was screened for the standard newborn genetic screen so if nutrition intervention was required, it could be addressed immediately. The screening came back normal. Still, within days of birth, Ervin begins showing signs of possible sepsis and liver problems. What genetic condition may have been previously missed in the screening?

a. citrullinemia

b. galactosemia

c. anemia

d. phenylketonuria

3. Ervin's age will be tracked differently on growth charts than full term babies, based on his corrected age.

Ervin was born at 32 weeks. When he is 3 months old, what will his corrected age be?

a. 20 weeks

b. 5 months

c. 2 months

d. 8 weeks

e. 1 month

4. Since Ervin is a preterm infant, he is not strong enough to draw milk when he is put to Marleen's breast. After she expresses her milk by pumping, she is encouraged to place him on the breast for nonnutritive sucking. True or False: In preterm infants, nonnutritive sucking has been found to decrease the length of stay in hospitals. a. True b. False

5. Marleen is pumping her breastmilk for Ervin. Given Ervin's prematurity and unique health and nutrition needs, the doctor recommends that a human milk fortifier be added to his feedings until he meets certain benchmarks. True or False: While there are special formulas available for premature infants, breastmilk is preferred if possible as the formulas are associated with a higher rate of necrotizing enterocolitis (NEC). a. True b. False

6. True or False: Unlike the twins, who were born at full term, Ervin was considered preterm at 32 weeks. Marleen is interested in starting complimentary food. To what age should she wait until introducing complementary foods?

a. 3 months

b. 6 months

c. 8 months

d. 9 months

Answer 1

1.Food stamp offers nutritional assistance to people who has a very low income level or no income at all

Early head start also offers the nutritional assistance service to women, infant ,toddlers

WIC is also a nutritional service program offering food to the infants and women

So all are supplemental nutritional program, which can be recommended

Ans:e.All of these are correct

2. In citrullinemia ,there will be deposition of ammonia and certain substance which are toxic .Usually liver are affected in this condition which can lead to sepsis and if untreated can be fatal.

Due to genetic disease the body will not be able to metabolise the galcatose for the energy release.This us termed to be galactosemia

Anemia is related to low blood hemoglobin level and it usually does not cause sepsis or liver damage

Phenylketoneuria is related to the renal system disease

Ans:Citrullenemia

3. The child at 3 months means 12 weeks

But the child was born at 32 weeks instead of 40 weeks which means 2 months or 8 weeks in advance .So the child will be considered to be 1 month of age now

Therefore 20weeks and 5 months , 2months and 8weeks are greater than the average age

Ans:e. 1 month

4.The statement is true it has considerably decreased the duration of baby to be on hospital if born prematurely

Ans:True

5.Necrotising enterocolitis is one of the complication which can be observed in the baby who are formula fed. Always breastmilk are the first preferred choice of all time

Ans:True

6.Weaning is recommended to be started at 6months. Here the child has born 2 months in advance ,so the weaning has to be started after two months from sixth month. That is by 8 months.

Only breastmilk or formula feed is allowed at 3months

By 6 normal complementary feed is initiated in full term babies

9month will be little late for this child

Ans:8 months