Nutritional Care & Intervention Flashcards
7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutritional Care & Intervention flashcards as text
A 3-year-old with short bowel syndrome receives parenteral nutrition. Which electrolyte imbalance requires the closest monitoring due to intestinal losses?
Answer: Hypomagnesemia
Magnesium is extensively lost through the GI tract in short bowel syndrome, making hypomagnesemia a primary electrolyte concern.
Which anthropometric measurement is most sensitive for detecting acute malnutrition in children under 5 years?
Answer: Mid-upper arm circumference
Mid-upper arm circumference (MUAC) is the most sensitive and practical field measure for identifying acute malnutrition in young children.
A hospitalized 8-year-old requires nasogastric tube feeding. Which formula characteristic is most appropriate to prevent aspiration complications?
Answer: Continuous low-rate delivery
Continuous low-rate infusion reduces gastric residual volume and minimizes aspiration risk in children at risk.
When transitioning a preterm infant from parenteral to enteral nutrition, what is the recommended minimum enteral intake considered 'trophic' or 'minimal enteral feeding'?
Answer: 10-20 mL/kg/day
Trophic feeds of 10-20 mL/kg/day promote gut maturation without imposing significant metabolic demands on preterm infants.
A child with cystic fibrosis is failing to gain weight despite adequate pancreatic enzyme supplementation. What is the next most appropriate nutritional intervention?
Answer: Initiate nocturnal tube feeding
Nocturnal nasogastric or gastrostomy feeds are recommended when oral supplementation alone fails to achieve adequate weight gain in cystic fibrosis.
Which vitamin deficiency is most commonly associated with prolonged exclusive breastfeeding beyond 6 months without supplementation in exclusively breastfed infants?
Answer: Vitamin D
Breast milk contains insufficient vitamin D, and exclusively breastfed infants require supplementation of 400 IU/day starting at birth.
In refeeding syndrome, which electrolyte shift is the primary life-threatening concern?
Answer: Hypophosphatemia
Refeeding causes a rapid intracellular shift of phosphate driven by insulin release, leading to severe hypophosphatemia and potentially fatal cardiac and respiratory complications.