CSP Nutritional Care & Intervention 2

Question 1

A 3-year-old with short bowel syndrome receives parenteral nutrition. Which electrolyte imbalance requires the closest monitoring due to intestinal losses?

Accepted Answer

Hypomagnesemia

Answer

Magnesium is extensively lost through the GI tract in short bowel syndrome, making hypomagnesemia a primary electrolyte concern.

Question 2

Which anthropometric measurement is most sensitive for detecting acute malnutrition in children under 5 years?

Accepted Answer

Mid-upper arm circumference

Answer

Mid-upper arm circumference (MUAC) is the most sensitive and practical field measure for identifying acute malnutrition in young children.

Question 3

A hospitalized 8-year-old requires nasogastric tube feeding. Which formula characteristic is most appropriate to prevent aspiration complications?

Accepted Answer

Continuous low-rate delivery

Answer

Continuous low-rate infusion reduces gastric residual volume and minimizes aspiration risk in children at risk.

Question 4

When transitioning a preterm infant from parenteral to enteral nutrition, what is the recommended minimum enteral intake considered 'trophic' or 'minimal enteral feeding'?

Accepted Answer

10-20 mL/kg/day

Answer

Trophic feeds of 10-20 mL/kg/day promote gut maturation without imposing significant metabolic demands on preterm infants.

Question 5

A child with cystic fibrosis is failing to gain weight despite adequate pancreatic enzyme supplementation. What is the next most appropriate nutritional intervention?

Accepted Answer

Initiate nocturnal tube feeding

Answer

Nocturnal nasogastric or gastrostomy feeds are recommended when oral supplementation alone fails to achieve adequate weight gain in cystic fibrosis.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

CSP Nutritional Care & Intervention 2