CSP Pediatric Nutrition Evaluation 3

Question 1

In the Pediatric Subjective Global Nutritional Assessment (SGNA), which domain is evaluated?

Accepted Answer

Functional capacity and physical exam

Answer

SGNA incorporates history (weight change, dietary intake, GI symptoms) and physical examination including functional capacity and muscle/fat stores.

Question 2

A 15-year-old female athlete's dietary assessment reveals calcium intake of 600 mg/day. The DRI for her age group is 1300 mg/day. Which consequence is most concerning?

Accepted Answer

Increased fracture risk

Answer

Inadequate calcium intake during peak bone mass accrual in adolescence significantly increases long-term fracture risk.

Question 3

Which growth chart should be used for a 2-year-old child born at 28 weeks gestation when assessing nutritional status?

Accepted Answer

WHO 2006 charts with gestational age correction

Answer

For children up to age 2-3 years who were born preterm, gestational age correction should be applied when using WHO 2006 growth charts.

Question 4

Which finding on physical examination is most consistent with essential fatty acid deficiency?

Accepted Answer

Dry, scaly skin and poor wound healing

Answer

Essential fatty acid deficiency presents with dry scaly skin (xerosis), alopecia, and impaired wound healing.

Question 5

A dietitian is evaluating a 5-year-old with cystic fibrosis. Which parameter is the PRIMARY nutritional goal to monitor?

Accepted Answer

BMI-for-age at or above 50th percentile

Answer

CFF guidelines recommend maintaining BMI-for-age at or above the 50th percentile in children with CF to optimize pulmonary outcomes.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

CSP Pediatric Nutrition Evaluation 3