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Nutrition Management Flashcards

7 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Nutrition Management flashcards as text

  1. A 28-week preterm infant on parenteral nutrition develops hypertriglyceridemia. Which intervention is most appropriate?

    Answer: Decrease the lipid infusion rate or hold lipids

    Hypertriglyceridemia in preterm infants on PN requires reducing or temporarily holding the lipid infusion until triglyceride levels normalize.

  2. Which amino acid becomes conditionally essential in the stressed or preterm neonate?

    Answer: Glutamine

    Glutamine is conditionally essential in preterm and critically ill neonates because immature or stressed gut mucosa cannot synthesize adequate amounts.

  3. A term neonate with a congenital heart defect requires high-calorie feeding. What is the most appropriate method to increase caloric density of breast milk?

    Answer: Fortify with human milk fortifier

    Human milk fortifier adds protein, calories, calcium, and phosphorus while preserving the benefits of breast milk for high-risk neonates.

  4. When assessing tolerance to enteral feeds in a VLBW infant, which finding is LEAST concerning?

    Answer: Gastric residual equal to one feeding volume

    A gastric residual equal to one feeding volume is generally acceptable in VLBW infants and does not alone indicate feed intolerance.

  5. A 30-week infant receiving total parenteral nutrition is at risk for metabolic bone disease. Which two minerals are most critical to optimize?

    Answer: Calcium and phosphorus

    Calcium and phosphorus are the primary minerals required for bone mineralization, and preterm infants have limited stores of both.

  6. What is the recommended protein intake (g/kg/day) for a stable extremely low birth weight (ELBW) infant to achieve in-utero growth rates?

    Answer: 3.5–4.5

    ELBW infants require 3.5–4.5 g/kg/day of protein to achieve fetal accretion rates and support growth and neurodevelopment.

  7. Which clinical sign most strongly suggests necrotizing enterocolitis (NEC) in a preterm infant receiving enteral feeds?

    Answer: Pneumatosis intestinalis on abdominal X-ray

    Pneumatosis intestinalis—gas within the bowel wall on X-ray—is a hallmark radiographic finding of NEC and warrants immediate intervention.