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What goal should an overweight woman include in her lifestyle for a healthy pregnancy?
- A. Aim to lose 11 to 20 pounds during pregnancy
- B. Increase protein intake to 35% of total calories
- C. Delay weight loss until after pregnancy
- D. Increase daily energy intake by 550 calories
Correct Answer: C
Rationale: The healthiest approach for an overweight pregnant woman is to delay weight loss until after pregnancy. During pregnancy, the body needs sufficient nutrition and energy to support the growth and development of the baby. Attempting to lose weight during pregnancy, especially significant amounts, may compromise the health of both the mother and the baby. Increasing protein intake to 35% of total calories or energy intake by 550 calories per day without professional guidance may lead to an unbalanced diet, which is not optimal for pregnancy. The focus should be on maintaining a balanced, nutrient-rich diet and appropriate weight gain during pregnancy.
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What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?
- A. Dumping syndrome
- B. Gastritis
- C. Gastric outlet obstruction
- D. Hypochlorhydria
Correct Answer: C
Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.
What would a diet manual most likely contain?
- A. Procedures for disinfecting cooking surfaces
- B. Staff sanitation guidelines
- C. Information on specific patients' resting metabolic rates
- D. Specific food preparation methods
Correct Answer: D
Rationale: A diet manual typically contains guidance on specific food preparation methods to ensure proper nutrition and health for individuals following the diet. Therefore, choice D is correct. Choices A and B refer to sanitation procedures and staff hygiene issues, which are important but not typically the focus of a diet manual. Choice C, regarding specific patients' resting metabolic rates, is too individualized and detailed for a general diet manual, as it would be part of a personalized dietary plan developed with a healthcare professional.
What are the manifestations of nephrotic syndrome?
- A. Dehydration
- B. Uremia
- C. Infection
- D. Low blood lipids
Correct Answer: C
Rationale: Infection is a common manifestation of nephrotic syndrome. This is due to the loss of immunoglobulins in the urine, which weakens the body's immune defenses. Dehydration (Choice A) and uremia (Choice B) can be symptoms of kidney dysfunction but are not specific manifestations of nephrotic syndrome. Low blood lipids (Choice D) is incorrect as nephrotic syndrome typically results in high, not low, blood lipid levels due to the body's attempt to replace lost proteins.
What should be recommended to help prevent early childhood caries (ECC) in infants?
- A. Avoid giving the infant nighttime bottles
- B. Have the infant drink pasteurized skim milk
- C. Feed the infant iron-rich foods
- D. Give the infant fruit juice to drink
Correct Answer: A
Rationale: The correct answer is 'A: Avoid giving the infant nighttime bottles' because prolonged exposure to sugars in milk during the night can lead to caries. Options 'B: Have the infant drink pasteurized skim milk' and 'D: Give the infant fruit juice to drink' are not recommended as they contain sugars that can cause cavities, especially in infants. Option 'C: Feed the infant iron-rich foods' is incorrect because while a balanced diet is important, iron-rich foods do not directly prevent caries development.
What level of sodium restriction would be included as part of nutrition therapy for heart failure?
- A. Less than 500 mg per day
- B. 1000 mg to 1500 mg per day
- C. 1500 mg to 3000 mg per day
- D. 3000 to 3500 mg per day
Correct Answer: C
Rationale: The correct answer is 1500 mg to 3000 mg per day. This is the level of sodium restriction typically recommended for heart failure patients. It helps manage fluid retention and reduce blood pressure, which are both crucial in treating heart failure. A sodium intake of less than 500 mg per day (Choice A) might be too restrictive and is not typically recommended. Similarly, an intake of 1000 mg to 1500 mg per day (Choice B) falls short of the recommended range. Lastly, an intake of 3000 to 3500 mg per day (Choice D) exceeds the recommended upper limit, potentially exacerbating fluid retention and high blood pressure.