a nurse is providing teaching to a group of parents of newborns who are planning to formula feed which of the following statements by a parent indicat

ATI RN

ATI Nutrition

1. A nurse is providing teaching to a group of parents of newborns who are planning to formula feed. Which of the following statements by a parent indicates a need for further teaching?

A. "I will give formula to my baby at room temperature."
B. "I will ensure my baby's feeds last 10 to 15 minutes."
C. "I will burp my baby halfway through each feeding."
D. "I will watch for signs my baby is full and stop the feeding."

Correct answer: B

Rationale: The correct answer is, "I will ensure my baby's feeds last 10 to 15 minutes." This statement indicates a need for further teaching because it suggests a strict time limit for feedings, which may not be appropriate for a newborn. Newborns should be allowed to feed as long as they want, typically around 20-30 minutes per breast if breastfeeding, or on-demand with formula. Choices A, C, and D demonstrate proper feeding practices such as feeding at room temperature, burping halfway through each feeding, and watching for signs of fullness to stop the feeding, which are all appropriate responses by a parent of a formula-fed newborn.

2. The mechanism behind most CKD in patients without diabetes is mediated by:

A. enzyme systems
B. immune systems
C. catabolic systems
D. hormonal systems

Correct answer: B

Rationale: In non-diabetic patients, CKD is often mediated by immune system responses. Chronic inflammation triggered by immune system dysfunction can contribute to progressive kidney damage. Therefore, the correct answer is 'immune systems.' Choices A, C, and D are incorrect because CKD in non-diabetic patients is primarily associated with immune system abnormalities rather than enzyme, catabolic, or hormonal systems.

3. In approximately what percentage of cases is the prevalence seen?

A. Type 1 Diabetes
B. Type 2 Diabetes
C. N/A
D. N/A

Correct answer: A

Rationale: The correct answer is A, Type 1 Diabetes. The prevalence of Type 1 Diabetes is seen in approximately 5% to 10% of cases. This statement highlights a key epidemiological characteristic of Type 1 Diabetes. Choice B, Type 2 Diabetes, is incorrect because the prevalence mentioned does not align with Type 2 Diabetes, which has a much higher prevalence in the general population. Choices C and D are not relevant to the question and can be disregarded.

4. A client with diabetes is being taught by a nurse about the dietary source that should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?

A. "Most of my calories each day should be from fats."?
B. "I should eat more calories from complex carbohydrates than anything else."?
C. "Simple sugars are needed more than other calorie sources."?
D. "Protein should be my main source of calories."?

Correct answer: B

Rationale: The correct answer is '"I should eat more calories from complex carbohydrates than anything else."?' Clients with diabetes should focus on complex carbohydrates as their primary calorie source because they have a lower impact on blood sugar levels compared to simple sugars or fats. Choice A is incorrect because a high intake of fats can lead to various health issues. Choice C is incorrect because simple sugars can cause rapid spikes in blood sugar levels. Choice D is incorrect as while protein is important, it should not be the main source of calories for someone with diabetes.

5. What describes a criterion used to diagnose diabetes?

A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
D. a HbA1C higher than 5 percent

Correct answer: B

Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.