how is gastroesophageal reflux ger typically treated in infants

HESI LPN

LPN Nutrition Practice Test

1. How is gastroesophageal reflux (GER) typically treated in infants?

A. Keeping the infant NPO
B. Thickening the formula or breast milk with cereal
C. Placing the infant to sleep on the side
D. Switching the infant to cow's milk

Correct answer: B

Rationale: Thickening the formula or breast milk with cereal is a common treatment for gastroesophageal reflux (GER) in infants. By adding cereal, the feedings become heavier, making it less likely for the stomach contents to reflux. Keeping the infant NPO (nothing by mouth) is not typically necessary for GER treatment and might not be appropriate. Placing the infant to sleep on the side is not recommended due to the risk of sudden infant death syndrome (SIDS). Switching the infant to cow's milk is also not a recommended treatment for GER as it can exacerbate symptoms due to its protein content.

2. What is a common symptom of a vitamin D deficiency in children?

A. Frequent infections
B. Bone pain and tenderness
C. Excessive thirst
D. Unexplained bruising

Correct answer: B

Rationale: Bone pain and tenderness are indeed common symptoms of vitamin D deficiency in children. Vitamin D plays a crucial role in bone health and growth. The deficiency can lead to weakened bones, causing pain and tenderness. Choices A, C, and D are incorrect. Frequent infections are not a typical symptom of vitamin D deficiency in children; excessive thirst is more commonly associated with conditions like diabetes, and unexplained bruising is not directly linked to vitamin D deficiency.

3. How should a child with a newly diagnosed seizure disorder be managed?

A. Avoid all physical activity
B. Monitor for triggers and ensure safety
C. Increase dietary sodium intake
D. Restrict all forms of social interaction

Correct answer: B

Rationale: When managing a child with a newly diagnosed seizure disorder, it is essential to monitor for triggers and ensure safety. By identifying triggers such as lack of sleep, stress, or specific foods, healthcare professionals can help prevent seizures. Ensuring safety involves creating a safe environment to prevent injuries during a seizure. Choices A, C, and D are incorrect. Avoiding all physical activity can be detrimental as appropriate exercise is essential for overall health. Increasing dietary sodium intake is not a standard recommendation for managing seizures. Restricting all forms of social interaction is unnecessary and can have negative effects on the child's emotional well-being.

4. What is the primary role of dietary guidelines?

A. To ensure that all food groups are consumed in appropriate proportions.
B. To prevent chronic diseases and promote overall well-being.
C. To help individuals meet their nutritional needs while reducing the risk of chronic disease.
D. To offer specific recommendations for the intake of nutrients that support health.

Correct answer: C

Rationale: The correct answer is C: 'To help individuals meet their nutritional needs while reducing the risk of chronic disease.' Dietary guidelines are designed to provide guidance on the types and amounts of food that support good health and reduce the risk of chronic diseases. Choice A has been corrected to mention 'appropriate proportions' instead of 'equal amounts,' as dietary guidelines emphasize balance and variety. Choice B is partially correct, but the primary focus of dietary guidelines is on meeting nutritional needs. Choice D is incorrect because while dietary guidelines may include nutrient recommendations, their primary focus is on overall dietary patterns rather than specific nutrient intake.

5. What dietary modification is important for a child with celiac disease?

A. Increase dairy intake
B. Avoid gluten-containing foods
C. Decrease protein intake
D. Increase fiber intake

Correct answer: B

Rationale: The correct answer is B: Avoid gluten-containing foods. For a child with celiac disease, it is crucial to eliminate gluten from their diet to manage the condition effectively. Gluten triggers an immune response in individuals with celiac disease, leading to symptoms and damage to the small intestine. Choices A, C, and D are incorrect because increasing dairy intake, decreasing protein intake, or increasing fiber intake are not specific dietary modifications for managing celiac disease.