HNF 463 Dr. L. Weatherspoon

SAMPLE TEST I

Your Name & PID # ______

SECTION 1 - NON- ESSAY TYPE QUESTIONS TO BE ANSWERED ON SCANTRON

CHOOSE THE ANSWER WHICH BEST FITS AFTER READING THE QUESTIONS CAREFULLY!

1.The U.S. Department of Agriculture has published dietary guidelines, which are designed to help Americans:

a. ensure an adequate intake of all the necessary nutrients

b. reduce the risk of diseases such as heart disease and certain types of cancer

c. learn the caloric and fat content of foods

d. prevent vitamin deficiencies

e. all of the above

2.The Recommended Dietary Allowances may be used to:

a. measure nutrient balanceb. maintain nutrient adequacy

c. treat persons with a diet related illnessd. calculate food calories

e. all of the above

3.All of the following are known credible sources of nutrition information except:

a. The American Dietetics Association

b. The Food and Drug Administration

c. The U.S.D.A.

d. Health Food Store Customer Advisor

e. all of the above are credible

4. The NLEA became mandatory in which year?

a. 1991 b. 1992

c. 1993 d. 1994

e. 1995

5. The RDA is usually revised or re-examined every __ years?

a. 3 b. 5

c. 7 d. 9

e. 10

6. According to the U.S. Dietary Guidelines, which Dr. Weatherspoon asked us to read, for those who consume alcohol, moderation is advised. Which of the following statements is true?

a. A moderate intake is 2 or fewer "drinks" per day.

b. Beer is not considered an alcoholic beverage because it is mostly water.

c. An average serving of red wine is 1.5 oz per glass.

d. Men need to be more careful than women, since the effects are worse in men.

  1. A low birth weight infant is defined as one who weighs ______or less.

a. 1500g (3.3 lbs)b. 2000g (4.4 lbs)

c. 2300g (5.1 lbs)d. 2500g (5.5 lbs)

8. All of the following are true concerning the placenta except:

a. it has a rich supply of both the mother and baby's blood vessels

b. it allows the exchange of materials between mother and baby

c. it is the site for hormone production

d. the fetus receives nutrients and carbon dioxide across the placenta

e. the mother's blood picks up waste material through the placenta to be excreted via her kidneys and lungs

9. During pregnancy the mother's body undergoes all of the following changes except:

a. grows the placenta

b. the uterus increases in size to accommodate the growing fetus

c. breasts become full in preparation for lactation

d. blood volume decreases

  1. Folic acid supplements are recommended and often prescribed for the pregnant woman.

a. Trueb. False

  1. Individual food cravings during pregnancy reflect real physiological needs.

a. Trueb. False

  1. A woman who craves non-nutritious substances during pregnancy:

a. will get the iron or zinc she may need from the substance she eats

b. is experiencing pica

c. is experiencing an adaptive behavior which is acceptable and beneficial

d. a and b

e. b and c

  1. Pregnant women should not exercise because it may harm the baby.

a. Trueb. False

  1. Of the following nutrient needs, which one would be the most difficult to meet from the diet in pregnancy?

a. Iron b. Protein

c. Vitamin Dd. Vitamin B-6

e. Protein

  1. This is a form of toxigenicity in pregnancy which may be caused by exposure to a cat who is a carrier of this disease microrganism.

a. cytomegalovirus

b. AIDS

c. toxoplasmosis

d. rubella

  1. Mrs. X is 30 year old multiparous woman who is pregnant. Her pregnancy weight was 140 lbs and her height is 5 ft 3 inches. The weight gain recommended for her is

25-35 lbs. This is the appropriate recommended weight gain to ensure a healthy pregnancy..

a. Trueb. False

17. All pregnant women should be screened for diabetes at about the 6th month?

a. Trueb. False

  1. Oral contraceptives may affect lactation and are therefore never prescribed.

a. Trueb. False

  1. In gestational diabetes, treatment is usually diet alone, then diet plus oral tablets and if both of these do not work then the woman is put onto insulin plus a diet.

a. Trueb. False

  1. The two nutrients which must be provided as a supplement in pregnancy are:

a. Iron and Protein

b. Folic Acid and Vitamin B-12

c. Iron and Folic Acid

d. Protein and Vitamin B-12

21. A craving for non-food substances is known as

a. eclampsia

b. pica

c. toxemia

d. hyperemesis

22. Which of the following contributes to the most weight gain in pregnancy other than the baby itself or the mother’s fat stores?

a. blood volume

b. expanded uterus and muscles

c. mother’s breast tissue

d. amniotic fluid

23. Which of the following is one of the recommendations to treat heartburn in pregnancy?

a. eat smaller more frequent mealsb. Drink fluids only with meals

c. Lie down within 15 minutes after eatingd. exercise within 30 minutes of eating

24. Laboratory norms for Fe in pregnancy are often lower than for non-pregnant women due to

a. nutritional deficiencies occurring during pregnancy

b. hemodilution

c. increased levels of blood proteins

d. poor iron status

e. food aversions

Match the hormone on the left with the most likely function on the right.

25. Placental lactogena. promotes maternal fat stores

26. Estrogenb. growth

27. Progesteronec. marker for pregnancy in the urine

28. Normal blood pressure is usually around 120/80 mg Hg. In pregnancy a doctor should be concerned if the systolic blood pressure is ______mg Hg?

a. 5b. 10c. 15 d. 20 e. 25

29. In order to detect genetic disorders, chorionic villus sampling is not as safe as amniocentesis because the chorion is closer to the baby.

a. Trueb. False

30. Edema is an example of clinical assessment in pregnancy.

a. Trueb. False

SECTION II - ESSAY TYPE QUESTIONS TO BE ANSWERED ON SHEET PROVIDED. PLEASE WRITE LEGIBLY. AT MINIMUM ATTEMPT ALL QUESTIONS UNLESS THERE IS A CHOICE. IF YOU HAVE A CHOICE AND YOU ANSWER ALL THE QUESTIONS, THEN THE ANSWERS WILL BE GRADED AS THE FIRST SET TO MEET THE REQUIREMENT. (20 its.)

A. Definitions

1. Define 5of the following (5 its.):

neonatal

critical period

primigravida

nulliparous

macrosomia

mesoderm

2. If a pregnant woman were anemic and reacts to ferrous sulphate supplements, how much ferrous gluconate would she need to have in the initial stages of supplementation and why? (2)

3. The ecological approach is important in nutrition management and care. Name three factors which would be incorporated in the ecological approach. (3)

4. Explain how and why undernutrition e.g in a restricted maternal diet during pregnancy might affect growth of the fetus i.e. what physiological impact does it have? (5)

5a. Name two groups of people who are more likely to breast feed in the US (2)

5b. What are at least 3 benefits of breastfeeding for the mother? (3)