Вигодовування та харчування дітей раннього віку _Feeding and nutrition of children_Вскармливание и питание детей раннего возраста 3 курс медичного факультету Текстові тестові завдання 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. How many times per day does the child aged 3 months need breast feeding? A. 2 B. 3 C. 4 D. 5 E. 6 Answer: E What is the age for classical additional food per month? A. A 1-3 B. B 4-6 C. C 7-9 D. D 10-12 E. 0-1 Answer: A An increased amount of alpha lactose the protein to lipid to carbohydrate ratio of a child should equal A. 1:3:6 B. 1:3.5:5 C. 1:2:6 D. 1:3:8 E. 1:4:8 Answer: A The benefits of early breast feeding are A. All of the mention B. Stimulation of secretion of breast milk C. Helps in forming a psycho-emotional like between the mother and child D. Speeds up the disconnection of the placenta E. Helps in forming the micro flora of the GI tract Answer: A Human milk contains: A. 3.5 % of proteins B. 2.5 % of proteins C. 1.5 % of proteins D. 0.5 % of proteins E. 1 % of proteins Answer: A What baby’s reflexes are concerned with breast-feeding? A. rooting reflex, sucking reflex, swallowing reflex B. prolactin reflex, letdown reflex C. sucking reflex, sneezing and coughing reflexes D. rooting reflex, crawling reflex, dancing reflex E. Babinski’s reflex Answer: A What are the absolute contraindications to breast-feeding? A. Cleft lip and cleft palate B. Substance-abused mother C. Sore or cracked nipples in the mother D. Hypergalactosaemia, phenylketonuria, lactose intolerance E. Jaundice from breast-feeding Answer: A What are the intervals between feedings in 3 months old formulated baby? A. 3.5 hrs. B. 2.5 hrs. C. 3 hrs. D. 4 hrs. E. 4.5 hrs. Answer: A What is the volume of milk per 1 feeding for 4.5 months old infant (birth weight 9250 g)? A. 178 ml B. 184 ml C. 180 ml D. 188 ml E. 190 ml Answer: A The adequacy of breast-feeding is assessed by: 1 infant’s sleep between feedings weight gain episodes of respiratory diseases during 1 year of life a number of urinations per day duration of jaundice neonatorum Answer: A What formulas can you choose for premature and low-birth-weight infants? A. NAN H.A.1; Alfare B. NAN, Enfamil C. Similac, Nestogen D. HIPP alactose, Isomil E. pre NAN, Nutrilon neonatal Answer: D What formulas can you choose for children with homocystinuria? A. Low Methionine Diet Powder B. NAN, Enfamil C. Similac, Nestogen D. Prosobee, Isomil E. Lofenalac, Phenyl-free Answer: A “Control weighing” – it means measurement the weight of the child: A. before and after feeding B. in the evening before sleeping C. before feeding in the morning D. 3 times during a day E. every time after feeding Answer: A What are the intervals between feedings in 1.5 months breastfed baby? A. 3 hrs. B. 2 hrs. C. 3.5 hrs. D. 4 hrs. E. 4.5 hrs. Answer: A What is the volume of milk per 1 feeding for 3.5 months old infant (birth weight 3200 g)? A. 160 ml B. 200 ml C. 80 ml D. 140 ml E. 120 ml Answer: A The adequacy of breast-feeding is assessed by: A. a number of stools per day B. a number of urinations per day C. muscle tone D. time of first steps E. test feed Answer: A What formulas can you сhoose for full-term infants with no special nutritional requirements? A. NAN, Enfamil B. NAN H.A.1; Alfare C. Similac, Nestogen D. HIPP alactose, Isomil E. preNAN, Nutrilon neonatal Answer: A What type of foods have to be avoided from diet in children with galactosemia? A. Milk B. Corn C. Meat D. Rice E. Soya Answer: A Human milk contains: A. 7-7.5 % of carbohydrates B. 0.5-1 % of carbohydrates C. 1-1.5 % of carbohydrates D. 3-3.5 % of carbohydrates A. B. C. D. E. 11. 12. 13. 14. 15. 16. 17. 20. 21. 2 E. 4-4.5 % of carbohydrates 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Answer: A What factors of immune defense are present in breast milk? A. T-lymphocytes and B-lymphocytes, IgA and IgG B. IgA and IgG C. T-lymphocytes and B-lymphocytes, IgE and IgM D. T-lymphocytes and B-lymphocytes E. IgA, IgE, IgM, and IgG Answer: A What are the absolute contraindications for breast-feeding from the side of mother? A. Drugs-abused mother B. Cleft lip and cleft palate C. Sore or cracked nipples in the mother D. Hypergalactosaemia, phenylketonuria, lactose intolerance E. Jaundice from breast-feeding Answer: A What is the number of daily feedings on the 3rd-4th months of child’s life in case of artificial feeding? A. 6 feedings per day B. 8 feedings per day C. 7 feedings per day D. 5 feedings per day E. 4 feedings per day Answer: A What is the volume of milk per day for 6.5 months old infant (birth weight 3200 g)? A. 900 ml B. 955 ml C. 1000 ml D. 1025 ml E. 1100 ml Answer: C Give recommendations to mom how to avoid regurgitation in her baby? A. give breast-feeding for 25 min B. provide good attachment to the breast C. increase the intervals between feedings in 0.5 hr. D. decrease the intervals between feedings in 0.5 hr. E. burp the child after each feeding Answer: A What formulas can you choose for children with strong family allergy (from birth)? A. HIPP alactose, Isomil B. NAN H.A.1; Alfare C. NAN, Enfamil D. Similac, Nestogen E. preNAN, Nutrilon neonatal Answer: A What formulas can you choose for children with PKU? A. Lofenalac, Phenyl-free B. Pregestimil; Alfare C. NAN, Enfamil D. Similac, Nestogen E. Prosobee, Isomil Answer: A What is the required daily volume of food in infants 8 weeks to 4 months of age? A. 1/6 of baby’s weight (in grams) B. 1/4 of baby’s weight (in grams) C. 1/5 of baby’s weight (in grams) D. 1/7 of baby’s weight (in grams) E. 1 L/day Answer: A What formulas can you choose for infants with malabsorption syndrome? A. HIPP alactose, Isomil B. NAN, Enfamil C. Similac PM 60/ 40 D. Pregestimil; Alfare E. NAN H.A.1, Lonalac Answer: A What is the required daily volume of food in infants 5 – 6 months of age? A. 1/7 of baby’s weight (in grams) B. 1/3 of baby’s weight (in grams) 3 C. 1/5 of baby’s weight (in grams) D. 1/6 of baby’s weight (in grams) E. 1 L/day 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. Answer: A What are the temporary contraindications to breast-feeding from the side of mother? A. Substance-abused mother B. Cleft lip and cleft palate C. Sore or cracked nipples in the mother D. Hypergalactosaemia, phenylketonuria, lactose intolerance E. Jaundice from breast-feeding Answer: A What is the number of daily feedings on the 3rd-4th months for breastfed child? A. 6 feedings per day B. 8 feedings per day C. 7 feedings per day D. 5 feedings per day E. 4 feedings per day Answer: A What formulas can you choose for infants with impaired renal function predisposed to hypocalcaemia? A. Similac PM 60/ 40 B. NAN H.A.1; Alfare C. NAN, Enfamil D. HIPP alactose, Isomil E. Lonalac Answer: A What is the required daily volume of food in infants 6 months – 1 year of age? A. 1 L/day B. 1/4 of baby’s weight (in grams) C. 1/5 of baby’s weight (in grams) D. 1/6 of baby’s weight (in grams) E. 1/7 of baby’s weight (in grams) Answer: A What are the temporary contraindications to breast-feeding from the side of infant? A. Jaundice from breast-feeding B. Cleft lip and cleft palate C. Sore or cracked nipples in the mother D. Drugs-abused mother E. Hypergalactosaemia, phenylketonuria, lactose intolerance Answer: A What are the intervals between feedings in 3 months old breast-feeding baby? A. 3.5 hrs. B. 2.5 hrs. C. 3 hrs. D. 4 hrs. E. 4.5 hrs. Answer: A What is the volume of milk per 1 feeding for 4.5 month- old infant (birth weight 2950 g)? A. 178 ml B. 180 ml C. 184 ml D. 188 ml E. 190 ml Answer: A What peculiarities of fats composition of breast milk? A. presence of linoleic and arahidonic fatty acids B. high content of saturated lipids C. presence of stomach lipase D. presence of ‘mothers’ lipase E. digesting of milk fats in baby’s stomach Answer: A What formulas can you choose for infants with hypergalactosemia? A. HIPP alactose, Isomil B. NAN H.A.1; Alfare C. NAN, Enfamil D. Similac, Nestogen E. pre NAN, Nutrilon neonatal Answer: A What is the caloric requirement of an infant 4 – 6 months old? 4 A. B. C. D. E. 42. 43. 44. 45. 46. 47. 48. 49. 50. 120 kcal/kg/day 125 kcal/kg/day 115 kcal/kg/day 110-105 kcal/kg/day 80-85 kcal/kg/day Answer: A What are the intervals between feedings in 3 months old formula fed baby? A. 3.5 hrs. B. 2.5 hrs. C. 3 hrs. D. 4 hrs. E. 4.5 hrs. Answer: A What is the volume of milk per 1 feeding for 4.5 months old infant (birth weight 9250 g)? A. 190 ml B. 178 ml C. 180 ml D. 184 ml E. 188 ml Answer: A What peculiarities of fats composition of breast milk? A. presence of linoleic and arahidonic fatty acids B. high content of saturated lipids C. presence of stomach lipase D. presence of ‘mothers’ lipase E. digesting of milk fats in baby’s stomach Answer: A What dilution of cow’s milk is required during first 10 days of child’s life? A. 2 parts of cow’s milk and 1 part of water B. 1 part of cow’s milk and 2 parts of water C. 1 part of cow’s milk and 1 part of water D. Dilution of milk is forbidden E. 1 part of cow’s milk and 3 parts of water Answer: A What formulas can you choose for infants with hypergalactosemia? A. HIPP alactose, Isomil B. NAN H.A.1; Alfare C. NAN, Enfamil D. Similac, Nestogen E. preNAN, Nutrilon neonatal Answer: A What is the caloric requirement of an infant 4 – 6 months old who receive mixed feeding? A. 120 kcal/kg/day B. 125 kcal/kg/day C. 115 kcal/kg/day D. 110-105 kcal/kg/day E. 80-85 kcal/kg/day Answer: A What is the indication for use of soy based formula? A. lactose intolerance B. obesity C. vomiting D. iron insufficiency E. premature infant Answer: A Which formula is the most suitable for baby with complicated gastrointestinal disorder? A. Humana-HN B. Similac C. Nutramigen D. Prosobee E. Isoyalac Answer: A How many feedings are necessary for formula feeding babies of 5 months of life? A. 5 B. 8 C. 7 D. 6 5 E. 4 51. 52. 54. 55. 56. 57. 58. 59. 60. 61. Answer: A At which month of baby life you can introduce the first weaning? A. 6 B. 4 C. 5 D. 7 E. 8 Answer: A What is the characteristic of cow milk based formula Similac PM60/40? A. has decreased calcium, phosphorus and potassium lactose free B. content C. has increased calcium, phosphorus and potassium content D. has increased sodium content E. decreased sodium content Answer: A How many stages of weaning? A. 3 B. 1 C. 2 D. 4 E. 5 Answer: A How many times a day should 3 months old baby be fed according to formula feeding? A. 6 B. 5 C. 7 D. 8 E. 9 Answer: A Which formula is suggested to the baby with diarrhea? A. Humana HN-MST B. Neocate C. Nutramigen D. Protagen E. Similac At which month of baby life can introduce the second weaning (formula feeding)? A. 6 B. 3 C. 4 D. 5, 5 E. 7 Answer: A Baby at 3 months old with birth weight 3200g, how much of daily food should he take? A. 900g/day B. 700g/day C. 890g/day D. 910g/day E. 920g/day Answer: A The artificial milk contains all important elements of nutrition except of: A. cellulose B. calcium C. iron D. triglycerides E. lactose Answer: A The age of child N. is 7 months. What total volume of food has to be given to the child per day? A. 1000ml B. 500ml C. 600ml D. 1200ml E. 1500ml Answer: A The age of child X is 6 months. What amount of vegetable puree that should be given to the child on formula feeding? A. 50-150 gm. B. 20-30gm 6 C. 70-80gm D. 90-120gm E. 105-115gm 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. Answer: A When should egg yolk be given to a child (artificial feeding)? A. 7months B. 5months C. 6months D. 9-9.5months E. 8months Answer: A When should soft cheese be recommended for a child? A. 6.5-7.5months B. 3-4months C. 1year D. 11months E. 9months Answer: A From which month of life should be started weaning for child on artificial feeding? A. 5/5th month B. 1year C. 4-5month D. by the end of 8th month E. after 3rd month Answer: A Till which month of child’s life must not be used products like bread, biscuit or toasts? A. 8th month B. 11th month C. 3rd month D. 2nd month E. 7th month Answer: A For a child of 11months the percentage of cereal based food boiled in milk{porridge} must be: A. 10% B. 15% C. 20% D. 50% E. 5% Answer: A How many times of milk feeding for children from 6th month till 1 year of age must include minimum ? A. 2times B. 5times C. 1time D. 7times E. 12times Answer: A Protein rich substances like egg yolk can be started from A. 7nd month B. 1st month C. 10th month D. 2th month E. 3rd month Answer: A The quantity of breast milk decreases gradually at the end of A. 1 year B. 9months C. 11months D. 10 months. E. 2 years Answer: A Daily volume of food given to a child after 6 months must not be more than A. 1000ml B. 500ml C. 800ml D. 200ml E. 1500ml Answer: A At what age can be given fruit purée to the child? 7 A. B. C. D. E. 72. 73. 74. 75. 76. 77. 78. 79. 80. 6months 3months 10months 7months 1year Answer: A Amount of introducing solids to infants should be A. 5-10ml B. 15-20ml C. 30ml D. 25ml E. 50ml Answer: A At what child’s age should be given vegetable puree? A. 6months B. 9months C. 3months D. 1 year E. 8 months Answer: A When does the neuromuscular development advances are sufficiently enough so that pureed solids can be swallowed? A. 6 months B. 1year C. 8 months D. 4 months E. 2 months Answer: A At what child’s age a mother can feed meat to her child in breast feeding? A. 6.5-7 months B. 10-12 months C. 2-3 months D. 4.5-5months E. 12 months Answer: A Which one of the following is present in egg yolk? A. all is present B. proteins C. fats D. phosphorus E. vitamins Answer: A Which one of these is potential allergen to infants? A. oranges B. onion C. meat D. potato E. yoghurt Answer: A When vegetable purees can be given to an infant on artificial feeding? A. 5.5months B. 2months C. 3months D. 8months E. 10months Answer: A We can start giving fruit juice to baby at the age of : A. 6 months B. 3 months C. 9 months D. 10 months E. 11 months Answer: A What part of the daily ration in mixed feeding type natural is made up of breast milk A. 2/3 B. 1/4 C. 1/3 D. 1/6 8 E. 1/5 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. Answer: A What part of the daily ration consists natural milk in mixed feeding type directly to breast feeding A. 2/3 B. 1/5 C. 1/2 D. 1/3 E. 1/7 Answer: A A control weight test is conducted during A. Natural feeding B. Artificial feeding C. Mixed feeding D. Mixed feeding type artificial E. All type of feeding Answer: A Accessory food are given A. In between breast feeding B. After breast feeding C. Before breast feeding D. Instead of breast feeding E. Instead of 3-4th breast feeding Answer: A How many times should be fed a 1month child on artificial feeding type ? A. 7 times every 3 hours B. 7 times every 3.5 hours C. 6 times every 3.5 hours D. 6 times every 4 hours E. 5 times every 4 hours Answer: A How many times should fed 2 month-old child on artificial feeding? A. 7 times every 3 hours B. 7 times every 3.5 hours C. 6 times every 3.5 hours D. 6 times every 4 hours E. 5 times every 4 hours Answer: A How many times should be fed 3.5 month- old child on artificial feeding? A. 6 times every 3.5 hours B. 7 times every 3 hours C. 7 times every 3.5 hours D. 6 times every 4 hours E. 5 times every 4 hours Answer: A Which of the following conditions requires special utensils to breast feed a baby? A. Cleft lips palate B. Subfebrility C. A fungal infection D. Stomatitis E. Exudate catarrhal diathesis Answer: A An accessory food is A. Egg yolk, cheese B. Vegetable pure C. Juices, fruit puree D. Vegetable puree, grains E. Addition of formulas to breast milk Answer: A What is the daily ration of protein for a child 7.5 months old on mixed feeding type? A. 3g/kg B. 4g/kg C. 5g/kg D. 6g/kg E. 7g/kg Answer: A What is the daily requirement in protein for a child 7.5 months old on mixed feeding type ? A. 3g/kg-3.5 B. 4g/kg 9 C. 5g/kg D. 6g/kg E. 7g/kg 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. Answer: A Until what time during mixed feeding do we give sweet substance? A. 4-6 months B. 2-3 days C. 2-3 weeks D. 1-1.5 months E. 2-3 months Answer: A The reason of primary hypogalatia is A. Neuro-Humeral disorders B. Cracks of nipples C. Inadequate diet of the mother D. Flat nipples E. Not keeping a daily regimen Answer: A A control weight test is conducted A. 4 times per month B. Every day C. 2 times per week D. 1 time per month E. 2 times per month Answer: A The daily requirement of protein of a 4 month child on mixed feeding type natural? A. 3.5-4 g/kg B. 1-1.5 g/kg C. 2.5-3 g/kg D. 2-2.5 g/kg E. 4.5-5 g/kg Answer: A The daily requirement of protein of a 4 month old child on mixed feeding type artificial? A. 1-1.5 g/kg B. 2-2.5 g/kg C. 2.5-3 g/kg D. 3.5-4 g/kg E. 4.5-5 g/kg Answer: A The daily requirement of protein of a 4 to 9 month old child on mixed feeding type natural? A. 3.-3.5 g/kg B. 5.5-6 g/kg C. 6-6.5 g/kg D. 6.5-7 g/kg E. 7-7.5 g/kg Answer: A The daily requirement of protein of a 4 to 9 month old child on mixed feeding type artificial? A. 3-4 g/kg B. 5.5-6 g/kg C. 6-6.5 g/kg D. 6.5-7 g/kg E. 7-7.5 g/kg Answer: A The daily requirement of calories for a child on the first half year of live on mixed feeding type artificial? A. 125 calories/per day B. 110 calories/per day C. 115 calories/per day D. 100 calories/per day E. 130 calories/per day Answer: A The daily requirement of calories for a child in the first 2 month of live on mixed feeding type natural A. 115 calories per day B. 110 calories per day C. 120 calories per day D. 125 calories per day E. 130 calories/per day Answer: A In which term should fruit juices be given to children who are mixed-fed? 10 A. B. C. D. E. 5.5 month 2 weeks 1 month 3 month Older than 6 month Answer: A 11