how should a nurse manage a child with a newly diagnosed congenital hypothyroidism
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HESI PN Nutrition Practice Exam

1. How should a healthcare provider manage a child with newly diagnosed congenital hypothyroidism?

Correct answer: B

Rationale: Correct Answer: Ensuring regular thyroid hormone replacement therapy is crucial for managing congenital hypothyroidism in children. This therapy supports normal growth and development by replacing the deficient thyroid hormones. Monitoring for signs of hyperactivity (Choice A) is not the primary management for congenital hypothyroidism; rather, the focus should be on addressing the hormone deficiency. Encouraging a high-calcium diet (Choice C) may not directly address the thyroid hormone deficiency characteristic of congenital hypothyroidism. Increasing physical exercise (Choice D) is not the mainstay treatment for this condition; hormone replacement therapy is the cornerstone of management.

2. Which of the following is considered a micronutrient?

Correct answer: C

Rationale: Corrected Question: Vitamin C is considered a micronutrient because it is required in small amounts for proper body functioning and is essential for health. Proteins, carbohydrates, and fats are macronutrients, needed in larger quantities for energy and other body functions. Vitamin C, being a micronutrient, plays a crucial role in various bodily functions even though it is needed in smaller quantities compared to macronutrients. Therefore, the correct answer is C. Choice A (Protein), Choice B (Carbohydrate), and Choice D (Fat) are incorrect as they are macronutrients required in larger amounts for energy and other body functions.

3. What does the term 'essential nutrient' refer to?

Correct answer: C

Rationale: The correct answer is C. An essential nutrient is a substance that is necessary for normal body functioning but cannot be synthesized in adequate amounts by the body, therefore it must be obtained from the diet. Choices A, B, and D are incorrect because essential nutrients are not synthesized by the body, they are necessary for body functioning, and they are not typically stored in the body for long periods.

4. What is the main purpose of Recommended Dietary Allowances (RDAs)?

Correct answer: A

Rationale: The main purpose of Recommended Dietary Allowances (RDAs) is to provide guidelines for nutrient intakes that meet the needs of most healthy people. Choice B is incorrect because RDAs aim beyond just survival requirements. Choice C is incorrect because establishing maximum safe levels is the role of Tolerable Upper Intake Levels (ULs). Choice D is incorrect because preventing chronic diseases is more associated with Dietary Reference Intakes (DRIs) like Adequate Intakes (AIs) and Tolerable Upper Intake Levels (ULs). Therefore, the correct answer is A.

5. Non-nutrient substances found in plant foods that may demonstrate biological activity in the body are commonly known as ___

Correct answer: C

Rationale: Phytochemicals are bioactive compounds found in plant foods that may affect health. They are known for their potential health benefits, such as antioxidant and anti-inflammatory properties. Choices A, B, and D are incorrect. 'Bioenhancements' is not a term used to describe non-nutrient substances in plant foods. 'Inorganic fibers' do not refer to bioactive compounds found in plants. 'Phytoactive chemicals' is not a commonly used term in nutrition science to describe these compounds.

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