Poor growth secondary to poor nutrition status is a common problem in pediatric patients with CP. Summarize at least three factors that may contribute to malnutrition and subsequent poor growth in CP
What will be an ideal response?
• Mechanical issues with chewing/swallowing (e.g. dysphagia) - tongue or teeth may be arranged in abnormal positions making it difficult to chew/swallow
• Limited self feeding ability - spasticity in the upper body may contribute, increasing the individual's reliance on assistance from a caregiver. They may also use adaptive eating utensils.
• Extended time needed to consume meals - can be exhausting and require patience for both the patient and caregiver
• Food refusal - this may be due to swallowing/aspiration issues which result in a refusal to eat/limiting of intake to protect oneself
• Limited physical activity - needed to promote proper and healthy accumulation of lean body mass (e.g. bone mineral density, skeletal muscle)
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DNA-coded instructions for protein synthesis consist of a sequence of ________ nucleotides per unit.
A. 2 B. 5 C. 3 D. 10
Which of the following approaches is likely to be helpful in implementing long-term dietary changes?
a. Insist that the individual get ready for change. b. Emphasize what not to eat, rather than what to eat. c. Encourage only one or two changes at a time. d. Visit the home and remove unsuitable foods.
Which hormone(s) trigger(s) the production of testosterone by the testes?
a. follicle-stimulating hormone only b. luteinizing hormone only c. progesterone only d. luteinizing hormone and progesterone e. follicle-stimulating hormone and luteinizing hormone
Which of the following is common nutritional problem that may occur in the patient with Alzheimer's disease?
a. Inability to limit food intake. b. Excessive weight gain. c. Impaired nutrient absorption. d. Inability to manipulate utensils prior to eating.