WGU NUTRITION D440 STUDY GUIDE COMPREHENSIVE
QUESTION AND VERIFIED CORRECT ANSWERS (GRADED
A+) 2024 UPDATE
How do we assess nutritional status? - (correct answer) Physical appearance
(health of eyes and hair)
anthropometric measurements (weight, body composition)
biochemical markers (blood lipid levels, iron status)
What is recommended for an infant diet during the first year of life? - (correct answer)
Breastfeed for at least the first full year of life, and supplement with a vitamin K shot at
birth and daily vitamin D drops
What is recommended for a child who is not breastfeeding? - (correct answer) Use
iron-fortified formula for any infant who is not breastfeeding
Underweight - (correct answer) BMI under 18.5
Normal weight - (correct answer) 18.5-24.9
Overweight - (correct answer) 25-29.9
Obese - (correct answer) BMI over 30
Extremely Obese - (correct answer) BMI > 35
Calculate BMI - (correct answer) weight (kg) / height (m^2)
weight management strategies and actions - (correct answer) Management of the
eating behavior (food diary, where why, how, and how much)
Promoting physical activity to increase energy output
Pursuit of emotional (stress), social, and psychologic health
Define problem behavior
Record and Analyze Baseline Behavior
Plan a Behavior Management Strategy
What age should water and juice be avoided? - (correct answer) Water and juice are
unnecessary for the breastfed infants during the first 6 months of life
When should you introduce cow's milk? - (correct answer) at the end of the first
year. Provide whole milk, not reduced-fat or fat-free milk, until 2 years of age
What allergens should be avoided as first solid foods? - (correct answer) wheat, egg
white, citrus juice, and nuts
,What should you not give a child under one year of age to avoid botulism toxicity? -
(correct answer) Honey and corn syrup
Which foods should be avoided until children are older because they are a choking
hazard? - (correct answer) hot dogs, nuts, grapes, carrots, popcorn, cherries,
peanut butter, and round candy
What are the energy needs of an infant? - (correct answer) 80-120 calories per kg of
body weight
What protein source do babies need the first 6 months of life? - (correct answer)
breastmilk
What protein sources do babies need after 6 months of life? - (correct answer)
Ground turkey, chicken, cheese, yogurt, and other dairy products
What percent of daily calories are recommended for carbohydrates? - (correct
answer) 45-65%
What percent of daily calories are recommended for fats? - (correct answer) 20-35%
What percent of daily calories are recommended for proteins? - (correct answer) 10-
35%
What is needed prenatally for a client? - (correct answer) Folate, Vitamin D, and
Choline
What are some risks with teen pregnancy? - (correct answer) increased rates of low
birth weight, preterm delivery, and infant mortality.
How many calorie should be added to a diet of a pregnant woman in the first trimester?
- (correct answer) none
How many calories should be added to a diet of a pregnant woman in the second
trimester? - (correct answer) +300 kcal/day
How many calories should be added to the diet of a pregnant woman in the third
trimester? - (correct answer) +500 kcal/day
What is the carb requirement for the diet of a pregnant woman? - (correct answer)
Minimum carb req. increases from 130 g/day to 175 g/day. Focus on whole grains,
legumes, fruits, and vegetables.
What is the fat requirement for the diet of a pregnant woman? - (correct answer)
Minimum fat req. increases from 12 g/d to 13 g/d
, What is the alpha-linolenic acid requirement for the diet of a pregnant woman? -
(correct answer) alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d -
What foods can add alpha-linolenic acid to the diet? - (correct answer) flax, chia,
canola, walnut, soybean oil
How much protein should be consumed in the diet of a pregnant woman? - (correct
answer) Protein - 46 g/day to 71 g/day
What protein should pregnant women consume to meet their daily requirements? -
(correct answer) - eggs, milks, beef, poultry, fish, pork, cheese, soy products, and
other animal products
What additional nutrients are needed for the diet of a pregnant woman? - (correct
answer) Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
What is the role of folic acid in pregnancy? - (correct answer) Folic acid - Important
for DNA synthesis, cell division, and hemoglobin synthesis
When is folic acid most important for a developing fetus? - (correct answer)
Important 2 months prior to week 6 of gestation to ensure adequate nutrient availability
in the endometrial lining of the uterus for embryonic tissue development.
What does folic acid do for the developing fetus? - (correct answer) The neural tube
forms during the critical period from 21 to 28 days gestation and it grows into the mature
infant's spinal column and its network of nerves. Full closure of the neural tube requires
sufficient folate.
What is the recommended calorie increase for a breastfeeding mom during the first six
months of breastfeeding? - (correct answer) 1st 6 months: 330 kcal/day (plus 170
kcal/day from maternal stores)
What is the recommended calorie increase for a breastfeeding mom after the first 6
months of breastfeeding? - (correct answer) 400 kcal/day
What is the recommended fluid intake for breastfeeding mothers? - (correct answer)
3L/day
What considerations do you need to take when doing nutritional education to clients of
differing religions and cultures? - (correct answer) Consider food restrictions on
certain days, certain foods, liquids (alcohol and caffeine), how the food is prepared
(certain foods mixed and how the food is cooked)
What is dysphagia and where is it typically seen? - (correct answer) Difficulty
swallowing - chronic, common among patients with Alzheimer's, Parkinson's, and stroke
QUESTION AND VERIFIED CORRECT ANSWERS (GRADED
A+) 2024 UPDATE
How do we assess nutritional status? - (correct answer) Physical appearance
(health of eyes and hair)
anthropometric measurements (weight, body composition)
biochemical markers (blood lipid levels, iron status)
What is recommended for an infant diet during the first year of life? - (correct answer)
Breastfeed for at least the first full year of life, and supplement with a vitamin K shot at
birth and daily vitamin D drops
What is recommended for a child who is not breastfeeding? - (correct answer) Use
iron-fortified formula for any infant who is not breastfeeding
Underweight - (correct answer) BMI under 18.5
Normal weight - (correct answer) 18.5-24.9
Overweight - (correct answer) 25-29.9
Obese - (correct answer) BMI over 30
Extremely Obese - (correct answer) BMI > 35
Calculate BMI - (correct answer) weight (kg) / height (m^2)
weight management strategies and actions - (correct answer) Management of the
eating behavior (food diary, where why, how, and how much)
Promoting physical activity to increase energy output
Pursuit of emotional (stress), social, and psychologic health
Define problem behavior
Record and Analyze Baseline Behavior
Plan a Behavior Management Strategy
What age should water and juice be avoided? - (correct answer) Water and juice are
unnecessary for the breastfed infants during the first 6 months of life
When should you introduce cow's milk? - (correct answer) at the end of the first
year. Provide whole milk, not reduced-fat or fat-free milk, until 2 years of age
What allergens should be avoided as first solid foods? - (correct answer) wheat, egg
white, citrus juice, and nuts
,What should you not give a child under one year of age to avoid botulism toxicity? -
(correct answer) Honey and corn syrup
Which foods should be avoided until children are older because they are a choking
hazard? - (correct answer) hot dogs, nuts, grapes, carrots, popcorn, cherries,
peanut butter, and round candy
What are the energy needs of an infant? - (correct answer) 80-120 calories per kg of
body weight
What protein source do babies need the first 6 months of life? - (correct answer)
breastmilk
What protein sources do babies need after 6 months of life? - (correct answer)
Ground turkey, chicken, cheese, yogurt, and other dairy products
What percent of daily calories are recommended for carbohydrates? - (correct
answer) 45-65%
What percent of daily calories are recommended for fats? - (correct answer) 20-35%
What percent of daily calories are recommended for proteins? - (correct answer) 10-
35%
What is needed prenatally for a client? - (correct answer) Folate, Vitamin D, and
Choline
What are some risks with teen pregnancy? - (correct answer) increased rates of low
birth weight, preterm delivery, and infant mortality.
How many calorie should be added to a diet of a pregnant woman in the first trimester?
- (correct answer) none
How many calories should be added to a diet of a pregnant woman in the second
trimester? - (correct answer) +300 kcal/day
How many calories should be added to the diet of a pregnant woman in the third
trimester? - (correct answer) +500 kcal/day
What is the carb requirement for the diet of a pregnant woman? - (correct answer)
Minimum carb req. increases from 130 g/day to 175 g/day. Focus on whole grains,
legumes, fruits, and vegetables.
What is the fat requirement for the diet of a pregnant woman? - (correct answer)
Minimum fat req. increases from 12 g/d to 13 g/d
, What is the alpha-linolenic acid requirement for the diet of a pregnant woman? -
(correct answer) alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d -
What foods can add alpha-linolenic acid to the diet? - (correct answer) flax, chia,
canola, walnut, soybean oil
How much protein should be consumed in the diet of a pregnant woman? - (correct
answer) Protein - 46 g/day to 71 g/day
What protein should pregnant women consume to meet their daily requirements? -
(correct answer) - eggs, milks, beef, poultry, fish, pork, cheese, soy products, and
other animal products
What additional nutrients are needed for the diet of a pregnant woman? - (correct
answer) Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
What is the role of folic acid in pregnancy? - (correct answer) Folic acid - Important
for DNA synthesis, cell division, and hemoglobin synthesis
When is folic acid most important for a developing fetus? - (correct answer)
Important 2 months prior to week 6 of gestation to ensure adequate nutrient availability
in the endometrial lining of the uterus for embryonic tissue development.
What does folic acid do for the developing fetus? - (correct answer) The neural tube
forms during the critical period from 21 to 28 days gestation and it grows into the mature
infant's spinal column and its network of nerves. Full closure of the neural tube requires
sufficient folate.
What is the recommended calorie increase for a breastfeeding mom during the first six
months of breastfeeding? - (correct answer) 1st 6 months: 330 kcal/day (plus 170
kcal/day from maternal stores)
What is the recommended calorie increase for a breastfeeding mom after the first 6
months of breastfeeding? - (correct answer) 400 kcal/day
What is the recommended fluid intake for breastfeeding mothers? - (correct answer)
3L/day
What considerations do you need to take when doing nutritional education to clients of
differing religions and cultures? - (correct answer) Consider food restrictions on
certain days, certain foods, liquids (alcohol and caffeine), how the food is prepared
(certain foods mixed and how the food is cooked)
What is dysphagia and where is it typically seen? - (correct answer) Difficulty
swallowing - chronic, common among patients with Alzheimer's, Parkinson's, and stroke
