MNT II Midterm Exam Practice Questions and Answers

©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 1/25 MNT II Midterm Exam Practice Questions and Answers What are the three domains of the nutrition care process? Which one of these domains is always prioritized? - Ans:-Intake, clinical, behavioral Intake The nutrition diagnosis is used to... - Ans:-describe alterations in the patient's nutritional status What is gender dysphoria? - Ans:-a discrepancy between gender identity and sex assigned at birth What are some barriers for RD's role in regard to performing optimal gender-affirming nutrition care? - Ans:-an absence of research, a lack of standardized practice guidelines, possible knowledge deficits among nutrition professionals True or false: Transgenders are at an increased risk for food insecurity. - Ans:-True ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/25 What are is one key change that occurs when a male is enduring feminizing hormone therapy (HT)? - Ans:--decrease in red blood cell count (RBC) What are some key changes that occur when a female is enduring masculinizing hormone therapy (HT)? - Ans:--An increase in lean body mass (LBM) -Possible increase in LDL-C and decrease in HDL-C -testosterone may have protective effect against loss of bone mineral density (BMD) -increase erythropoiesis In both genders, hormone therapy can ________ impact cardiovascular health. - Ans:-negatively In regard to the nutrition care process (NCP), how should you express data for transgenders? - Ans:- As a range between the female and male values (if transition has not taken place, use sex assigned at birth) What approaches may be ideal for transgender patients in regard to weight and diet? - Ans:- Weight-neutral & non diet approaches may be ideal *What are some challenges related to lactation for transgender men or transmasculine individuals? - Ans:-⚬swelling of breast tissue r/t milk production ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/25 establishing adequate latch and milk supply blocked ducts, mastitis, and/or reduced milk supply ↓ prolactin levels, ↓ milk supply, release of excess testosterone in milk supply swelling of breast tissue r/t milk production establishing adequate latch and milk supply blocked ducts, mastitis, and/or reduced milk supply ↓ prolactin levels, ↓ milk supply, release of excess testosterone in milk supply *Possible solutions for those practicing "chest" binding and for those who have undergone chest masculinization - Ans:-⚬consider binding for shorter periods of time or taking frequent breaks use less pressure when binding wait to bind until they've established a steady supply of milk molding and cupping of existing chest tissue using "sandwich" method use of nipple shield galactagogues ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/25 supplemental nursing aids *Challenges and possible solutions related to lactation for transgender women or transfeminine individuals: - Ans:-⚬initiation of milk production establishing milk supply protocols for initiating milk production used for cisgender, non birthing women ￭specific doses of estrogen and progesterone ￭use of galactagogues ￭frequent pumping to stimulate pro lactation hormones anti-androgen agent to suppress testosterone Bone consists of... - Ans:-an organic matrix (primarily collagen fibers and hydroxyapatite) (mostly calcium and phosphate)) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/25 What are the two types of bone tissue? - Ans:-cortical (compact) and trabecular ... exists in the ends of long bones (cancellous) Cortical (compact) bone tissue = 80% of skeleton ■Dense outer surface of bone ■Forms protective layer around internal cavity ■Slower remodeling Trabecular (cancellous) bone tissue = 20% of skeleton ■Exists in the knobby ends of long bones, iliac crest of pelvis, the wrists, scapulas, and vertebrae ■Spongy and less dense than cortical bone ■Loss of trabecular bone tissue late in life is largely responsible for fractures (especially spine) osteoblasts - Ans:-responsible for formation (or production) of bone tissue. B for "build" osteoclasts - Ans:-(responsible for bone resorption or breakdown of bone tissue) "C" for chew. Two hormones involved in serum calcium homeostasis - Ans:-⚬parathyroid hormone (PTH) an