C HAPTER 14: O BESITY
1. The nurse is teaching a class on obesity prevention to parents in the community.
What is a contributing factor to childhood obesity?
a. Birth weight
b. Parental overweight
c. Age at the onset of puberty
d. Asian ethnic background
ANS: B
There is a high correlation between parental adiposity and childhood
adiposity. Obese children do not have higher birth weights than nonobese
children. Early menarche is associated with obesity, but the age of puberty is
not a contributing factor. African Americans and Hispanics have
disproportionately high percentages of overweight individuals, but Asians do
not.
2. During a well-child visit, the nurse plots the childs BMI on the health record.
What is the purpose of the BMI?
a. To determine medication dosages
b. To predict adult height and weight
c. To identify coping strategies used by the child
d. To provide a consistent measure of obesity
ANS: D
A consistent measure of the degree of obesity is important to determine
whether modification of the body fat component is indicated. Body surface
, area (BSA), not BMI, is used for medication dosage calculation. The BMI is
not a predictor of adult height. A child with a high BMI may use food as a
coping mechanism, but the BMI is not correlated with coping strategy use.
3. During a well-child visit, the nurse practitioner provides guidance about
promoting healthy eating in a child who is overweight. What does the nurse
advise?
a. Slow down eating meals.
b. Avoid between-meal snacks.
c. Include low-fat foods in meals.
d. Use foods that child likes as special treats.
ANS: A
When a child slows down the eating process, it is easier to recognize signs of
fullness. If food is consumed rapidly, this feedback is lost. Regular meals and
snacks are encouraged to prevent the child from becoming too hungry and
overeating. Low-fat foods are usually higher in calories than the regular
versions. Nutritional labels should be checked and foods high in sugar and
calories avoided. Food should not be used as a special treat or reward; this
encourages the child to use food as comfort measures in response to boredo m
and stress.
4. The middle school nurse is planning a behavior modification program for
overweight children. What is the most important goal for participants of the
program?
a. Learn how to cook low-fat meals.
b. Improve relationships with peers.
c. Identify and eliminate inappropriate eating habits.
d. Achieve normal weight during the program.
1. The nurse is teaching a class on obesity prevention to parents in the community.
What is a contributing factor to childhood obesity?
a. Birth weight
b. Parental overweight
c. Age at the onset of puberty
d. Asian ethnic background
ANS: B
There is a high correlation between parental adiposity and childhood
adiposity. Obese children do not have higher birth weights than nonobese
children. Early menarche is associated with obesity, but the age of puberty is
not a contributing factor. African Americans and Hispanics have
disproportionately high percentages of overweight individuals, but Asians do
not.
2. During a well-child visit, the nurse plots the childs BMI on the health record.
What is the purpose of the BMI?
a. To determine medication dosages
b. To predict adult height and weight
c. To identify coping strategies used by the child
d. To provide a consistent measure of obesity
ANS: D
A consistent measure of the degree of obesity is important to determine
whether modification of the body fat component is indicated. Body surface
, area (BSA), not BMI, is used for medication dosage calculation. The BMI is
not a predictor of adult height. A child with a high BMI may use food as a
coping mechanism, but the BMI is not correlated with coping strategy use.
3. During a well-child visit, the nurse practitioner provides guidance about
promoting healthy eating in a child who is overweight. What does the nurse
advise?
a. Slow down eating meals.
b. Avoid between-meal snacks.
c. Include low-fat foods in meals.
d. Use foods that child likes as special treats.
ANS: A
When a child slows down the eating process, it is easier to recognize signs of
fullness. If food is consumed rapidly, this feedback is lost. Regular meals and
snacks are encouraged to prevent the child from becoming too hungry and
overeating. Low-fat foods are usually higher in calories than the regular
versions. Nutritional labels should be checked and foods high in sugar and
calories avoided. Food should not be used as a special treat or reward; this
encourages the child to use food as comfort measures in response to boredo m
and stress.
4. The middle school nurse is planning a behavior modification program for
overweight children. What is the most important goal for participants of the
program?
a. Learn how to cook low-fat meals.
b. Improve relationships with peers.
c. Identify and eliminate inappropriate eating habits.
d. Achieve normal weight during the program.
