560H DEVELOPMENTAL NUTRITION
MIDTERM AND FINAL EXAM QUESTIONS
AND ANSWERS
T/F: It is easier to build up iron stores pre-conception rather than post-
conception. - ANSWER True
A dietary pattern containing ____________ is associated with reduced
likelihood for preterm delivery, whereas a dietary pattern mainly
consisting of processed food and discretionary items is associated with
preterm delivery, shorter birth length and earlier gestation.
1.) Protein-rich foods
2.) Some whole grains
3.) Fruit
4.) All of the above - ANSWER 4.) All of the above
Your client just told you she became pregnant and has a family history of
cardiovascular disease, stroke, and has had a high homocysteine level
on a previous lab. Which supplement do you recommend she take?
1.) Calcium salt of L-5-methyltetrahydrofolate 600 mcg
2.) Folic acid 400 mcg
3.) Folic acid 4 g a day
4.) Vitamin C - ANSWER 1.) Calcium salt of L-5-methyltetrahydrofolate
600 mcg
T/F: Multinutrient supplementation - including zinc, iodine, choline and
long-chain polyunsaturated fatty acids, especially n-3 (omega 3s) may
have advantages over single-nutrient supplements, for example, iron or
folate. - ANSWER True
Your 32-year-old female client has been trying to get pregnant for over a
year now. She has been tired, cold and is having difficulty concentrating
,at work and has been on a vegan diet for the past 5 years. What
supplements do you recommend she take?
1.) Vitamin D 2000 IU
2.) Iron 60 mg
3.) Vitamin C 500 mg
4.) All of the above - ANSWER 4.) All of the above
Your 28-year-old client got married and is thinking of starting a family.
She runs daily, is a vegetarian an has a BMI of 17.5. She has irregular
menses. What do you recommend she do?
1.) Increase protein, gain weight, take folate and iron supplements
2.) Stop running and continue her diet as usual without supplementation
3.) See a fertility specialist and put her on 400 mcg folic acid
4.) Lose more weight - ANSWER 1.) Increase protein, gain weight, take
folate and iron supplements
What may affect male and female fertility EXCEPT one may be more of
an issue for male fertility?
1.) Soy products consumed more than 3x/week
2.) Heavy metal toxicity
3.) Alcohol consumption
4.) Some pharmaceutical medications - ANSWER 1.) Soy products
consumed more than 3x/week
A 36-year-old client has infertility, PCOS, and severe acne. She has
been on Accutane for the past 6 months. What do you recommend she
do to improve her fertility?
1.) Discontinue the Accutane, wait a few months to try and conceive,
take 400 mcg folic acid or calcium folate, follow a low-carbohydrate
mediterranean diet.
2.) Continue Accutane. Take 400 mcg folic acid, and follow a low-
carbohydrate Mediterranean diet
,3.) Stop the Accutane for one month then start trying to conceive on it
again, take 400 mcg folic acid, and follow a low-carbohydrate
Mediterranean diet
4.) Discontinue the Accutane, wait a few months to try to conceive and
follow a low-carbohydrate Mediterranean diet - ANSWER 1.) Discontinue
the Accutane, wait a few months to try and conceive, take 400 mcg folic
acid or calcium folate, follow a low-carbohydrate mediterranean diet.
All of the following are tips for optimizing ovulatory fertility through the
diet EXCEPT:
1.) Maintain a normal weight and follow a low-glycemic diet
2.) Address micronutrient deficiencies, especially folic acid and iron
3.) Eat more plant-based proteins in addition to animal sources
4.) Eat at least 2 servings/day of low-fat dairy products - ANSWER 4.)
Eat at least 2 servings/day of low-fat dairy products
An excess of which vitamin during pregnancy can cause congenital
defects?
1.) Beta carotene
2.) Vitamin A
3.) Vitamin C
4.) Vitamin D - ANSWER 2.) Vitamin A
During the 2nd half of pregnancy, these are all normal changes
EXCEPT:
1.) Rising hcg and prolactin inhibit the conversion of glucose to glycogen
and fat
2.) Fasting maternal blood glucose decreases with an increase in post-
meal glucose concentrations
3.) Lower maternal use of glucose
4.) Decreased liver production of glucose - ANSWER 4.) Decreased liver
production of glucose
Which of these diets is most likely to help maintain a healthy pregnancy
and offspring without supplementation:
T/F: Fasting more than 12 hours during pregnancy is associated with
risk for abnormal growth and impaired intellectual development of the
fetus - ANSWER True
All of these are true of preganancy EXCEPT:
1.) There is an increased need for nitrogen and protein
2.) There is an increased need for sodium
3.) Carbohydrate intolerance and insulin resistance increase
4.) Cholesterol levels decrease - ANSWER 4.) Cholesterol levels
decrease
Your client's child has just been diagnosed with autism spectrum
disorder. Which foods do you recommend she eliminate from her child's
diet to start?
1.) Gluten
2.) Dairy
3.) Additives and preservatives
4.) All of the above - ANSWER 4.) All of the above
All of these nutrients are necessary during pregnancy EXCEPT:
1.) Choline
2.) Iodine
3.) DHA & EPA
4.) High doses of Vitamin A - ANSWER 4.) High doses of Vitamin A
Which nutrient supports normal fetal bone development, can prevent
dental carries later in life, and reduces the risk of maternal infection?
1.) Vitamin D
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