Samour & King's Pediatric Nutrition in
Clinical Care: .
by Susan H Konek (Author), Patricia J Becker (Author)
5th Edition
,TABLE OF CONTENTS
Chapter 1 Nutritional Assessment
Chapter 2 Growth and Maturation
Chapter 3 Nutrition-Focused Physical Examination
Chapter 4 Malnutrition Related to Undernutrition
Chapter 5 Nutritional Implications of the Developing Fetus
Chapter 6 Human Milk
Chapter 7 Nutrition for Premature Infants
Chapter 8 Infant Nutrition
Chapter 9 Normal Nutrition through Childhood and Adolescence
Chapter 10 Enteral Nutrition
Chapter 11 Parenteral Nutrition
Chapter 12 Gastrointestinal Disorders
Chapter 13 Critical Care
Chapter 14 Cardiology
Chapter 15 Pulmonary Diseases
Chapter 16 Oncology and Hematology
Chapter 17 Pediatric Surgical Nutrition: Principles and Techniques
Chapter 18 Chronic Kidney Disease
Chapter 19 Nutrition for Burned Pediatric Patients
Chapter 20 Diabetes
Chapter 21 Obesity and Weight Management
Chapter 22 Eating and Feeding Disorders
Chapter 23 Pediatric Sports Nutrition
Chapter 24 Children with Special Needs
Chapter 25 Food Allergy
Chapter 26 Nutrition Management in Inborn Errors of Metabolism
Chapter 27 Measuring Outcomes
,Chapter 28 Integrative Medicine and Nutrition
Test Bank: Samour and King's Pediatric Nutrition in Clinical
Care, 5th Edition (Konek, 2020)
CHAPTER 1: Nutrition Assessment
Multiple Choice Questions
1. Which of the following is the MOST accurate method for assessing body composition in pediatric
patients?
A) Body mass index (BMI)
B) Dual-energy X-ray absorptiometry (DXA)
C) Skinfold thickness measurements
D) Waist circumference
Answer: B
Rationale: DXA is considered the gold standard for body composition assessment, providing accurate
measurements of lean mass, fat mass, and bone mineral content.
2. A child's weight-for-length falls below the 5th percentile on the WHO growth chart. This finding
is MOST consistent with:
A) Chronic malnutrition
B) Acute malnutrition
C) Genetic short stature
D) Constitutional growth delay
Answer: B
Rationale: Weight-for-length (or weight-for-height) reflects acute nutritional status or wasting, as weight
is affected more quickly than linear growth during nutritional deprivation.
3. The WHO growth charts are recommended for use in children from:
A) Birth to 36 months
B) Birth to 24 months
C) 2 to 20 years
D) Birth to 5 years
Answer: B
Rationale: The CDC recommends using WHO growth charts for children from birth to 24 months (0-2
years) and CDC growth charts for children aged 2-20 years.
4. Which anthropometric measurement is MOST useful for assessing chronic malnutrition in
children?
A) Weight-for-age
, B) Height/length-for-age
C) Weight-for-height
D) Mid-upper arm circumference
Answer: B
Rationale: Height/length-for-age reflects chronic nutritional status (stunting). A child who has been
malnourished over a prolonged period will demonstrate linear growth faltering.
5. Which biochemical marker is MOST useful as an indicator of visceral protein status with a short
half-life?
A) Albumin
B) Prealbumin (transthyretin)
C) Transferrin
D) Retinol-binding protein
Answer: B
Rationale: Prealbumin has a half-life of approximately 2 days, making it a more sensitive and timely
indicator of current protein status compared to albumin (half-life ~20 days).
6. Mid-upper arm circumference (MUAC) is a particularly useful screening tool in:
A) Adolescent obesity assessment
B) Field settings and emergency situations
C) Preterm infant assessment
D) Assessment of overhydration
Answer: B
Rationale: MUAC requires minimal equipment and training, making it ideal for community-based
screening and emergency/field settings to identify acute malnutrition.
7. A z-score of -2 corresponds to which percentile on a growth chart?
A) 5th percentile
B) 3rd percentile
C) 2.3rd percentile
D) 10th percentile
Answer: C
Rationale: A z-score of -2 corresponds approximately to the 2.3rd percentile. Z-scores are preferred for
children with measurements that fall at the extremes of the distribution.
8. Which of the following components is NOT part of a comprehensive nutrition assessment?
A) Anthropometric measurements
B) Biochemical data
C) Genetic testing
D) Dietary intake evaluation
Answer: C
Rationale: A comprehensive nutrition assessment typically includes anthropometric data, biochemical
Clinical Care: .
by Susan H Konek (Author), Patricia J Becker (Author)
5th Edition
,TABLE OF CONTENTS
Chapter 1 Nutritional Assessment
Chapter 2 Growth and Maturation
Chapter 3 Nutrition-Focused Physical Examination
Chapter 4 Malnutrition Related to Undernutrition
Chapter 5 Nutritional Implications of the Developing Fetus
Chapter 6 Human Milk
Chapter 7 Nutrition for Premature Infants
Chapter 8 Infant Nutrition
Chapter 9 Normal Nutrition through Childhood and Adolescence
Chapter 10 Enteral Nutrition
Chapter 11 Parenteral Nutrition
Chapter 12 Gastrointestinal Disorders
Chapter 13 Critical Care
Chapter 14 Cardiology
Chapter 15 Pulmonary Diseases
Chapter 16 Oncology and Hematology
Chapter 17 Pediatric Surgical Nutrition: Principles and Techniques
Chapter 18 Chronic Kidney Disease
Chapter 19 Nutrition for Burned Pediatric Patients
Chapter 20 Diabetes
Chapter 21 Obesity and Weight Management
Chapter 22 Eating and Feeding Disorders
Chapter 23 Pediatric Sports Nutrition
Chapter 24 Children with Special Needs
Chapter 25 Food Allergy
Chapter 26 Nutrition Management in Inborn Errors of Metabolism
Chapter 27 Measuring Outcomes
,Chapter 28 Integrative Medicine and Nutrition
Test Bank: Samour and King's Pediatric Nutrition in Clinical
Care, 5th Edition (Konek, 2020)
CHAPTER 1: Nutrition Assessment
Multiple Choice Questions
1. Which of the following is the MOST accurate method for assessing body composition in pediatric
patients?
A) Body mass index (BMI)
B) Dual-energy X-ray absorptiometry (DXA)
C) Skinfold thickness measurements
D) Waist circumference
Answer: B
Rationale: DXA is considered the gold standard for body composition assessment, providing accurate
measurements of lean mass, fat mass, and bone mineral content.
2. A child's weight-for-length falls below the 5th percentile on the WHO growth chart. This finding
is MOST consistent with:
A) Chronic malnutrition
B) Acute malnutrition
C) Genetic short stature
D) Constitutional growth delay
Answer: B
Rationale: Weight-for-length (or weight-for-height) reflects acute nutritional status or wasting, as weight
is affected more quickly than linear growth during nutritional deprivation.
3. The WHO growth charts are recommended for use in children from:
A) Birth to 36 months
B) Birth to 24 months
C) 2 to 20 years
D) Birth to 5 years
Answer: B
Rationale: The CDC recommends using WHO growth charts for children from birth to 24 months (0-2
years) and CDC growth charts for children aged 2-20 years.
4. Which anthropometric measurement is MOST useful for assessing chronic malnutrition in
children?
A) Weight-for-age
, B) Height/length-for-age
C) Weight-for-height
D) Mid-upper arm circumference
Answer: B
Rationale: Height/length-for-age reflects chronic nutritional status (stunting). A child who has been
malnourished over a prolonged period will demonstrate linear growth faltering.
5. Which biochemical marker is MOST useful as an indicator of visceral protein status with a short
half-life?
A) Albumin
B) Prealbumin (transthyretin)
C) Transferrin
D) Retinol-binding protein
Answer: B
Rationale: Prealbumin has a half-life of approximately 2 days, making it a more sensitive and timely
indicator of current protein status compared to albumin (half-life ~20 days).
6. Mid-upper arm circumference (MUAC) is a particularly useful screening tool in:
A) Adolescent obesity assessment
B) Field settings and emergency situations
C) Preterm infant assessment
D) Assessment of overhydration
Answer: B
Rationale: MUAC requires minimal equipment and training, making it ideal for community-based
screening and emergency/field settings to identify acute malnutrition.
7. A z-score of -2 corresponds to which percentile on a growth chart?
A) 5th percentile
B) 3rd percentile
C) 2.3rd percentile
D) 10th percentile
Answer: C
Rationale: A z-score of -2 corresponds approximately to the 2.3rd percentile. Z-scores are preferred for
children with measurements that fall at the extremes of the distribution.
8. Which of the following components is NOT part of a comprehensive nutrition assessment?
A) Anthropometric measurements
B) Biochemical data
C) Genetic testing
D) Dietary intake evaluation
Answer: C
Rationale: A comprehensive nutrition assessment typically includes anthropometric data, biochemical
