WGU Nutrition D440 Competed Study
Guide |2026 Update with complete
solution
Underweight
BMI under 18.5
Normal weight
18.5-24.9
Overweight
25-29.9
Obese
BMI over 30
Extremely Obese
BMI > 35
Calculate BMI
weight (kg) / height (m^2)
How do we assess nutritional status?
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?
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?
Use iron-fortified formula for any infant who is not breastfeeding
What age should water and juice be avoided?
Water and juice are unnecessary for the breastfed infants during the first 6 months
of life
,When should you introduce cow's milk?
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?
wheat, egg white, citrus juice, and nuts
What should you not give a child under one year of age to avoid botulism toxicity?
Honey and corn syrup
Which foods should be avoided until children are older because they are a choking
hazard?
hot dogs, nuts, grapes, carrots, popcorn, cherries, peanut butter, and round candy
What are the energy needs of an infant?
80-120 calories per kg of body weight
What protein source do babies need the first 6 months of life?
breastmilk
What protein sources do babies need after 6 months of life?
Ground turkey, chicken, cheese, yogurt, and other dairy products
What percent of daily calories are recommended for carbohydrates?
45-65%
What percent of daily calories are recommended for fats?
20-35%
What percent of daily calories are recommended for proteins?
10-35%
What is needed prenatally for a client?
Folate, Vitamin D, and Choline
What are some risks with teen pregnancy?
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?
none
, How many calories should be added to a diet of a pregnant woman in the second
trimester?
+300 kcal/day
How many calories should be added to the diet of a pregnant woman in the third
trimester?
+500 kcal/day
What is the carb requirement for the diet of a pregnant woman?
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?
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?
alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d
What foods can add alpha-linolenic acid to the diet?
flax, chia, canola, walnut, soybean oil
How much protein should be consumed in the diet of a pregnant woman?
Protein – 46 g/day to 71 g/day
What protein should pregnant women consume to meet their daily requirements?
– 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?
Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
What is the role of folic acid in pregnancy?
Folic acid – Important for DNA synthesis, cell division, and hemoglobin synthesis
When is folic acid most important for a developing fetus?
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?
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.
Guide |2026 Update with complete
solution
Underweight
BMI under 18.5
Normal weight
18.5-24.9
Overweight
25-29.9
Obese
BMI over 30
Extremely Obese
BMI > 35
Calculate BMI
weight (kg) / height (m^2)
How do we assess nutritional status?
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?
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?
Use iron-fortified formula for any infant who is not breastfeeding
What age should water and juice be avoided?
Water and juice are unnecessary for the breastfed infants during the first 6 months
of life
,When should you introduce cow's milk?
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?
wheat, egg white, citrus juice, and nuts
What should you not give a child under one year of age to avoid botulism toxicity?
Honey and corn syrup
Which foods should be avoided until children are older because they are a choking
hazard?
hot dogs, nuts, grapes, carrots, popcorn, cherries, peanut butter, and round candy
What are the energy needs of an infant?
80-120 calories per kg of body weight
What protein source do babies need the first 6 months of life?
breastmilk
What protein sources do babies need after 6 months of life?
Ground turkey, chicken, cheese, yogurt, and other dairy products
What percent of daily calories are recommended for carbohydrates?
45-65%
What percent of daily calories are recommended for fats?
20-35%
What percent of daily calories are recommended for proteins?
10-35%
What is needed prenatally for a client?
Folate, Vitamin D, and Choline
What are some risks with teen pregnancy?
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?
none
, How many calories should be added to a diet of a pregnant woman in the second
trimester?
+300 kcal/day
How many calories should be added to the diet of a pregnant woman in the third
trimester?
+500 kcal/day
What is the carb requirement for the diet of a pregnant woman?
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?
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?
alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d
What foods can add alpha-linolenic acid to the diet?
flax, chia, canola, walnut, soybean oil
How much protein should be consumed in the diet of a pregnant woman?
Protein – 46 g/day to 71 g/day
What protein should pregnant women consume to meet their daily requirements?
– 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?
Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
What is the role of folic acid in pregnancy?
Folic acid – Important for DNA synthesis, cell division, and hemoglobin synthesis
When is folic acid most important for a developing fetus?
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?
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.
