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102 Cards in this Set
- Front
- Back
Middle childhood is between the ages of ____ years
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5-10
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Preadolescnence is ages ____ for girls and ____ for boys
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9-11 girl
10-12 boys |
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Middle childhood and preadolescence are both termed ________
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schoolaged
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musclar strength , motor coordination, and stamina increase
during |
the physiological development in school-aged children
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in early childhood, ____ reaches a minimum then increases in preparation for adolescent growth spurt
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body fat
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Adiposity rebounds between ages ____
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6 to 6.2 years
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Boys have more ___ than girls
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lean tissue
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the knowledge of what to do and the ability to do it
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self-efficacy
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What happens during the cognitive development in school-age children? (5)
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1. self-efficacy
2. change from preoperational period to concrete operations 3. develops a sense of self 4. more independent and learn family roles 5. peer relationships become important |
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increased motor coordination and improved feeding skills, masters use of eating utilsels, involved in food preperation ,complexities of skills increase with age
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development of feeding skills of school-aged children
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parents and older siblings ______ food choices in early childhood with peer influences increasing in preadolescence
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influence
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parents should be postive role models, family meal times should be encouraged, and media has strong influence on food choices
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eating behaviors of school-aged children
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young girls are preoccupied with weight and body size at an early age, the normal increase in adiposity at this age may be interpreted as the beginning of obesity, imposing controls and restriction of _____ may increase desire and intake of the foods
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Body image and excessive dieting ; "forbidden foods"
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Energy needs vary by ____ and ____
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activity level and body size
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What is the protein DRI of school age children?
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.95 g/kg of body weight
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the intake of vitamins and minerals appear adequate for most US children
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true
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What are common nutrition problems of school aged children?
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iron deficiency and dental caries
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iron deficiency is less common in ____ than toddlers
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children
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dental carries are seen in ____ of children aged 6 to 8; reduce dental caries by limiting sugary snacks and providing fluoride
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half
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the prevalence of overweight among children is _____
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increasing
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Data suggests weight gain linked to ____ rather than increases in energy intake
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inactivity
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_______ increases risk of cardiovascular disease and type 2 diabetes mellitus
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excessive body weight
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BMI-for-age > 95th %
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Over weight for school aged child
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BMI for age from 85th to 95th %
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at risk for becoming overweight
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OVerweight is more common in ________ and ________
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mexican american males and females and african american females
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What are 5 characteristics of overweight children?
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1. are taller
2. have advanced bone ages 3. experience earlier sexual maturity 4. look older 5. are at higher risk for obesity-related chronic diseases |
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obesity related to hours of television viewing , resting energy expenditure _____ while viewing TV,
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effects of television viewing time; decreases
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healthly people 2010 objective: increase the proportion of children who view 2 hours or less of TV per day from ___ to ___
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60 to 75%
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Prevention and treatment of overweight and obesity school aged children consists of a multicomponent , family based program consisting of ? (4)
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1. parent training
2. dietary counseling/education 3. phsycial activity 4. behavioral counseling |
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Acceptable range for fat is ___ of energy for ages 4 to 18 years
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25-35%
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for the nutrition and prevention of CVD in school age children you should limit ____
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sat fat, trans fat and cholesterol
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for the nutrition and prevention of CVD in school age children you should increase ____
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soluble fibers, maintain weight and include ample physical activity
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Supplements are not needed for children who eat a varied diet and get ample phsycial activity
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true
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If supplements are given do not exceed the DRI's
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true
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What are the dietary recommendations of iron for school age children
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8 mg/day
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What are the dietary recommendations of fiber for school age children
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from 4-8 years its 25g/d
for males 9-18 its 34.0g/d for females its 26.0 g/d |
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What are the dietary recommendations of fat for school age children
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M: 33.8%
F: 33.9% |
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What are the dietary recommendations of calcium for school age children
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800 mg for 4-8 years old
1300 mg for 9-18 years old |
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What are the dietary recommendations of fluid for school age children
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20% of total energy from fluids
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preadolescents sweat less during exercise than adolescents and adults
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true
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you should provide plain water or sports drinsk to school age children to prevent ____
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dehydration
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Limit soft drinks because they provide _____, _______ and ______
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empty calories, diaplce milk consumption, and promote tooth decay
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What are the dietary recommendations of saturated fat for school age children
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M: 12.1%
F: 12 % |
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____ intake is excessive in african american boys and girls and mexican american girls
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total fat
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___ increasing because of soft drink consumption
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caffeeine
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____ of US children eat fast food on a typical day
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33%
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children should enage in at least ___ minutes of phsycal activity each day
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60 mins
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Parents should set a good example, encourage physcial activity and limit media and computer use
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true
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________________ are:
girls are less active than boys phsyical activity decreases with age season and cliamte impact level of phsycail activity physical education classes are decreasing |
determinants of physcial activity
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participation in _____ linked to lower incidence of overweight
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organized sports
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What are 3 things the AAP recomends for physical activity of school age children?
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1. participation in a variety of activites
2. use of proper equipment such as mouth guards pads and helmets 3. awareness of disordered eating and heat injury |
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____ is a prime time for learning about healthy lifestyles
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school age
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schools can provide an appropriate environment for nutrition education
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true
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education may be knownledge based nutrition educaiton or behavior based on reducing _____
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disease risk
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Sound nutrition policies need ___ and ____ support
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community and school environment
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The _____ should be completed and implemented
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School health index
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What are model programs for nutrition intervention for risk reduction?
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5 a day for better health program
high 5 alabama |
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began in 1946, provide nutrition meals to all children , reinforce nutrition education, require schools to develop a wellness policy
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child nutrition programs
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The national school lunch program menu planning approaches what 4 things?
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1. tradiational food based menu planning
2. enhanced food based menu planning 3. nutrient standard enu planning 4. assisted nutritent menu planning |
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authorized in 1966 , states may require schools who serve needy populations to provide school breakfast ; breakfast must provide 1/4 the DRI
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school breakfast program
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provides summer meals to areas with > 50% of students from low income families
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summer food service program
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provides training, technical assistance education or suuport to promote nutrition in schools
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team nutrition
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What does "children are chilren first" mean?
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expectations that children will become more independent in making food choices, assisting with meal preparation , and participating at meal times with other family members apply to children when special health care needs too
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Children with special health care needs vary in nutrition requireds and health needs for ___, ___ , ___, and ___.
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energy, proteins, vitamins, and minerals
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energy needs vary depending on _____
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special health care condition
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____ are needed by children with slow growth or decreased muscles such as in prader-willi syndrome
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lower calories
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____ needed as activity increases such as in ADHD or austism
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increased calories
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protein needs vary by condition, recovery from burns and CF increase calorie needs up to ___ DRI
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150%
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What are conditions that interfere with adequate nutrient intake ? (4)
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1. chewing or other feeding problems
2. side effects from prescribed medications 3. food refusals 4. treatment of condition that includes restriction of certain foods |
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____ less important for children with life shortening conditions
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long term health goals
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What are warning signs for growth problems? (4)
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1. pleatue in weight
2. pattern of weight gain then loss 3. failure to regain weight lost during an illness 4. unexplained/unintentional weight gain |
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What are factors that affect growth surfacing during middle childhood? (3)
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1. age of condition onset
2. secondary conditions 3. acitiity/inactivity level |
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Health conditions may alter __,___,__
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muscle size, bone structure, and fat stores
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____ results in short stature , low muscle tone, and low weight
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down syndrome
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___ and ___ may reduce muscle tone
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cerebral palsy and spina bifida
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____ may impact muscles only in the lower extremities
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spina bifida
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What conditions do not have special growth charts? (6)
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1. Juvenile rheumatoid arthritis
2. cystic fibrosis 3. rett syndrome 4. spina bifida 5. seizures 6. diabetes |
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assess intake to determine if nutritents are adequate, children with special health needs benefit from same dietary recomendations as other children
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true
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What are the methods of meeting nutritional requirements for children with chronic conditions?
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1. oral feeding is the preferred method of feeding
2. Gastrotomy feeding may be required for : kidney disease, some cancers, severe cerebral palsy, and cystic fibrosis |
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chewing problems need ___ supplements; diabetes or those on ketogenic diets should avoid supplements with added CHO, RKU should avoid supplements with certain artifical sweeteners, Cystic fibrosis require _____ vitamins, and galactosemia (restricts dairy) requires ____
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lipid , fat soluble, and calcium
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conditions that impact fuild status include drooling from ____, constipation from ____, and multiple medication use
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cerebral palsy, and neuromuscular disorders
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common lethal genetic condition that interferes with lung function and causes decreased absorption
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cystic fibrosis
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dietary considerations of ___:
calories and protein increase, enzyme take with meals to aid in digestion, frequent meals and snacks, fat soluble vitamin supplements , gastrostomy feeding at night may be needed to boost energy intake |
cystic fibrosis
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disorder in insulin and blood glucose regulation
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diabetes mellitus
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virtunally no insulin production
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type 1 DM
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associated with obesity
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type 2 DM
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what are the treatments of DM?
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timing and composition of meals and snacks, insulin injections for type 1 and excercise for type 2 (to increase insulin sensitivity)
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uncontrolled electrical disturbances in brain; results ranging from milk blinking to severe jerking
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seizures ; time after seizure of altered consciousness
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group of disorders with impaired muscle activity and coordination ; spastic quadriplegia is the most common form
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cerebral palsy
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What are the nutrition concerns of cerebral palsy?
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slow growth, and difficulty feeding and eating
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uncontrolled movement which increases energy expenditure
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athetosis
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inborn error of metabolism body lacks the enzyme needed to metabolize phnylalaine
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PKU; dietary treatment involves avoiding meats, eggs, dairy products , nuts and soy beans
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most common neurobehavioral problem; chaotic meals and snack with difficulty staying seated ; medications are ritalin or adderal both may decrease appetite ; it returns to normal when medicne isnt given like on weekends or school holidays
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Attention deficit hyperactivity disorder
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nutrition is important for ___ management.
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HIV
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____ depresses appetite and food intake
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antiretroviral therapy
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____ other nutrition concerns are to control food related infections, acces to determine need for complete nutritional supplements, and refer to food banks
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pediactric HIV
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school breakfasts and lunches must be modified for special needs children
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USDA child nutrition program
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funs for nutrition services such as special formulas or food and nutrition education
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maternal and child health block program of the US department of health and human services
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requires that school provide a written plan to accommodate for special health care needs
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504 accommodation
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requires each special needs child to have a written plan that may include nturiton related goals and objectives as needed
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individuals with disabilities educaiton act (IDEA)
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_____ is part of HHS and funds nutrition services for chronically ill children
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maternal and child health bureau
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_____ develops and promotes model programs such as pediatric pulmonary centers, leadership education in neurodevelopment disabilities
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maternal and child health bureau
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