NUTRITION

1. Parents of a newborn infant want to know the advantages and disadvantages of breast-feeding compared to bottle-feeding. How would you Council them?
2. A mother who is unable to breast-feed because of breast reduction surgery wants to know what types of formula are available and which would be appropriate for her child. How would you Council her?
3. A healthy 4-month-old breast-fed child presents for a well-child examination. The parents want to know when he can begin solid foods and when he should be weaned from breast milk. How would you Council them?
4. A mother is concerned that her 5-day-old infant is not breast-feeding well. What historical or physical examination findings would help you investigate her concerns? What additional resources may be available to help support this mother?
5. A healthy two-month-old infant is seen in your office for a routine visit. The mother asks about the need for vitamin and fluoride supplementation in her child. Discuss which supplements should be considered and at what age.
6. A five-year-old boy is now at the 95% for weight and 50% for height whereas previously he had been at the 50% for both height and weight. How would you Council him and his family? Include the consequences of child hood obesity in your discussion.
7. A thirteen-year-old girl wants to “go on a diet”. Her birthday was last week. Her current weight is 45 kg. and height is 157 cm. How would you evaluate and Council her?
8. The health conscious parents of a 15-month-old child ask if they can switch her to nonfat milk, as they are concerned about obesity and heart disease. How would you Council them?
9. A two month old born at term weighing 3.3 kg presents for a well child visit. Today his weight is 4.0 kg, length 56 cm, and head circumference is 39 cm. He is taking four ounces of Enfamil with iron every 3-4 hours. How would you evaluate whether this intake is adequate?
10. A 9 month old is drinking formula. Her parents ask if they can change from formula to cow’s milk as they could save a lot of money. How would you Council them?
11. An 18 month old is drinking 48 ounces of whole mild a day. Is this appropriate? How would you discuss this with the parents?
12. A 15-year-old wrestler comes in for an annual visit and wants to know your views on supplements and vitamins. How would you evaluate and Council him?
13. In evaluating an 8-year-old child on routine physical exam, you discover that there is a strong family history of diabetes and the father had a heart attack at age 35. How would you Council the patient and his family?