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MCN621S - MATERNAL AND EARLY CHILDHOOD NUTRITION - 2ND OPP - JANUARY 2024 |
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1Vi:.-nnAm I BIA UnlVERS ITV
OF sc1rncE AnDTECHnOLOGY
FacultyofHealthN, atural
ResourceasndApplied
Sciences
Schoolof HealthSciences
Departmentof Preventative
HealthSciences
QUALIFICATION : BACHELOR OF HUMAN NUTRITION
13Jackson Kaujeua Street
Private Bag 13388
Windhoek
NAMIBIA
T: •264 612072970
F: •264 61207 9970
E: dphs@nust.na
W: www.nust.na
QUALIFICATIONCODE: 08BOHN
LEVEL:6
COURSE: MATERNAL AND EARLY CHILDHOOD NUTRITION
COURSECODE: MCN621S
DATE: JANUARY 2024
SESSION: 2
DURATION: 3 HOURS
MARKS: 100
SECOND OPPORTUNITY/ SUPPLEMENTARY: EXAMINATION QUESTION PAPER
EXAMINER:
MODERATOR:
DR FRANCISFARAICHIKUSE
DR ROSWITHAMAHALIE
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
PERMISSIBLE MATERIALS
None
This paper consists of 8 pages including this front page
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SECTION A: TRUE/ FALSEAND~MULTIPLE CHOICE
QUESTION 1: TRUE/FALSE QUESTIONS
[10 MARKS]
Evaluate the statements and select whether the statement is true or false. Write
the word 'True' or 'False' next to the corresponding number on your ANSWER
SHEET.Each answer earns one (1) mark.
1.1 Vitamin A supplements should be given to pregnant women.
1.2 Breast development begins in the uterus.
1.3 Jaundice in infants can be reduced by encouraging early and frequent
breastfeeding.
1.4 By 6 months, infants' birthweight must increase by half and thrice by 12 months.
1.5 Adequate carbohydrates, fats, and proteins for breastfeeding mothers consists
of 20%, 35% and 15% respectively.
1.6 Nipple Shields cannot improve milk transfer and breast-feeding duration.
1.7 Fat and oils are made up of various type of triglycerides, wh.ich consists of three
fatty acid and glycerol.
1.8 Prebiotics are fibre like, digestible carbohydrates that are broken down by
bacteria in colon.
1.9 Population-wide improvements in infectious disease control and availability
of safe and nutritious foods have corresponded to less infant mortality
than technological advances in medical care.
10. Naegele's rule for estimated delivery date= First day of the last menstrual
period +14 days minus 3 months plus one year.
MATERNAL AND EARLYCHILDHOOD NUTRITION
2nd Opportunity- January 2024
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QUESTION 2: MULTIPLE CHOICE QUESTIONS
[30 MARKS]
Evaluate the statements in each numbered section and select the most appropriate answer
or phrase from the given possibilities. Fill in the appropriate letter next to the number of the
correct statement/phrase on your ANSWERSHEET.Each answer earns one (1) mark.
2.1 A good supply of this is needed along with phosphorus, magnesium, and Vitamin D for
fetal development of bones and teeth, as well as the mother's own body needs. Also
aids in the clotting of blood.
A. Calcium
B. Iron
C. Iodine
D. Folate
2. 2 The doctor tells Esther that her baby weighs less than 2500 g and needs special care.
What do you think the doctor's diagnosis on the baby's weight would be:
A. Extremely Low Birth Weight
B. Very Low Birth Weight
C. Low Birth Weight
D. Preterm
2.3 Which of the following is not a fat-soluble vitamin:
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin E
2.4 Which of the following is not a carcinogenic diet:
A. Low fruits and vegetables
B. High antioxidants (especially Vit A/C)
C. Low intake of whole grains/fiber
D. High dietary fat intake
2.5 Marara a female aged 42 years has a Body Mass Index of 19 kg/m 2 What is
the interpretation: Obese
B. Overweight
C. Normal
D. Underweight
2.6 Protein is the fundamental tissue-building substance of the body and for the
first 6 months of life, the protein requirements of an infant are:
MATERNAL AND EARLY CHILDHOOD NUTRITION
2nd Opportunity- January 2024
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A. 0.8 g/kg
B. 1.6 g/kg
C. 2.2 g/kg
D. None of the above
2.7 What is recommended proteins allowance during the 6-12 months of life:
A. 1.6 g/kg
B. 2.2 g/kg
C. 0.8 g/kg
D. 90 to 110 kcal/g
2.8 Jasmine is an infant who loves to eat finger foods such as nuts, grapes,
carrots, popcorn, and round candy. Her mom or dad should
A. Allow her to have those finger foods.
B. Keep them away from her for careful use only with the older child.
C. Monitor her while she eats those foods.
D. Mix them with liquids and let her enjoy the taste.
2.9 Average daily iron intake from foods and supplements in children and teens
aged 12-19 years is:
A. 13.3 mg/day
B. 14.3 mg/day
C. 15.3 mg/day
D. 16.3 mg/day
2.10 What is the most common cause of megaloblastic anaemia in pregnant women:
A. Reduced Vitamin D absorption
B. Reduced Vitamin B6 absorption
C. Reduced Vitamin B12 absorption
D. Reduced Vitamin C absorption
2.11. Which of the following is not a fat-soluble vitamin:
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin E
2.12. Excess fat-soluble vitamins typically accumulate in the
A. Liver
B. Muscle
C. Small intestine
D. Pancreas
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2.13. Replacing lost nutrients in foods is called:
A. Fortification
B. Pasteurization
C. Enrichment
D. Modification
2.14. Which one is not a function of dietary fiber:
A. Nourishes gut bacteria.
B. Increases feelings of fullness longer
C. Provide energy.
D. Decreases cancer risk
2.15. Which vitamin is primarily responsible for blood clotting:
A. Vitamin A
B. Vitamin C
C. Vitamin E
D. Vitamin K
2.16. Spina bifida and heart disease have been associated with a deficiency in which of the
following:
A. Niacin
B. Riboflavin
C. Folate
D. Pantothenic acid
2.17. Overall, water is somewhere between ____
A. 15 and 20
B. 30 and 50
C. 45 and 75
D. 75 and 90
% of a person's body weight.
2.18. Too much water in spaces surrounding cells is known as
A. Osmosis
B. Ions
C. Edema
D. Cations
2.19. Absorption of minerals can be limited by each of the following factors except.
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A. Physiological need
B. Presence of competing minerals
C. Presence of hypertension or osteoporosis
D. Presence of fiber
2.20. The most sodium in a typical Namibian diet comes from
A. Table salt
B. Sauces and condiments
C. Processed food
D. Smoked meat and cheeses
2.21. Which mineral is responsible for making muscles contract or relax:
A. Boron
B. Magnesium
C. Sodium
D. Calcium
2.22. Which mineral is known for transporting oxygen in blood:
A. Iron
B. Zinc
C. Copper
D. Calcium
2.23. Which mineral deficiency is the most common worldwide:
A. Sodium
B. Phosphorus
C. Iron
D. Calcium
2.24. Over 99% of calcium in the body is found within the
A. Liver and spleen
B. Muscles and skin
C. Bones and teeth
D. Stomach and small intestine
2.25. Which of the following is not considered a pathogenic organism:
A. Bacteria
B. Virus
C. Chemicals
D. Parasites
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2.26. Which is not considered a common food allergen:
A. Milk
B. Peanut
C. Soya beans
D. Chicken
2.27. Which is added to foods to prevent spoilage and increase shelf life:
A. Pasteurization
B. Preservation
C. Irradiation
D. Microorganism
2.28. Lactose, disaccharide e.g., milk sugar is made up of which 2 monosaccharides:
A. Glucose and Galactose
B. Glucose and Fructose
C. Glucose and Maltose
D. Glucose and Sucrose
2.29. Which of the following is a water-soluble vitamin:
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin E
2.30. Which one of the following is not a common problem in pregnant women nutrition:
A. Malaria
B. Obesity
C. Diabetes
D. Dyslipidemia
SECTION B: s·HORT/LONG ANSWER QUESTIONS
Please answer ALL of the questions in this section.
QUESTION 3
[ZS MARKS]
3.1 Mrs. A is a 48-year-old Zimbabwean woman with obesity. Insulin treatment was
initiated two years ago after development of background retinopathy and
peripheral neuropathy. He mother died from a myocardial infarction (Ml) at the
age of sixty-eight, and her brother also developed an Ml, at the age of fifty-five.
(i) List three (3) risk factors of Type 2 Diabetes Mellitus.
(3)
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2nd Opportunity- January 2024
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(ii) Name four (4) complications of Type 2 Diabetes Mellitus.
(4)
3.2 Mary is a 23-year-old pregnant woman. Give an outline on how much and how
she should exercise during pregnancy.
(4)
3.3 After Mary delivers her baby, she would like to breastfeed, but likes
occasionally drinking alcohol and coffee. How would you advise her?
(4)
3.4 State the benefits of breastfeeding to the:
i) Mother
(4)
ii) Infants and Children
(4)
iii) Families and Society
(2)
QUESTION 4
[35 MARKS]
4.1 Discuss four (4) nutritional problems associated with school aged children and
toddlers.
(4)
4.2 Outline four (4) problems in infant nutrition.
(8)
4.3 State two (2) Omega-3 fats required during pregnancy usually plentiful from
salmon.
(4)
4.4 State three (3) advantages of using Nipple Shields as technological support
during breastfeeding.
(6)
4.5 A 28-year-old lady is pregnant. Her last menstrual period began on the 7 March
2023. When is her baby due, based on Naegle's rule?
(6)
4.6 State the energy and protein needs in the first 6 months among infants.
(7)
END OF QUESTION PAPER
MATERNAL AND EARLY CHILDHOOD NUTRITION
2nd Opportunity- January 2024
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