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Nurse Practitioner:
doi: 10.1097/01.NPR.0000434128.70272.6b
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Implementing family-based childhood obesity interventions

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INSTRUCTIONS Implementing family-based childhood obesity interventions

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Implementing family-based childhood obesity interventions

General Purpose: To provide information on implementing family-based childhood obesity interventions. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Examine the diagnostic evaluation of obese children. 2. Select family-centered interventions to reduce childhood obesity.

  1. Childhood obesity is defined as a BMI ≥ what percentile for a child's age and gender?
    1. 80th
    2. 85th
    3. 90th
    4. 95th
  2. According to a 2009 retrospective study, what percentage of pediatric patients seen in primary care was obese?
    1. 14%
    2. 23%
    3. 31%
    4. 42%
  3. Diagnostic testing of a child with a BMI in the 85th to 94th percentile without additional risk factors includes a(n)
    1. fasting glucose.
    2. lipid panel.
    3. alanine aminotransferase.
    4. aspartate aminotransferase.
  4. For a child with a BMI ≥ the 95th percentile, testing for a fasting glucose should begin at puberty or
    1. 6 years old.
    2. 8 years old.
    3. 10 years old.
    4. 15 years old.
  5. The frequency of provider visits in an obesity treatment program depends on the
    1. interventions employed.
    2. insurance restrictions.
    3. intensity of comorbid conditions.
    4. overweight percentage.
  6. Expert recommendations include starting children with visits to obesity treatment programs
    1. weekly for 2 to 3 weeks.
    2. weekly for 4 to 6 weeks.
    3. weekly for 8 to 12 weeks.
    4. biweekly for 12 to 16 weeks.
  7. Which of the following statements is correct?
    1. Childhood obesity is a strong predictor for premature death from endogenous causes.
    2. Migraine headaches are less prevalent in obese children than average-weight children.
    3. Obesity does not impact a child's psychological health.
    4. Obese children are less likely to report body dissatisfaction than average-weight children.
  8. If cholesterol and triglyceride levels are within normal limits for an obese child, repeat testing is recommended every
    1. 6 months.
    2. 1 to 2 years.
    3. 3 to 5 years.
    4. 6 to 8 years.
  9. In the study by Epstein and colleagues, children had greater decreases in BMI when
    1. only the children were targeted for weight loss.
    2. families were given diet and exercise education without a target for weight loss.
    3. only parents were targeted for weight loss so they could teach by example.
    4. parents and children were targeted for weight loss.
  10. In the Epstein and colleagues study, 43% of the children in the most successful group maintained at least what overweight percentage decrease at 10 years?
    1. 5%
    2. 10%
    3. 15%
    4. 20%
  11. A strong predictor for a decrease in a child's BMI is
    1. disciplinary practices by the parents.
    2. a decrease in the parents' BMIs.
    3. bariatric surgery.
    4. antidepressant medication.
  12. Baumrind described parenting behaviors that foster self-assertion as
    1. demanding.
    2. challenging.
    3. responsive.
    4. persistent.
  13. Which parenting style should be promoted to positively influence children's weight patterns?
    1. authoritarian
    2. authoritative
    3. permissive
    4. uninvolved
  14. Which test is recommended for a child with elevated carbon dioxide levels and tonsillar hypertrophy?
    1. pulmonary function testing
    2. fasting glucose
    3. fasting lipid profile
    4. polysomnography
  15. Healthy People 2020 objectives aimed at decreasing childhood obesity focus on increased
    1. daily exercise.
    2. fruit and vegetable consumption.
    3. testing for comorbid conditions.
    4. family participation in weight loss.
  16. Current dietary recommendations include
    1. filling 2/3 of the plate with fruits and vegetables.
    2. switching to plain yogurt instead of milk.
    3. including no more than two servings of sugar-sweetened beverages/day.
    4. making at least half the grains consumed whole grains.
  17. Barlow recommends daily physical activity for a minimum combined time of
    1. 30 minutes.
    2. 45 minutes.
    3. 60 minutes.
    4. 90 minutes.
  18. Instruct families to limit daily TV and screen time for children to
    1. 2 hours.
    2. 2.5 hours.
    3. 3 hours.
    4. 3.5 hours.
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