True or False
Compass will automatically assign low or high weight gain when entering the pregnant mother's weight based on the expected weight gain
FALSE
Staff needing to manually assign it when entering in weight
Which foods would be appropriate to risk for a food allergy?
Shellfish, avocado, peanuts, pineapple
Shellfish and peanuts
Which of the following is a 24hr referral:
Marijuana use for a breastfeeding mom, low hgb, underweight pregnant person, mental illness
Marijuana use for a breastfeeding mom
A postpartum mom has a hgb of 10.2 at her recertification appointment. She smokes about 10 cigarettes a day. After rechecking her hgb a second time, her iron level is 10.5. What risk applies?
SEVERELY low hgb, nicotine/tobacco use
(low hgb will also be automatically assigned)
A mom with a 1 mo old baby is being recertified. MOC is not breastfeeding and baby is tolerating Infant formula well. MOC is working on quitting smoking – she smokes 3 cigarettes per day and uses marijuana 1-2x per day. MOC is HR for marijuana use and should see RD within 24hrs
FALSE
Only pregnant and breastfeeding mom should be risked for substance use if it is marijuana
The majority of high risks need to be seen by the RD within what time frame?
7 days, 30 days, 90 days, at least once during the certification period
30 days -
there are 6 NRFs needing to be seen within 24 hrs and obese child have up to 90 days to be seen but locally we still refer within 30 days
Which of the follow is a 24hr referral:
Inadequate vitamin intake, severely low hgb, multifetal gestation, or developmental, sensory or motor delays affecting nutrition status
Severely low hgb
A mom is 32 weeks pregnant. Her appetite has decreased recently and she states she cannot eat as much as she used to in the weeks prior. She complains of increased heartburn. She takes omeprazole for GERD, which she was taking daily prior to pregnancy as well. She will also take Tums a few times a week only as needed. She avoid acidic foods like pasta sauce and jalapenos. Weight gain is within range. What risks apply?
GI disorder (GERD),
Drug nutrient interaction (omeprazole only)
You are doing a phone follow up for a pregnant mom who is in her second trimester. She had frequent nausea and vomiting in the first trimester and was seen by the RD for low weight gain. She is feeling much better and able to eat more consistently. Her weight is now above the expected range. Since she has been seen by the RD already during this pregnancy, she does not need to see the RD or be re-risked.
FALSE
Update risks at reach appointment if there are any changes.
RD will need to talk with her again since it is a new risk
Which of the following risks are computer assigned?
High maternal weight gain, slow/faltering growth, low hgb, preterm delivery for baby
slow/faltering growth,
low hgb,
preterm delivery for baby *if* EDD is added in family panel (user assigned in the nutrition interview for the mom's risk)
Which of the following is a 24hr referral:
Tobacco use during pregnancy, gestational diabetes,improper bottle/pacifier use, flat/inverted nipples
Flat/inverted nipples
MOC is in the office to recertify a 1 year old. As a baby, he was taking Nutramigen because of a milk protein allergy. Child turned 1 year 2 weeks ago but MOC has not transitioned to cow’s milk yet fully because she still had formula. Tried milk a few times but he gets gassy and sometimes has diarrhea. He is taking 6oz of Nutramigen in a bottle 2x/day. Child is eating a variety of table foods – eggs, pasta, cheese, soft fruit, steamed veggies, chicken, yogurt and crackers. What risks apply?
Lactose intolerance, Improper bottle/cup
A 4 year old has been diagnosed with autism. He is going to ABA therapy with a primary focus on his aggressive, self harm behaviors. He has a good appetite. He can be picky, especially with veggies. It will eat potatoes in all forms (mashed, baked fried), corn and sometimes carrots. He dislikes yogurt- like textures. He is eating 2-3 meals a day - sometimes refuses to eat. Struggles to sit at the table for meals but has been doing better since starting ABA therapy. Developmental, sensory or motor delays affecting nutrition status should be risked for his autism
FALSE
Only if it is impacting his nutrition status (he is needing feeding therapy, taking nutrition supplements, not growing adequately, etc)
Which of the following medications are on the drug nutrient interaction list?
insulin, sertraline/zoloft, aspirin, levothyroxine
Sertraline and levothyroxine
Which of the following is a 24hr referral:
C section, tandem nursing a toddler and a baby, food allergy, GI disorder
Tandem nursing a toddler and a baby
A foster baby is being added to WIC. He was drug exposed in utero and spent a week in the NICU monitoring withdrawal symptoms. He is tolerating Infant formula well - 3oz every 2-3hrs. FMOC uses 1 ½ scoops of formula to mix with 3 oz of warm water.
Neonatal Abstinence Syndrome (NAS), inappropriately diluted formula, feeding potentially harmful food
602 and 603 NRFs (breastfeeding complications for mom/baby) can be evaluated by the WLS.
TRUE
Family must be referred within 24 hrs and still needs to be seen by RD/IBCLC within 2 weeks
Which of the following are examples of breastfeeding complications for mom?
plugged ducts more than once (recurrent), tandem nursing, age 40 and older, mastitis, All of the above
All of the above
Fun fact - 40+ years old is the only one that is not a HR referral (it is low risk)
Which of the follow is a 24hr referral:
Low birth weight, inappropriate substitution of human milk or formula, slow faltering growth, or feeding potentially harmful foods for an infant
slow faltering growth
A mom is being recertified as breastfeeding. She is nursing during the day every 2-3hrs and then FOC offers formula during the night. MOC pumps once at night. Healing well from her C section. MOC had bariatric surgery 2 year ago. She is not currently taking any supplements. Good appetite while breastfeeding - eating 5-6 small meals daily. What risks applies?
GI disorder, Major surgery, inadequate vitamins/minerals
Pregnant or breastfeeding mom of infant (auto assigned)