Free Childhood Nutrition and Malnutrition MCQs with Answers

50 Childhood Nutrition and Malnutrition MCQs from Paediatric Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Childhood nutrition covers essential nutrients, breastfeeding, complementary feeding, dietary assessment, growth monitoring and age-appropriate feeding practices. Questions distinguish protein-energy malnutrition, including marasmus and kwashiorkor, from micronutrient deficiencies such as iron, vitamin A, vitamin D and iodine deficiency, using clinical signs and anthropometric findings.

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50 questions · page 3 of 3

  • A. Folate
  • B. Calcium
  • C. Vitamin C
  • D. Vitamin K

Explanation: Folate supports normal formation of the neural tube and helps prevent neural tube defects.

Correct answer: Folate
Fairly easy
  • A. The infant has regular wet nappies and gains weight
  • B. The infant sleeps for eight hours after every feed
  • C. The infant accepts diluted cow's milk after breastfeeding
  • D. The infant feeds for exactly ten minutes at each breast

Explanation: Regular urine output and appropriate weight gain are useful indicators of adequate milk intake.

Correct answer: The infant has regular wet nappies and gains weight
  • A. Moderate acute malnutrition
  • B. Severe acute malnutrition
  • C. Normal nutritional status
  • D. Chronic mild undernutrition

Explanation: For children aged 6 to 59 months, a MUAC from 11.5 cm to less than 12.5 cm indicates moderate acute malnutrition when oedema is absent.

Correct answer: Moderate acute malnutrition
Very hard
  • A. Oedema adds fluid weight to the measurement
  • B. Fever increases the child's muscle mass
  • C. Dehydration increases the measured body weight
  • D. Short stature always causes a false weight reading

Explanation: Bilateral oedema adds extracellular fluid and may conceal marked loss of muscle and fat.

Correct answer: Oedema adds fluid weight to the measurement
  • A. Look for Bitot spots on the conjunctiva
  • B. Check for a widened wrist joint
  • C. Assess for a swollen thyroid gland
  • D. Inspect for bleeding gums

Explanation: Bitot spots are foamy, whitish conjunctival lesions associated with vitamin A deficiency.

Correct answer: Look for Bitot spots on the conjunctiva
Easy
  • A. Continue age-appropriate feeding and breastfeeding
  • B. Withhold all solid food until stools become normal
  • C. Give only clear fluids for the next two days
  • D. Stop breastfeeding until the diarrhoea resolves

Explanation: Continued feeding and breastfeeding help prevent weight loss and support intestinal recovery during diarrhoea.

Correct answer: Continue age-appropriate feeding and breastfeeding
  • A. A serving of orange or guava
  • B. A cup of tea with the meal
  • C. A large serving of polished rice
  • D. A glass of milk with the meal

Explanation: Vitamin C in orange and guava improves absorption of non-haem iron from plant foods.

Correct answer: A serving of orange or guava
  • A. Mid-upper arm circumference
  • B. Head circumference
  • C. Chest circumference
  • D. Sitting height

Explanation: MUAC is a practical field measurement that reflects muscle and fat stores and can identify acute malnutrition without requiring height.

Correct answer: Mid-upper arm circumference
Fairly easy
  • A. Prepare small fresh portions and cover them safely
  • B. Add extra water so the food remains soft
  • C. Store the food uncovered to allow cooling
  • D. Reheat the same food repeatedly throughout the day

Explanation: Small fresh portions, covered storage, and safe reheating reduce contamination and foodborne illness.

Correct answer: Prepare small fresh portions and cover them safely
  • A. Reduced serum albumin with bilateral oedema
  • B. High haemoglobin with flushed skin
  • C. Increased muscle strength with active play
  • D. Normal growth with increased appetite

Explanation: Severe protein deficiency can reduce serum albumin, lowering plasma oncotic pressure and causing bilateral oedema.

Correct answer: Reduced serum albumin with bilateral oedema