Which of the following is NOT a reason infants with chronic lung disease often have high calorie needs?

• A. GER
• B. Emesis
• C. Adequate fluid intake
• D. Chronic infections

Answer: (C)

Infants with chronic lung disease burn more energy because their bodies work harder to breathe, fight infections, and maintain growth. This higher energy demand is why their calorie needs are elevated.

GER contributes to higher calorie needs because reflux can irritate the airway and cause breathing irregularities, coughing, and slower, less efficient feeding, all of which increase energy use. Emesis leads to caloric loss; when vomiting occurs frequently, more calories are needed simply to replace what’s expelled and to support growth. Chronic infections raise metabolism as the body mounts an immune response, further boosting caloric requirements.

Adequate fluid intake, on the other hand, does not raise caloric needs. Hydration supports feeding tolerance and overall health without adding to the energy expenditure that drives higher calorie requirements.