Lactose intolerance is diagnosed in an 11-month-old infant. Which should the nurse recommend as a milk substitute?
a. Yogurt
b. Ice cream
c. Fortified cereal
d. Cow's milk–based formula
ANS: A
Yogurt contains the inactive lactase enzyme, which is activated by the temperature and pH of the duodenum. This lactase activity substitutes for the lack of endogenous lactase. Ice cream and cow's milk–based formula contain lactose, which will probably not be tolerated by the child. Fortified cereal does not have the nutritional equivalents of milk.
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