What is the best response to a parent who asks the nurse whether her 5-month-old infant can have cow's milk?
a. "You need to wait until she is 8 months old and eating solids well.".
b. "Yes, if you think that she will eat enough meat to get the iron she needs.".
c. "Infants younger than 12 months need iron-rich formula to get the iron they need.".
d. "Try it and see how she tolerates it.".
C
Infants younger than 12 months need iron-fortified formula or breast milk. Infants who drink cow's milk do not get adequate iron and are at risk for iron deficiency anemia. A 5-month-old infant cannot get adequate iron without drinking an iron-fortified formula or taking an iron supplement. The American Academy of Pediatrics recommends beginning solid foods at 4 to 6 months of age. Meats are typically introduced in late infancy. Counseling a parent to give a 5-month-old infant cow's milk is inappropriate.
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