The nurse is teaching feeding strategies to a parent of a 12-month-old infant with Down syndrome. What statement made by the parent indicates a need for further teaching?
a. "If the food is thrust out, I will reefed it."
b. "I will use a small, long, straight-handled spoon."
c. "I will place the food on the top of the tongue."
d. "I know the tongue thrust doesn't indicate a refusal of the food."
ANS: C
Parents of a child with Down syndrome need to know that the tongue thrust does not indicate refusal to feed but is a physiologic response. Parents are advised to use a small but long, straight-handled spoon to push the food toward the back and side of the mouth. If food is thrust out, it should be refed. If the parent indicates placing the food on the tongue, further teaching is needed.
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