During a 4-month-old's well child checkup, the nurse discusses introduction of solid foods into the infant's diet and concerns for foods commonly associated with food allergies
Therefore, the parents are instructed to delay until after 1 year of age introduction of: 1. Strawberries, eggs, and wheat.
2. Honey, tomatoes, and spinach.
3. Carrots, beets, and spinach.
4. Squash, pork, and tomatoes.
1
Rationale:
1. Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies.
2. Honey can contain botulism spores, which cannot be detoxified by the infant less than 1 year old, but it does not cause an allergic reaction.
3. Carrots, beets, and spinach contain nitrates, and should not be given before 4 months of age.
4. Squash and tomatoes are okay to try after an infant is 4–6 months old, but should be given one at a time and 3–5 days after starting a new food. Pork can be tried after the infant is 8–10 months old, as meats are harder to digest, and have a high protein load.
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