The mother of a 2-year-old is concerned because her child does not seem interested in eating. The child is drinking about 5–6 cups of whole milk per day and 1 cup of fruit juice
When the weight-to-height percentile is calculated, the child is in the 90–95th percentile. What would be the best advice for the nurse to give this mother? 1. Eliminate the fruit juice from the child's diet.
2. Offer healthy snacks, presented in a creative manner, and let the child choose what she wants to eat without pressure from the parents.
3. Change from whole milk to 2% milk and decrease milk consumption to 3–4 cups per day and the fruit juice to one-half cup per day, offering water if the child is still thirsty in between.
4. Make sure that the child is getting adequate opportunities for exercise, as this will increase her appetite and help lower her weight-to-height percentile.
3
Rationale:
1. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption
2. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption
3. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. The other answers are appropriate, but do not address the problem of excessive milk consumption.
4. Toddlers require a maximum of about 1 liter of milk per day. This toddler is consuming most of her calories from the milk, and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice also are contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and make the child hungry for other foods. This answer is appropriate, but does not address the problem of excessive milk consumption
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