A nurse is providing anticipatory guidance to the parents of a 4-year-old disabled child. What nutritional information should the nurse provide?
A.
Feed the child as any other 4-year-old child.
B.
Give child more than 70-90 kcal/kg/day.
C.
Offer extra protein and vitamins daily.
D.
Provide extra carbohydrates and fat intake.
ANS: B
Children with disabilities need more calories, vitamins, minerals, and protein than do non-disabled children. A normal 4-year-old child requires 70-90 kcal/kg/day, so this amount needs to be increased to a point at which the child is gaining weight and has the stamina to complete appropriate activities within his or her capabilities. The child should not be fed as any other 4-year-old. Telling parents to give extra protein and vitamins is vague. Increasing calories includes increasing all food groups, but the disabled child specifically needs more protein.
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