Health Promotion and Maintenance Q 35
The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?
A. "It is okay to give my child white grape juice for breakfast."
B. "My child can have a grilled cheese sandwich for lunch."
C. "We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch."
D. "For a snack, my child can have ice cream."
Correct Answer: C. “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”
Remember the ABCs (airway, breathing, circulation) when answering this question. A hotdog is the size and shape of the child’s trachea and poses a risk of aspiration. It is important to avoid foods that may cause choking like slippery foods such as whole grapes; large pieces of meat, poultry, and hot dogs; candy, and cough drops.
Option A: A white grape juice does not pose a risk for aspiration. The toddler years are full of exploring and discovery. The best thing you can do is offer your toddler a variety of foods from each food group with different tastes, textures, and colors.
Option B: A grilled cheese sandwich would not aspirate a toddler. Always cut up foods into small pieces and watch your child while he or she is eating. Offer new foods one at a time, and remember that children may need to try a new food 10 or more times before they accept it.
Option D: Ice cream does not pose a risk of aspiration for a child. Make food simple, plain, and recognizable. Some kids don’t like food that is mixed (like a casserole) or food that is touching. Plan regular meals and snacks and give kids enough time to eat.