q123 - sami2004

[ArchivalUser]

The parents of a 1-month-old female are in your office
for a routine check-up. They are first-time parents and
are concerned about feeding. One of the grandmothers
is “from the old country.” Back in her day, they
would start children on solid foods at 2 months of
age—usually starting with strained liver (lots of vitamins
and stuff plus it is disgusting and the adults
wouldn’t eat it). The grandmother also cannot figure
out why the couple is wasting their money on formula
when cow’s milk (sometimes goat’s milk when available)
“worked just fine for me.” They would like your
advice about feeding.
You let them know that:
A) Solid foods should be introduced at 3 months for
all children. Two months of age is too soon.
B) Cow’s milk is considered adequate only after 6 months
of age.
C) Early introduction of cow’s milk has been
irrefutably linked to type 1 diabetes mellitus.
D) The first foods introduced should be strained
meats.
E) Children should have good head control before
solid foods are introduc

[ArchivalUser]

C?

[ArchivalUser]

E.

[ArchivalUser]

ee

[ArchivalUser]

The correct answer is E.

Children should have good
head control before starting solid foods. Answer A
is incorrect for two reasons. First, solid foods are
generally not recommended until 4 months of age.
Second, note that the answer says “all children.”
Some children do not want solid foods until 6
months of age. Answer B is incorrect. Cow’s milk
should be avoided for the first year of life. Breastfeeding
is optimal. This failing, infant formula contains
additional nutrients not found in cow’s milk.
Additionally, the use of cow’s milk has been linked to
an increase in gastrointestinal blood loss and anemia.
Answer C is incorrect. There has been some observational
evidence to suggest a connection between
diabetes type 1 and cow’s milk, but the data is quite
suspect. Answer D is incorrect. Cereals are usually
the first food introduced, followed by fruits and vegetables,
and foods should be introduced one at a time

[ArchivalUser]

thanks sam good qn