A two-year-old child is admitted to the hospital for chronic ...

[asd123]

A two-year-old child is admitted to the hospital for chronic diarrhea. After investigation, the child is diagnosed with celiac disease. The nurse teaches the family to avoid all glutens and to carefully read all labels.
 
  In evaluating the parents' understanding, the nurse allows the family to complete the child's menus. The nurse recognizes the family understands glutens when they choose which foods? Standard Text: Select all that apply. 1. Milk
  2. Mashed potatoes with gravy
  3. Apple sauce
  4. Corn in cream sauce
  5. Rice cakes

Question 2

While breastfeeding is recommended by the American Academy of Pediatrics, there are maternal and infant conditions that should be evaluated as being possible contraindications to breastfeeding.
 
  Some of these contraindications include: Standard Text: Select all that apply. 1. The mother has heart disease.
  2. The mother is infected with HIV.
  3. The infant has been diagnosed with galactosemia.
  4. The mother has small breasts.
  5. The mother takes medications for a chronic health condition.

[s.meritte]

Answer to Question 1

1,3
Rationale 1: Milk is a protein and contains no glutens.
Rationale 2: Gravy is made with flour. Unless the parents know the source of the flour, gravy should be avoided. Most types of gravy contain wheat.
Rationale 3: All fruits are gluten free.
Rationale 4: Corn is acceptable. Cream sauce will probably have a vegetable protein as a filler.
Rationale 5: There are some brands of rice cakes that are gluten-free, but without reading the label, these should be avoided.
Global Rationale:

Answer to Question 2

2,3,5
Rationale 1: While mothers who have heart disease may not be able to tolerate breastfeeding due to the added work load for the heart, it is not a contraindication.
Rationale 2: Since the AIDS virus is transmitted by blood and body fluid, breastfeeding would be contraindicated in this case.
Rationale 3: The infant with galactosemia cannot metabolize galactose, which is found in formula and breast milk.
Rationale 4: The size of the breasts do not serve as a contraindication to breastfeeding. Many women with small breasts successfully breastfeed.
Rationale 5: Most medications will appear in the breast milk. Therefore, each case should be considered individually. Until approved by the pediatrician, medication use should be a contraindication.
Global Rationale: