The parents of a 4-month old infant are talking with the nurse about the baby's diet. The parents want to start giving the child cow's milk and they ask the nurse about this. Which response from the nurse is correct?

 

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Correct

- You can increase the stress on her kidneys if you give her cow's milk right now.

- You can start to give her cow's milk, but you can only use whole milk, not skim.

- You should not give her cow's milk until she is at least 6 months old.

- Giving her cow's milk right now will increase her risk of developing celiac disease.

Rationale

The American Academy of Pediatrics does not recommend giving an infant cow's milk until he or she is at least one year old. Cow's milk does not provide enough iron for a baby under a year of age. Additionally, some of the nutrients in cow's milk can cause too much stress on the baby's kidneys when they try to filter the higher amounts of electrolytes contained in the milk. This could cause kidney damage and so should be avoided.

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