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NCLEX Question of the Day
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A nurse is teaching the parents of a 2-year-old about managing constipation. Which dietary recommendation should the nurse prioritize to promote regular bowel movements?
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Provide large quantities of milk throughout the day.
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Correct answer Increase intake of whole fruits like pears and plums.
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Offer more cheese sticks and yogurt for snacks.
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Give refined grains like white bread and crackers.
Rationale
Constipation in toddlers is common and often related to diet. Increasing dietary fiber and fluid intake is crucial. Whole fruits, especially those high in sorbitol and fiber like pears, plums, peaches, and apricots, help soften stool and promote bowel motility. Vegetables and whole grains are also beneficial.
Cheese and yogurt are dairy products which, in excessive amounts, can be constipating for some children. While milk provides essential nutrients, excessive intake (typically >16-24 oz per day for toddlers) can displace other fiber-rich foods and contribute to constipation. Refined grains like white bread and crackers are low in fiber compared to whole grains and can worsen constipation.
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