The clinic nurse is interviewing the parents of a 6-month-old client about the infant's diet. Which statement by the parents is most concerning?

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11ecbb05_caad_2cd5_b433_e99205474c64_MD0009_00 Clostridium botulinum spores in honey or soil can colonize an infant's immature gastrointestinal system and release a toxin that causes botulism, a rare but serious illness. The toxin attacks the neuromuscular system, causing progressive muscle paralysis that can potentially lead to respiratory failure and death. Initial manifestations may include constipation, generalized weakness, difficulty feeding, and decreased gag reflex. Iron-fortified infant cereals (eg, oatmeal) mixed with formula or breastmilk are appropriate for infants >6 months; however, honey (especially raw or wild) is not recommended for infants age <12 months due to the risk of botulism (Option C). (Option A) Although apple pie adds excessive amounts of fat and sugar to the infant's diet, this is not the priority over honey, which can be life-threatening. (Option B) Small portions (<1 tablespoon) of solid food are appropriate for infants. Continuing to feed an infant who acts disinterested in food (eg, turns away) can contribute to future obesity. The nurse should explore this behavior further; however, the priority is to address the danger of feeding an infant honey. (Option D) TV dinners and various canned foods have high sodium and sugar content and therefore are not the best sources of nutrition for an infant. However, TV dinners are not immediately life threatening. Educational objective: Clostridium botulinum spores in honey can colonize an infant's (age <12 months) immature gastrointestinal system and release a toxin that causes botulism, a rare but potentially life-threatening illness.

The Clinic Nurse Is Interviewing the Parents of a 6-Month-Old