The nurse is reinforcing discharge teaching for the parents of a 1-year-old with a newly diagnosed cow's milk allergy. Which nutrients normally provided by milk should be obtained from other sources? Select all that apply.

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11ecbb05_caae_1736_b433_7731dba08c24_MD0009_00 Calcium and vitamin D are nutrients in cow's milk that are essential for proper bone development in children and adolescents (Options A and D). To obtain the recommended 500 mg of daily calcium (for ages 1-3 years), the parents should serve foods such as beans, dark green vegetables, and calcium-fortified cereals and juices. Vitamin D, which enhances the absorption of calcium, is synthesized in the skin by exposure to direct sunlight. Alternate dietary sources include fish oils, egg yolks, and vitamin D-fortified foods (eg, orange juice). (Option B) Fiber, which is important for digestive health, is found in only small amounts in cow's milk. Fiber-rich foods include whole grains, beans, and berries. (Option C) Cow's milk is not a significant source of iron. Dietary sources of iron include meats and spinach. (Option E) Vitamin K is an important nutrient for coagulation. Vitamin K is produced by bacteria in the large intestine and is found in food sources such as dark green vegetables, fish, and eggs, not in cow's milk. Educational objective: Calcium and vitamin D are nutrients in cow's milk that are essential for proper bone development in children and should be obtained from other sources for clients with a cow's milk allergy. Alternate sources of calcium include beans, dark greens, and calcium-fortified cereal and juices. Vitamin D is synthesized in the skin when exposed to sunlight and can be obtained in foods such as fish, egg yolks, and vitamin D-fortified foods.

The Nurse Is Reinforcing Discharge Teaching for the Parents of a 1-Year-Old