PROVIDING GOOD NUTRITION

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PROVIDING GOOD NUTRITION

• Chapter 10

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Practical Considerations in Planning Nutritious
Meals

• Cost
• Convenience
• Facilities
• Culture
• Childrens preferences
• Nutritional needs specific to each age group in
  care (infant/toddler/preschooler)

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INFANTS

• Grow faster than at any other time in life
• Breastfeeding is nutritionally preferable
• Milk can be refrigerated or frozen
• See Table 10.2
• Breastfeeding limitations
• If mother has a communicable disease
• If mother is taking meds that can harm infant
• If mother is substance abuser

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INFANTS, contd

• Bottle feeding
• See Table 10.3
• Introducing solids
• 4 - 6 months
• Introduce small amounts of 1 food at a time and
  wait about a week to see if allergies develop
• See Table 10.4

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INFANTS, contd

• Introduce iron-fortified rice cereal, mixed with
  formula, as first solid food
• Then introduce pureed vegetables
• Then introduce pureed fruit
• Infants can eat egg yolks, but not whites
• See Tables 10.5 and 10.6

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TODDLERS

• Childs search for autonomy affects eating
• Ellyn Satters guidelines
• 1. Adult controls what food comes into the house
  and how it is prepared and presented
• 2. Adult makes sure child comes to meals and
  behaves. Adult controls times of meals snacks.
• 3. Child controls whether how much is eaten

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Toddlers, contd

• See Tables 10.8 9
• Toddlers are erratic eaters
• Choking foods must be avoided
• Milk toddlers should not drink non-fat milk
• Milk should be limited to 24 oz/day to avoid
  milk anemia

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PRESCHOOLERS

• Prefer familiar foods
• Are influenced by media and friends
• 50 of advertised foods are high-fat, high-sugar,
  empty calorie snack foods
• Are also influenced by parents and teachers
• Role mode
• Help with selection and preparation

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SPECIAL NEEDS CHILDREN

• Many special needs children have nutritional
  needs that can be met in an inclusive daycare
  setting
• The Americans with Disabilities Act says we
  cannot deny special needs children if we can
  reasonably accommodate their needs

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EXERCISE

• Exercise is an important part of diet, and is
  included in the new US nutritional pyramid.
• Children need adequate time for gross motor play
  each day

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IMPLICATIONS

• Nutritional education for staff and parents
• Role modeling for kids, staff, and parents
• Advocacy to help get low-income parents and staff
  into food programs (WIC)
• Cultural and economic sensitivity are important
  for influencing others