When asked about allowing her 2-year-old to have a bottle at naptime, what is an appropriate response from the nurse?

When asked about allowing her 2-year-old to have a bottle at naptime, what is an appropriate response from the nurse?

• A. "It is best to avoid bottles altogether at this age."
• B. "You may give the child a bottle if necessary, but it should contain water."
• C. "Try to replace the bottle with a sippy cup."
• D. "Your child should drink milk in the bottle."

Answer: (B)

The appropriate response is that giving a child a bottle at naptime may be acceptable, provided that the bottle contains water. This advice balances the need to address the parent's concerns while promoting healthier habits. At two years of age, many children are transitioning away from using bottles, as prolonged use can lead to dental issues such as tooth decay and may also impede the transition to a more varied diet. Offering water instead of milk or juice in the bottle helps to mitigate the risks associated with prolonged bottle use, including excessive sugar exposure or dental caries. This approach acknowledges that while it’s better to phase out bottles, parents often seek practical solutions for their child's comfort during naptime. In this situation, recommending water aligns with developmental guidelines encouraging a shift to cups while also recognizing the reality of the child's need for comfort and routine.

The appropriate response is that giving a child a bottle at naptime may be acceptable, provided that the bottle contains water. This advice balances the need to address the parent's concerns while promoting healthier habits. At two years of age, many children are transitioning away from using bottles, as prolonged use can lead to dental issues such as tooth decay and may also impede the transition to a more varied diet.

Offering water instead of milk or juice in the bottle helps to mitigate the risks associated with prolonged bottle use, including excessive sugar exposure or dental caries. This approach acknowledges that while it’s better to phase out bottles, parents often seek practical solutions for their child's comfort during naptime.

In this situation, recommending water aligns with developmental guidelines encouraging a shift to cups while also recognizing the reality of the child's need for comfort and routine.