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h. A toddler should never be


                                                                allowed to fall asleep with a bottle
                                                                containing milk, juice, soda pop,
                                                                sweetened water, or any other sweet
                                                                liquid because of the risk of nursing
                                                                (bottle-mouth) caries.
                                                             i. Typically, the toddler sleeps through the
                                                                night and has 1 daytime nap; the
                                                                daytime nap is normally discontinued
                                                                at about age 3 years.
                                                             j. A consistent bedtime ritual helps
                                                                prepare the toddler for sleep.
                                                             k. Security objects at bedtime may assist
                                                                in sleep.
                                             2. Vital signs (Box 18-8)
                                             3. Nutrition
                                                             a. The MyPlate food guide (see Fig. 11-1)
                                                                provides dietary guidelines and
                                                                applies to children as young as 2 years
                                                                of age (see www.choosemyplate.gov).
                                                             b. The toddler should average an intake of
                                                                2 to 3 servings of milk daily (24 to 30
                                                                oz [700 to 800 mL]) to ensure an
                                                                adequate amount of calcium and
                                                                phosphorus (low-fat milk may be
                                                                given after 2 years of age).
                                                             c. Trans-fatty acids and saturated fats
                                                                need to be restricted; otherwise fat
                                                                restriction is not appropriate for a
                                                                toddler (mothers should be taught
                                                                about the types of food that contain fat
                                                                that should be selected).
                                                             d. Iron-fortified cereal and a high-iron
                                                                diet, adequate amounts of calcium and
                                                                vitamin D, and vitamin C (4 to 6 oz
                                                                [120 to 180 mL] of juice daily) are
                                                                essential components for the toddler’s
                                                                diet.
                                                             e. Most toddlers prefer to feed themselves.
                                                             f. The toddler generally does best by
                                                                eating several small nutritious meals
                                                                each day rather than 3 large meals.
                                                             g. Offer a limited number of foods at any
                                                                one time.

                                                                    h. Offer finger foods and avoid





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