A nurse is providing teaching to a client who has a prescription for a low-saturated fat diet. Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.

Choice A rationale:
Crohn's disease is not commonly associated with obesity. Crohn's disease is a chronic inflammatory bowel disease that can lead to weight loss due to malabsorption and other gastrointestinal symptoms.
Choice B rationale:
Peptic ulcer disease is not directly linked to obesity. Peptic ulcers are primarily caused by Helicobacter pylori infection or the use of nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice C rationale:
Gastroesophageal reflux disease (GERD) is commonly associated with obesity. Excess weight, especially around the abdominal area, can contribute to increased pressure on the stomach and lower esophageal sphincter, leading to the backflow of stomach acid into the esophagus and causing symptoms of GERD such as heartburn and regurgitation.
Choice D rationale:
Celiac disease is not typically associated with obesity. Celiac disease is an autoimmune disorder triggered by the ingestion of gluten, a protein found in wheat, barley, and rye. Individuals with celiac disease often experience weight loss and malabsorption due to intestinal damage.