A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

Choice A rationale:
Shrimp. Shrimp is a type of seafood and is not considered a suitable choice for a lacto-vegetarian diet. Lacto-vegetarians exclude meat, poultry, and fish from their diet but do consume dairy products. Since shrimp comes from the sea and is an animal product, it's not compatible with a lacto-vegetarian dietary preference.
Choice B rationale:
Cheese. Cheese is derived from dairy milk and is a suitable option for individuals following a lacto-vegetarian diet. Lacto-vegetarians include dairy products in their diet while avoiding meat and seafood. Cheese provides a good source of protein and calcium, making it a valuable addition to their meals.
Choice C rationale:
Eggs. Eggs are not a part of the lacto-vegetarian diet. Lacto-vegetarians exclude eggs from their diet and only consume dairy products along with plant-based foods. While eggs are an excellent source of protein, lacto-vegetarians make this dietary choice due to ethical or religious reasons that lead them to avoid all animal products except dairy.
Choice D rationale:
Hamburger. Hamburger is a meat product and is not suitable for a lacto-vegetarian diet. Lacto-vegetarians avoid all forms of meat, including beef. Instead, their diet focuses on dairy products, plant-based foods, and sometimes eggs.

Choice A rationale:
A hoarse voice is a manifestation of dysphagia, which is difficulty swallowing. Dysphagia can occur after a stroke due to weakness or paralysis of the muscles involved in swallowing. It can lead to problems like aspiration, where food or liquid enters the airway instead of the digestive tract, causing coughing, choking, and changes in the voice.
Choice B rationale:
Weight gain is not typically associated with dysphagia. Dysphagia tends to lead to weight loss rather than weight gain, as individuals may avoid eating due to the discomfort and difficulty associated with swallowing.
Choice C rationale:
Expressive aphasia is not directly related to dysphagia. Expressive aphasia is a language disorder that impairs a person's ability to produce language. It's caused by damage to specific areas of the brain, often not directly linked to swallowing difficulties.
Choice D rationale:
Continuous smiling is not a typical manifestation of dysphagia. Dysphagia is related to difficulties in swallowing and does not typically manifest as continuous smiling. It's more likely to cause distress, discomfort, and changes in vocal quality.