The nurse teaches the family of a child with celiac disease about proper nutritional choices. The parent demonstrates understanding of the diet when the parent prepares which breakfast foods? Select all that apply.

Choice A rationale Strawberries are naturally gluten-free fruits and are safe for a child with celiac disease. Celiac disease is an immune-mediated disorder triggered by gluten, a protein found in wheat, rye, and barley. Fruits, vegetables, fresh meats, and dairy are generally safe and part of a proper gluten-free diet. Choice B rationale Orange juice is a safe beverage for a child with celiac disease as it is naturally gluten-free. Beverages made from fruits or fresh vegetables are acceptable, provided they do not contain added gluten-containing thickeners or flavorings, which is not typical for plain orange juice. Choice C rationale Eggs are a safe, protein-rich food that is naturally gluten-free. Plain eggs (scrambled, boiled, fried) are a staple in a celiac diet. The parent's selection of eggs demonstrates correct understanding of appropriate nutritional choices that exclude sources of gluten. Choice D rationale Raisin Bran is a cereal that contains bran, which is made from wheat, barley, or rye. Since wheat is a major source of gluten, Raisin Bran is a product that must be strictly avoided by individuals with celiac disease, indicating a poor nutritional choice. Choice E rationale Wheat toast, as a product made from wheat, is a primary source of gluten. In celiac disease, ingestion of gluten causes damage to the small intestinal villi, leading to malabsorption, so any food containing wheat, including wheat toast, must be eliminated from the diet. Choice F rationale Rice puffs, or puffed rice, are generally made from rice, which is a naturally gluten-free grain. Plain rice and rice-based products are safe alternatives to gluten-containing grains for individuals following a proper diet for celiac disease. —.