Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?

Choice A rationale Chocolate is known to trigger GERD symptoms as it contains caffeine and other stimulants which can cause acid reflux. Choice B rationale Sugar cookies are a safe snack choice for individuals with gastroesophageal reflux disease as they are not known to trigger GERD symptoms. Choice C rationale Tacos often contain spicy ingredients and high-fat meats, both of which can trigger GERD symptoms. Choice D rationale Pizza is typically high in fat and can contain acidic tomato sauce, both of which can trigger GERD symptoms.