Small, rounded foods, especially if they are relatively hard or smooth, can be more difficult for young children to eat because they may swallow them whole. Foods like this should generally be chopped up into smaller pieces (1/2-inch or smaller) before being given to children 4 years old or younger
To help ensure food safety for your kids, keep in mind this list of potentially troublesome foods or forms of some otherwise appropriate foods:
Don't give small children difficult-to-eat foods in whole form. When children get old enough to chew hot dogs, grapes, carrots and other difficult foods, cut them into small, strip-shaped pieces before serving. Also, encourage your child to chew thoroughly.
Children 4 or under should always be supervised while being fed. At this age, children do not have the ability to judge how to eat safely, and may engage in running, jumping and other inappropriate behaviors while eating. Make sure your child is seated at the table, or at least sitting down when eating.
If your child chokes while you are driving, you may not have enough time to act, so it's a good idea to avoid eating in the car altogether.
Every child is unique. One 4-year-old child may be much better than another when it comes to eating some of the foods listed above. So watch your children carefully as they grow, and use good judgment about what to feed them.
One of the most important food safety tips for kids, should your child choke on a food, is to be ready for quick action. Take a course in basic first aid and rescue techniques that includes information on choking incidents and how to respond to them. Your local American Red Cross chapter offers these types of classes, as do some employers' insurance programs. Also, consult with your pediatrician for other potential choking hazards and tips on preventing it. Check these sites for more information on choking and children:
The National Institutes of Health (NIH) provides excellent information on choking and young children, including step-by-step instructions on how to resuscitate a child who is choking. http://www.nlm.nih.gov/medlineplus/ency/article/000051.htm
The Urban Programs Resource Network at the University of Illinois also offers useful information about choking and young children.
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