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What is an appropriate response to educate a parent about preventing esophageal burns from hot formula?

  1. Most infants will reject anything too hot

  2. Warming a baby's bottle in a microwave is acceptable

  3. It is crucial to test the formula's temperature before feeding

  4. Parents should be more careful to avoid such accidents

The correct answer is: It is crucial to test the formula's temperature before feeding

Testing the formula's temperature before feeding is essential for preventing esophageal burns in infants. Infants cannot communicate whether the formula is too hot for them, making it the caregiver's responsibility to ensure the warmth is safe. The safest practice is to heat the formula to a lukewarm temperature and test it on the inside of the caregiver's wrist, where skin sensitivity can provide a good comparison to the infant's more delicate skin. The idea that most infants will reject anything too hot is not reliable since they may not actively resist feeding if they are hungry, potentially leading to burns. Using a microwave to heat a baby’s bottle can result in uneven heating and hot spots that can easily burn an infant’s esophagus. While urging parents to be more careful is important, it lacks the actionable guidance that helps reduce the risk of burns in a practical manner.