Review Question - QID 109374

A 5-month-old boy presents to the pediatrician with his mother for a well visit. The patient was born at 35 weeks gestation to a 30-year-old gravida 2 mother via vaginal delivery. The pregnancy and labor were uncomplicated. The patient required no resuscitation after delivery and was discharged from the hospital on day 2 of life. The patient has been exclusively breastfed since birth. She says that feedings have been going well and that the patient appears satisfied afterward. The patient feeds for 30 minutes every 2 hours and urinates 8-10 times per day. The patient’s mother reports that she eats a varied diet that includes animal products but she worries that the patient is not meeting his nutritional needs with breastmilk alone. The patient’s height and weight at birth were in the 15th and 20th percentile, respectively. His height and weight are now in the 20th and 25th percentile, respectively. His temperature is 98.1°F (36.7°C), blood pressure is 58/46 mmHg, pulse is 128/min, and respirations are 34/min. On physical exam, the patient appears well-developed and well-nourished. He has mild conjunctival pallor. Which of the following is the most appropriate guidance regarding this patient’s nutritional needs?