We use observational data from 22 elementary schools and over 48,000 child-day observations to examine the relationship between the number of fruit and vegetable items and the consumption patterns of children during school lunch. We find that each additional fruit or vegetable item that is offered increases the fraction of children who eat at least one serving of fruits and vegetables by 12 percent. We also use our observational data to provide practical information about which items are most likely to be eaten by children during lunch and compare this to the cost and nutritional quality of these items.