A nurse is assessing a newborn with a known patent ductus arteriosus defect of the heart. The mother asks when she can start breastfeeding her infant. The best explanation by the nurse would be:
1. "The newborn will need to have the defect repaired before oral feedings can start.".
2. "The newborn will need to have extensive rest time between feedings, so plan on breastfeeding one time, then we will give a nasogastric feeding the next time.".
3. "The nursing staff will monitor the newborn during feedings because she may sweat and have increased difficulty breathing.".
4. "The newborn should have no issues while breastfeeding.".
3
Feedback
1. Feedings can begin before the repair if the newborn does not demonstrate difficulties in cardiac and respiratory status.
2. Rest time will be needed before and after feedings, but there is no need to alternate between breast and nasogastic feedings.
3. Monitoring will enable the nurse to assess when the newborn needs a break in feedings.
4. The newborn will have some issues with feedings because of the heart issues.
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