While a mother is feeding her high-risk neonate, the nurse observes the neonate having occasional apnea, pallor, and bradycardia. What is the most appropriate nursing action?
a. Let the neonate rest before breastfeeding again.
b. Resume gavage feedings until the neonate is asymptomatic.
c. Recognize that this may indicate an underlying illness.
d. Use a high-flow, pliable nipple because it requires less energy to use.
ANS: C
Apnea, pallor, and bradycardia may be signs of an underlying illness. The infant should be evaluated to ensure he or she is not developing problems. The infant can rest while waiting for the evaluation. If the child is becoming ill, the capacity to digest enteral feedings may be compromised. The type of nipple that is being used should not produce the signs being observed.
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