A preterm newborn has been receiving orogastric feedings of breast milk. The nurse initiates nipple feedings, but the newborn tires easily and has weak sucking and swallowing reflexes. The most appropriate nursing intervention is to:
a. encourage mother to breastfeed.
b. try nipple-feeding preterm newborn formula.
c. resume orogastric feedings of breast milk.
d. resume orogastric feedings of formula.
ANS: C
If a preterm newborn tires easily or has weak sucking when nipple feedings are initiated, the nurse should resume orogastric feedings with the milk of mother's choice. When nipple feeding is unsuccessful, it is unlikely that the newborn will be able to breastfeed. Breast milk should be continued as long as the mother desires.
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