A health care provider prescribes feedings of 1 to 2 oz Pedialyte every 3 hours and to advance to 1/2 strength Similac with iron as tolerated postoperatively for an infant who had a pyloromyotomy
The nurse should decide to advance the feeding if which occurs?
a. The infant's IV line has infiltrated.
b. The infant has not voided since surgery.
c. The infant's mother states the infant is tolerating the feeding okay.
d. The infant is taking the Pedialyte without vomiting or distention.
ANS: D
After a pyloromyotomy, feedings are usually instituted within 12 to 24 hours, beginning with clear liquids. They are offered in small quantities at frequent intervals. Supervision of feedings is an important part of postoperative care. The feedings are advanced only if the infant is taking the clear liquids without vomiting or distention. Feedings would not be advanced if the infant has not voided, the IV line becomes infiltrated, or the mother states the infant is tolerating the feedings.
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