An infant is to receive gastrostomy feedings. What intervention should the nurse institute to prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory com-promise?
1. Rapid bolusing of the entire amount in 15 minutes
2. Warm cloths to the abdomen for the first 10 minutes
3. Slow, small, warm bolus feedings over 30 minutes
4. Cold, medium bolus feedings over 20 minutes
3
1. Incorrect. This would most likely lead to the adverse reactions listed above.
2. Incorrect. Temperature stability in the newborn is critical. This type of warming would not be appropriate because it is not a thermoregulated environment. Additionally, abdominal warming is not indicated with feedings of any kind.
3. Correct. Feedings by gravity are done slowly over 20- to 30-minute periods to prevent adverse reactions.
4. Incorrect. Small feedings at room temperature are recommended to prevent adverse reac-tions.
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