The preterm infant who should receive gavage feedings instead of being given a bottle is one who:

a. Sometimes gags when a feeding tube is inserted.
b. Has a sustained respiratory rate of 70 breaths/minute.
c. Sucks on a pacifier during gavage feedings.
d. Has an axillary temperature of 98.4° F, an apical pulse of 149 beats/min, and res-pirations of 54 breaths/minute.


B
Infants of less than 34 weeks of gestation or those who weigh less than 1500 g generally have difficulty with bottle-feeding.
The presence of the gag reflex is important before initiating bottle-feeding.
Providing a pacifier during gavage feedings gives positive oral stimulation and helps asso-ciate the comfortable feeling of fullness with sucking.
These vital signs are within expected limits and an indication that the infant is not having respiratory problems at that time.

Nursing

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