A preterm infant who is being fed commercial formula by gavage has had an increase in gastric residuals, abdominal distention, and apneic episodes. Which is the most appropriate nursing action?
a. Notify the practitioner.
b. Reduce the amount fed by gavage.
c. Feed human milk by gavage.
d. Feed only a glucose solution until the infant stabilizes.
ANS: A
These are signs that may indicate early necrotizing enterocolitis. The practitioner is notified for further evaluation. Enteral feedings are usually stopped until the cause of increased residuals is identified.
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