A preterm neonate has begun breastfeeding, but the infant tires easily and has weak sucking and swallowing reflexes. What is the most appropriate nursing intervention?
a. Encourage the mother to breastfeed.
b. Resume orogastric feedings of formula.
c. Try nipple feeding the preterm infant formula.
d. Feed the remainder of breast milk by the orogastric route.
ANS: D
If a preterm infant tires easily or has weak sucking when breastfeeding is initiated, the nurse should feed the additional breast milk by the enteral route. The nurse supports the mother in the attempts to breastfeed and ensures that the infant is receiving adequate nutrition. Breast milk should be used as long as the mother can supply it.
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