An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate?
A) "That's true, but we'll make sure she gets the best intravenous nutrition."
B) "Unfortunately, your baby needs more nutrients than what breast milk can provide."
C) "Breast milk may help to boost her immune system, so you can continue to use it."
D) "She won't be able to suck, so we have to give her fortified formula through a tube."
Ans: C
Breastfeeding a child before and after cardiac surgery may boost the infant's immune system, which can help fight postoperative infection. If breastfeeding is not possible, mothers can pump milk and the breast milk may be given via bottle, dropper, or gavage feeding. In addition, breastfeeding is associated with decreased energy expenditure during the act of feeding.
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