A nurse is working with a caregiver of an infant with gastroesophageal reflux. The infant has poor weight gain, cries then awake, and is vomiting or regurgitating with feedings
Given these symptoms, which of the following interventions would be best for the nurse to recommend to the caregiver? a. Give small, frequent feedings.
b. Feed the infant with the infant's body in a horizontal position.
c. Hold the baby in an upright position for an hour after feedings.
d. Thicken the formula with a little rice cereal.
D
Feedback
A Incorrect. Giving small, frequent feedings is not the best intervention for the nurse to recommend to the caregiver. This recommendation can cause additional stress on caregivers. Therefore, they need to know that higher volume and less frequent feedings can be tolerated as the infant grows.
B Incorrect. Feeding the infant with the infant's body in a horizontal position is not the best intervention for the nurse to recommend. The infant should be fed with the head elevated to minimize reflux.
C Incorrect. Holding the baby in an upright position for an hour after feedings is not a reasonable recommendation. If the health care provider has recommended the head elevated prone position after feedings, this position can be achieved by using a wedge, sling, harness, and towel rolls.
D Correct. Thickening the formula with a little rice cereal is the best intervention for the nurse to recommend to the caregiver. This increases the consistency and retention, and supplies the needed calories for the infant who vomits frequently.
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