The nurse is performing an assessment on an infant whose mother states that she feeds the infant in a supine position by propping the bottle. Based on this information, what would the nurse include in the assessment?

Question

1. Otoscopic exam of the eardrum
2. Bowel sounds
3. Vital signs
4. Skin assessment

Answer 1

1
Rationale 1: If the infant is fed horizontally, positional otitis media could develop because of milk and nasal mucus blocking the eustachian tube.
Rationale 2: Bowel sounds are not affected by the position of the feeding.
Rationale 3: Vital signs are not affected by the position of the feeding.
Rationale 4: The skin is not affected by the position of the feeding.