An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant’s mother to care for the infant at home.
Which one of the following statements by the nurse is appropriate regarding the infant’s home care?
A . “Lay the infant flat on her left side after feeding.”
B . “Feed the infant every 4 hours with half-strength formula.”
C . “Antacids need to be given an hour before feeding.”
D . “Play activities should be carried out before instead of after feedings.”
Answer: D
Explanation:
(A) Elevating the child’s head to a 30-degree angle is the recommended position for gastro esophageal reflux. The supine position predisposes the child to aspiration.
(B) Small, frequent feedings with thickened formula are recommended to minimize vomiting.
(C) Antacids should be given at the same time as the feeding to improve their buffering action.
(D) The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.