A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube.
Which of the following actions should the nurse take when administering a feeding? (Select all that apply.).
A.
Offer the infant a pacifier during feedings.
B.
Check for residual volumes by aspirating stomach contents.
C.
Place the infant in supine position.
D.
Instill the formula over a period of 30 to 45 min.
E.
Heat the formula to 39° C (102° F) prior to administration.
The correct answer and Explanation is :
The correct actions for administering enteral feedings through a gastrostomy tube for an infant include:
A. Offer the infant a pacifier during feedings.
B. Check for residual volumes by aspirating stomach contents.
D. Instill the formula over a period of 30 to 45 minutes.
E. Heat the formula to 39° C (102° F) prior to administration.
Explanation:
- Offering a pacifier (A): This action is beneficial because it can help soothe the infant and mimic the sucking reflex, which may aid in digestion and comfort during feedings. Sucking on a pacifier can also reduce discomfort and distress that might be associated with the feeding process.
- Checking for residual volumes (B): This is an important step to ensure that the stomach is processing the previous feedings properly and to prevent overfeeding. Aspirating stomach contents helps to determine if the infant’s stomach can handle additional formula. If residuals are too high, it might indicate delayed gastric emptying or other issues that need to be addressed.
- Instilling formula over 30 to 45 minutes (D): This practice is crucial to avoid overwhelming the infant’s digestive system. Administering the formula slowly over a set period helps to reduce the risk of gastrointestinal discomfort, such as diarrhea or cramping, and allows for better absorption of nutrients.
- Heating the formula to 39° C (102° F) (E): Formula should be at body temperature to ensure it is neither too hot nor too cold, which can be uncomfortable or harmful. Heating the formula to approximately 39° C (102° F) makes it more palatable and reduces the risk of gastrointestinal distress.
Not Recommended:
C. Placing the infant in a supine position: The supine position (lying on the back) is not ideal for feeding an infant with a gastrostomy tube due to the risk of aspiration. The infant should be positioned at least 30 to 45 degrees upright during and for a period after feeding to minimize the risk of aspiration and facilitate digestion.