A nurse is caring for a 4-month-old infant diagnosed with gastroesophageal reflux disease (GERD) who is thriving and showing no complications. Which nursing intervention should the nurse prioritize to minimize reflux episodes?
Explanation & Rationale
A. Give larger, less frequent feedings is incorrect because large-volume feedings increase gastric distention and can worsen reflux. Smaller, more frequent feedings are preferred. B. Thicken the infant's formula with rice cereal is correct because thickened feedings help reduce the frequency of reflux episodes by making gastric contents heavier and less likely to reflux into the esophagus. This is a common first-line, noninvasive intervention for infants with uncomplicated GERD who are thriving. C. Administer continuous nasogastric tube feedings is incorrect because this intervention is reserved for severe cases or infants who are not thriving. It is unnecessary for an infant with mild, uncomplicated GERD. D. Place the infant in the Trendelenburg position after feeding is incorrect because this position increases the risk of reflux and aspiration by placing the head lower than the stomach. Infants should be kept upright after feedings.