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    Ati pn paediatrics nursing 2023 proctored exam

    A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

    Explanation & Rationale

    A. Change the infant's formula to a soy-based formula: Soy-based formulas are not routinely recommended for gastroesophageal reflux. Formula changes should only be made under the direction of a healthcare provider after evaluating for intolerance or allergy. B. Limit the infant's formula feedings to every 6 hr: Infants require frequent feedings, typically every 3 to 4 hours. Extending intervals can lead to inadequate nutrition and worsen irritability or reflux due to overfeeding during fewer sessions. C. Keep the infant at a 30° angle for 1 hr following each feeding: Maintaining the infant in an upright or semi-upright position after feeding helps reduce reflux episodes by promoting gastric emptying and minimizing regurgitation. D. Give the infant a bottle immediately before the infant's bedtime: Feeding right before lying flat can increase the risk of reflux during sleep. It's better to feed the infant slightly earlier and keep them upright afterward to reduce symptoms.

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