A nurse is teaching the mother of an 8-week-old infant who is breastfed about methods to manage colic. Which of the following instructions should the nurse recommend? (Select all that apply.)
Explanation & Rationale
A. Feed the infant 1/2 tsp of honey daily: Honey should never be given to infants under 1 year due to the risk of botulism. This is unsafe and not recommended for managing colic. B. Allow the infant to suck on a pacifier: Sucking on a pacifier can help soothe and calm infants, which may reduce crying episodes associated with colic. It is a safe and effective non-pharmacologic intervention. C. Apply a hot water bottle to the infant's abdomen: Applying heat directly to an infant’s abdomen is unsafe because of the risk of burns. Warm baths or gentle tummy rubs are safer alternatives. D. Offer the infant 1 oz of star anise tea: Herbal teas like star anise are not recommended for infants due to potential toxicity and lack of proven benefit in colic management. E. Have the mother avoid milk products: If the infant is breastfed, maternal consumption of dairy can sometimes exacerbate colic due to sensitivity to cow’s milk proteins. A trial of eliminating milk products from the mother’s diet can help reduce symptoms.