Identify whether each intervention is recommended or not recommended for a pediatric patient with gastroesophageal reflux disease.

Smoking and vaping cessation in adolescents: Nicotine relaxes the lower esophageal sphincter, worsening reflux. Counseling adolescents to avoid smoking or vaping is recommended to reduce GERD symptoms and improve overall health. Supine positioning post-feed: Laying infants supine immediately after feeding increases reflux episodes and aspiration risk. Instead, keeping the infant upright is safer. Supine position is recommended only during sleep, not right after feeding. Rice cereal to thicken infant feeds: Thickening feeds with rice cereal makes formula heavier, reducing the frequency of regurgitation. This intervention is commonly recommended in infants with GERD under provider guidance. Upright positioning after feeding: Holding the infant upright for 20–30 minutes post-feed allows gravity to minimize reflux. This is a safe and effective nonpharmacologic intervention. Prokinetic medications such as metoclopramide (Reglan): These drugs are not routinely recommended due to limited benefit and risk of neurologic side effects like