Question

An infant is to receive gastrostomy feedings. What intervention should the nurse institute to prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory compromise?

a. Rapid bolusing of the entire amount in 15 minutes
b. Warm cloths to the abdomen for the first 10 minutes
c. Slow, small, warm bolus feedings over 30 minutes
d. Cold, medium bolus feedings over 20 minutes

Answer 1

The correct intervention for an infant receiving gastrostomy feedings to prevent digestive and respiratory issues is slow, small, warm bolus feedings over 30 minutes.

Step-by-step explanation:

To prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory compromise in an infant receiving gastrostomy feedings, the proper intervention would be slow, small, warm bolus feedings over 30 minutes. Delivering feedings in this manner is analogous to how chyme must be delivered slowly and in small amounts to the small intestine for optimal chemical digestion. Rapid or large bolus feedings could lead to complications such as aspiration which can cause serious respiratory problems in newborns. Furthermore, it is also beneficial for feedings to be warm as cold feedings might shock the infant's still-developing digestive system.