Final answer:
Circumoral pallor during feeding may indicate a cardiac anomaly rather than necrotizing enterocolitis (NEC), as it suggests poor circulation often related to inefficient heart function.
Step-by-step explanation:
The statement 'Circumoral pallor during the feeding process may occur with a cardiac anomaly, not NEC' is true. Circumoral pallor refers to paleness around the mouth, which can be caused by several conditions, including a cardiac anomaly where the heart may not be able to pump blood efficiently, leading to poor circulation and pallor. Necrotizing enterocolitis (NEC) primarily affects the intestine, not the circulatory system, thus circumoral pallor would not be a typical symptom associated with NEC, but rather with a heart condition.