A preterm infant who is being fed commercial formula by gavage ...

[skymedlock]

A preterm infant who is being fed commercial formula by gavage has had an increase in gastric residuals, abdominal distention, and apneic episodes. Which is the most appropriate nursing action?
 
  a. Notify the practitioner.
  b. Reduce the amount fed by gavage.
  c. Feed human milk by gavage.
  d. Feed only a glucose solution until the infant stabilizes.

Question 2

The nurse is caring for a high-risk neonate who has an umbilical catheter and is in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
 
  a. Place socks on the infant's feet.
  b. Elevate the infant's feet 15 degrees.
  c. Wrap the infant's feet loosely in a prewarmed blanket.
  d. Report the findings immediately to the practitioner.

[amit]

Answer to Question 1

ANS: A
These are signs that may indicate early necrotizing enterocolitis. The practitioner is notified for further evaluation. Enteral feedings are usually stopped until the cause of increased residuals is identified.

Answer to Question 2

Blanching of the feet in a neonate with an umbilical catheter is an indication of vasospasm. Vasoconstriction of the peripheral vessels, triggered by the vasospasm, can seriously impair circulation. It is an emergency situation and must be reported immediately.