Which preterm infant should receive gavage feedings instead of bottle feedings?
A) Sucks on a pacifier during gavage feedings
B) Sometimes gags when a feeding tube is inserted
C) Has a sustained respiratory rate of 70 breaths per minute
D) Has an axillary temperature of 36.9°C (98.4°F), an apical pulse of 149 beats/minute, and respirations of 54 breaths per minute

Question

Quizplus · Accepted Answer

Infants less than 34 weeks of gestation or those who weigh less than 1500 g generally have difficulty with bottle-feeding. Gavage feedings should be initiated if the respiratory rate is above 60 breaths per minute. Providing a pacifier during gavage feedings gives positive oral stimulation and helps the infant associate the comfortable feeling of fullness with sucking. The presence of the gag reflex is important before initiating bottle-feeding. Axillary temperature of 36.9°C (98.4°F), an apical pulse of 149 beats/minute, and respirations of 54 breaths per minute are within expected limits and an indication that the infant is not having respiratory problems at that time.

Which Preterm Infant Should Receive Gavage Feedings Instead of Bottle