Which of the following parameters would Nurse Max monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)?
A. Urine
B. Vomiting
C. Weight
D. Stools
Correct Answer: B. Vomiting
Thickened feedings are used with GER to stop the vomiting. Therefore, the nurse would monitor the child’s vomiting to evaluate the effectiveness of using the thickened feedings. The feeding management strategy has been shown to represent an effective approach in otherwise healthy infants with both GER and GERD. It involves modifying feeding frequency and volume, ensuring the intake of feed per kilogram of weight is appropriate. There is some evidence for the efficacy of feed thickeners on reducing visible regurgitation
Option A: No relationship exists between feedings and urine. Patients with GER and GERD may also benefit from changing body position, by keeping them upright or even in the prone position, especially in the postprandial period.
Option C: If feedings are ineffective, this should be noted before there is any change in the child’s weight. Identify the amount of weight loss needed for optimal body size and frame. Provides a basis for dietary planning.
Option D: If the first-line management fails to improve symptoms, current pediatric guidelines advise for a 2–4 weeks trial with cow’s milk protein-free diet, by either excluding milk from the maternal diet in breastfed infants or by using hydrolyzed formula in non-breast fed infants.