Qod 5/7

An infant with a cardiac defect is fed in the semi-fowler's position. After the RN feeds and burps the infant and changes the infants position, the infant has a bm and almost immediately becomes cyantoic, diaphoretic, and limp. These symptoms are most likely cause by the:

1. burping

2. formula

3. position change

4. bowel movement

[carolh]

An infant with a cardiac defect is fed in the semi-fowler's position. After the RN feeds and burps the infant and changes the infants position, the infant has a bm and almost immediately becomes cyantoic, diaphoretic, and limp. These symptoms are most likely cause by the:

1. burping

2. formula

3. position change

4. bowel movement

Hi, okay I'm going to try this one I say #4. I believe it is because of the stimulation of the vagus nerve (cranial nerve X). I have read about heart attacks occuring while someone is straining during a bm. I love these questions! Thanks.

[mitchsmom]

I was thinking #4 too, maybe b/c of valsalva, if not, then #3?

[grinnurse, RN]

I will go with #4 as well b/c of valsalva and the fact that constipation in infants, especialy when on iron would cause the constipation.

Thanks Aneroo-you killed 2 birds with one stone...........You go girl!!

[Altra, BSN, RN]

I'll say #4 too

[LadyT618, MSN, APRN, NP]

#4