Certified Pediatric Nurse (CPN)

What should the nurse advise the parents of a congested infant regarding nasal suctioning?

1. Place saline drops before each feeding and use a bulb syringe

2. Replace one or two feedings with sterile water for more fluids

3. Assure them that all babies recover just fine from colds

4. Place saline drops after each feeding and use a bulb syringe

The correct answer is: Place saline drops before each feeding and use a bulb syringe

Advising parents to place saline drops before each feeding and use a bulb syringe is appropriate because the combination effectively helps to clear nasal congestion in infants. Saline drops work by moistening the nasal passages, which can thin mucus and make it easier to suction out. This is particularly helpful before feeding, as a congested infant may have difficulty breastfeeding or bottle-feeding due to nasal obstruction. Using a bulb syringe after applying saline drops allows for more effective suctioning because the mucus is already loosened, which can help the infant breathe better during feeding. This practice can improve feeding comfort and reduce the risk of potential feeding aversion that may develop if the infant struggles to breathe. Options that suggest replacing feedings with sterile water or assuring parents about the typical recovery from colds do not address the immediate issue of nasal congestion management. Additionally, using saline after feeding may not provide the same benefit, as the infant could have difficulty feeding if they are congested beforehand. Therefore, the recommended timing of saline application and suctioning before feeding is the most beneficial approach for the congested infant.