What approach should a nurse recommend to prevent gastroesophageal reflux in infants?

Feeding smaller, more frequent meals is an effective approach to help prevent gastroesophageal reflux (GER) in infants. This strategy allows for easier digestion and can reduce the amount of stomach content that may flow back into the esophagus, a common issue in infants. By breaking down feedings into smaller volumes, there is less pressure on the gastrointestinal system, which can help minimize reflux episodes.

In addition, smaller meals can contribute to a more comfortable feeding experience, as infants may be less likely to become overly full, thus reducing the potential for reflux symptoms. Maintaining an upright position during and after feedings can further support this strategy, as gravity can help keep the stomach contents in place.

Other options, such as having the baby sleep on the stomach, are not recommended due to the increased risk of sudden infant death syndrome (SIDS). Limiting liquid intake is not practical or beneficial for infants who need adequate nutrition for growth and development. Providing formula only excludes breast milk, which can be an important source of nutrition and antibodies for infants. Therefore, the recommendation of smaller, more frequent meals aligns best with clinical practices for managing gastroesophageal reflux in infants.