What nursing measure is NOT appropriate for an infant showing signs of neonatal abstinence syndrome (NAS)?

When caring for an infant showing signs of neonatal abstinence syndrome (NAS), it is important to prioritize measures that promote stability and comfort. Encouraging bottle feeding may not be the most appropriate measure for these infants.

Infants experiencing NAS often exhibit hyperirritability, feeding difficulties, and gastrointestinal disturbances, which can complicate their ability to successfully feed from a bottle. Skin-to-skin contact, a quiet environment, and breastfeeding support are all strategies that can help soothe the infant, reduce stress responses, and support bonding. Breastfeeding can provide the infant with comfort and nutrition, while skin-to-skin contact has been shown to enhance neurodevelopment and promote a feeling of safety for the newborn. A calming environment helps minimize overstimulation, which is crucial for infants dealing with NAS.

In contrast, bottle feeding may not be the best approach because these infants may have trouble with coordination and sucking, which are essential for successful bottle feeding. Thus, offering breastfeeding support is often encouraged, and promoting strategies that facilitate a sense of security and reduce stress for the infant is crucial in their care.