Problem:
The nurse has reviewed the Nurses' Notes at 1010. Exhibit 1. Nurses' Notes. Today, 1000: Exhibit 2. Infant here at the provider's office for a scheduled visit. The infant is in their parent's arms, grimacing. Exhibit 3. S1 and S2 auscultated, no murmur noted. Respirations are symmetric and unlabored with abdominal movement. Abdomen is soft and flat, bowel sounds present. Current weight is 4.1 kg (9 lb) The parent states they have exclusively breast- and bottle-fed breastmilk to the infant since birth. The parent states the infant sometimes chokes with bottle feedings. The parent noticed that the infant recently started "spitting up" during the night and after feeds, and cries excessively. They state the infant has been vomiting more forcefully and has become disinterested in feeding. Today, 1010: Provider assessed infant and discussed gastroesophageal reflux with parent. Education provided. Select the 3 statements the nurse should include in the teaching. A "Avoid vigorous activity, such as bathing, immediately after feeding." B "Hold the infant in an upright position for 30 minutes after feeding." C "Enlarge the bottle's nipple opening when using thickened feedings." D "Prop the bottle during feedings." E "Feed the infant in a side-lying position."