What action should a nurse suggest to help prevent gastroesophageal reflux in a newborn?

Holding the baby upright for 20-30 minutes after feeding is a recommended action to prevent gastroesophageal reflux in newborns. This position helps to keep the stomach contents down by creating a natural gravitational effect that minimizes the likelihood of reflux. When a baby is upright, the esophageal sphincter has a better chance of staying closed, thus reducing the risk of regurgitation and discomfort associated with reflux.

Introducing active play immediately after eating could stimulate the digestive system in a manner that may increase the risk of reflux instead of decreasing it. Feeding a baby while lying flat can lead to a higher risk of reflux as it does not support the natural anatomy of the esophagus and stomach. Placing a baby on their tummy immediately after feeding could also promote reflux, as the pressure can push stomach contents upward and result in discomfort or spilling. Therefore, keeping the baby in an upright position post-feeding is an effective strategy for managing and preventing gastroesophageal reflux.