A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions after feeding?

Choice A rationale: Placing the infant in the prone position (face down) after feeding is not recommended for a baby with gastroesophageal reflux. The prone position can increase the risk of aspiration if reflux occurs while the baby is lying down.
Choice B rationale: For an infant with gastroesophageal reflux, placing the baby in an upright position after feeding can help prevent or reduce reflux episodes. Keeping the infant in an upright position allows gravity to assist in keeping stomach contents down and reduces the likelihood of reflux into the esophagus.
Choice C rationale: Placing the infant on the right side after feeding is also not recommended for managing gastroesophageal reflux. The right side position may not be as effective in preventing reflux as the upright position.
Choice D rationale: Placing the baby on either side after feeding is also not recommended for managing gastroesophageal reflux. The upright position is more effective in preventing reflux episodes and promoting digestion. Side-lying positions after feeding may not provide the same benefits and can potentially increase the risk of reflux.

Choice A rationale: Ventricular septal defect (VSD) is a congenital heart defect and is not directly related to respiratory distress syndrome or respiratory acidosis.
Choice B rationale: Cesarean birth, while it can have other implications, is not a direct risk factor for respiratory distress syndrome or respiratory acidosis. The mode of delivery does not directly impact the newborn's respiratory function.
Choice C rationale: While being small for gestational age can be associated with certain health challenges, it is not a direct risk factor for respiratory distress syndrome or respiratory acidosis. The baby's size does not determine its respiratory status.
Choice D rationale: Maternal history of asthma is a risk factor that can predispose the newborn to respiratory difficulties, including respiratory distress syndrome (RDS) and respiratory acidosis. Infants born to mothers with asthma may have a higher likelihood of developing respiratory problems due to potential genetic factors and exposure to environmental triggers during pregnancy.