What action should a nurse take for an infant showing signs of respiratory distress during feeding?

When an infant exhibits signs of respiratory distress during feeding, the most appropriate action is to hold the infant in a knees-to-chest position. This position can help alleviate respiratory distress by improving lung function and promoting optimal airflow. It allows for greater expansion of the chest and can reduce the work of breathing, which may be particularly beneficial in alleviating symptoms such as wheezing or difficulty breathing that can arise during feeding.

Using the knees-to-chest position can also help the infant to mobilize secretions and enhance the clearance of airways, thereby promoting better oxygenation. This is especially pertinent when the infant may be struggling to breathe effectively while trying to feed.

In contrast, encouraging the infant to continue eating during respiratory distress could exacerbate the situation, potentially leading to further obstruction or distress. Positioning the infant flat on their back is contraindicated as it may increase the difficulty of breathing. Providing 100% oxygen immediately may not be necessary and should be reserved for more critical situations; the immediate focus should be on stabilizing the infant and ensuring safe feeding.