To decrease cardiac demand in a newborn with a congenital heart defect, when should the nurse feed the infant?

Feeding a newborn with a congenital heart defect requires careful consideration to manage their cardiac workload effectively. The ideal time to feed such an infant is when they are comfortably resting. This is because feeding can increase the energy expenditure and oxygen demand of the infant, which can be particularly concerning for those with heart defects. If the infant is awake and crying, they may already be exhibiting stress or discomfort, which can elevate their heart rate and respiratory effort, further increasing cardiac demand.

By choosing to feed the infant when they are in a calm state, it is more likely that the feeding can occur without additional stress on their cardiovascular system. This approach helps ensure that the infant can consume adequate nutrition without exacerbating any existing cardiac issues. Feeding during restful periods can also promote a more efficient feeding process and potentially improve the infant's tolerance to the feeding.