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Non-nutritive sucking — RACP Paediatrics MCQ

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HardNeonatalNon-nutritive suckingRACP Paediatrics

A 30-week infant is now 35 weeks corrected age and moving from nasogastric to oral feeds. Cardiorespiratory stability and growth are satisfactory, but suck–swallow–breathe coordination remains immature. Which low-risk intervention best supports acquisition of oral feeding skills?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Offer non-nutritive sucking during tube feeds with feeding-team oversight

Explanation lettering: C = shown as A · A = shown as C

B is correct. Non-nutritive sucking paired with tube feeds can support oral-motor organisation and transition to oral feeding when readiness and respiratory safety are assessed. A prokinetic therapy does not teach suck–swallow–breathe coordination. C changes nutrient density, not skill acquisition. D sacrifices breast-milk benefits without addressing coordination. E unnecessarily withholds developmentally supportive oral experience.

Reference: RCH Melbourne, Breastfeeding support and promotion: https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Breastfeeding_support_and_promotion/