Which position should be maintained after an infant receives an NG tube feeding to minimize reflux risk?

• A. Semi-Fowler's position for 1 hour after feeding
• B. Prone position
• C. Flat supine position
• D. Side-lying on the left side during the feeding

Answer: (A)

Maintaining an elevated position after an NG tube feeding uses gravity to keep stomach contents from flowing back into the esophagus, lowering the risk of reflux and aspiration. The semi-Fowler's position (head elevated about 30–45 degrees) is the best option and is typically maintained for about an hour after feeding, providing airway protection while still allowing the tube to function.

Prone is not used because it increases the risk of choking and, in infants, is associated with SIDS. The flat supine position offers no gravity barrier to reflux. Side-lying on the left side may be used in some situations, but it does not provide as much protection against reflux/aspiration as an elevated position after feeding.