Postpyloric placement of feeding tubes in pregnancy is associated with which of the following?

• A. Requires radiation exposure
• B. Reduces aspiration risk without any risks
• C. Is contraindicated in pregnancy
• D. Has no effect on nutrient delivery

Answer: (A)

Postpyloric feeding tube placement relies on imaging to guide the tube beyond the stomach and confirm its tip in the duodenum or jejunum. In pregnancy, using radiologic guidance means exposure to ionizing radiation for the imaging required to verify placement, so radiation exposure is an inherent part of the procedure. That’s why this option is the best match.

While postpyloric tubes can help reduce aspiration risk, they aren’t without risks, and the need for radiation is a defining factor. It isn’t an absolute contraindication in pregnancy, as clinicians may consider shielding and low-dose imaging or alternative approaches when the benefits justify the exposure. Also, placing a postpyloric tube does affect how and where nutrients reach absorption sites, so it isn’t “no effect” on nutrient delivery.