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Calling the pediatrician if fever or increased secretions: These are early signs of infection or tracheostomy complications, and prompt medical evaluation is necessary.

Loosely covering the tracheostomy with a bib during feeding/outside: A loose cover protects the airway from food particles, wind, and debris without blocking airflow.

Notifying the power company about home oxygen use: This ensures the family has priority in case of a power outage since home oxygen is life-sustaining equipment.

Bronchiolitis is an acute viral infection of the lower respiratory tract, not caused by ventilatory support or oxygen therapy.

Asthma is a chronic inflammatory airway disease, usually diagnosed later in childhood, not directly caused by neonatal ventilatory support.

Cystic fibrosis is a genetic disorder caused by mutations in the CFTR gene, unrelated to ventilatory support or oxygen exposure.

Pulse oximetry of 94% while receiving oxygen by nasal cannula is slightly lower than normal but generally acceptable for a BPD infant on supplemental oxygen; can be monitored, not emergent.

Decreased intake with last feeding is concerning for hydration/nutrition but not an immediate life-threatening issue; can be managed with feeding adjustments and monitoring.

Sleeping more than 3 hours at a time is normal for young infants; not an indication of acute respiratory compromise.

Enteral feedings support nutrition, which is important for growth, but they do not directly improve gas exchange.

Developmental activities support neurodevelopment, but are secondary to airway and respiratory support in prioritization.

Bonding is important for psychosocial development, but it does not directly address impaired gas exchange.

Skin tests are used to identify allergens, not viral infections. Colds are diagnosed clinically based on symptoms.

Allergies do not cause fever. Fever suggests an infectious process, such as a cold or flu.

Itching is typical of allergies, not viral colds. Colds may cause nasal congestion or discharge but not persistent itching.

CPAP does not provide ventilation; it does not initiate breaths. It only maintains airway patency. Ventilators or BiPAP are used for assisted ventilation.

CPAP maintains positive pressure and may actually increase intrathoracic pressure slightly. Its goal is not to reduce it.

CPAP provides air at room concentration or supplemental oxygen if added, but the primary purpose is airway patency, not high oxygen delivery.