Which of the following is NOT a reason neonates might struggle with oral feeding?

Neonates may struggle with oral feeding for several reasons related to their physiological and developmental status. Neurological issues can affect a baby's ability to coordinate sucking, swallowing, and breathing, which are critical for feeding. Congenital anomalies, such as cleft lip or palate, can create anatomical challenges that make feeding difficult. Similarly, poor endurance and an unstable state of alertness can hinder a neonate's capacity to feed effectively, as they may tire easily and struggle to stay awake long enough to complete a feeding session.

In contrast, being well-rested aids in feeding by providing the baby with the energy and focus needed to engage in the complex processes of sucking and swallowing. When neonates are well-rested, they are generally more alert, coordinated, and capable of successfully consuming feeds, which is why this choice is not a reason for difficulty in oral feeding.