Term
| Define premature (preterm) infant and identify several conditions related to preterm births |
|
Definition
| preterm infants are born before the 38th week of gestation. many problems can occur. These problems include, but are not limited to: respiratory problems, thermoregulation problems, fluid and electrolyte imbalance, skin issues, infection problems, and pain issues |
|
|
Term
| Identify methods for assessment of gestational age in regard to prenatal and postnatal assessment |
|
Definition
prenatal assessments include fundal height, ultrasounds, and head rump circumference of the fetus.
postnatal assessment includes apgar scores, gestational age assessment, assessment of newborn, relexes, respiratory, and well being |
|
|
Term
Discuss the characteristics, pathophysiology, and nursing care of the preterm infant in regard to:
General appearance
Respiratory Distress Syndrome (RDS)
Chronic Lung Disease (Bronchopulmonary Dysplasia- BPD)
Apnea of Prematurity
Patent Ductus Arteriosus
Temperature regulation
Periventricular-Intraventricular Hemorrhage
Gastrointestinal system
Necrotizing Enterocolitis
Renal system
Immune system
Retinopathy of Prematurity |
|
Definition
| the preterm infant with have very thin skin, its head will be bigger in proportion than the body, respiratory distress (premature lungs), excessive apnea spells, inability to breathe on their own, lack of coordination, lack of ability to flex muscles, heart murmur, inability to stay warm, risk for bleeding, immature gastrointestinal system, defects in GI system, immature kidneys, weak immune system, risk for retinal detachment |
|
|
Term
| Discuss developmental care of the preterm infant |
|
Definition
| watch baby closely for s&s of RDS, keep baby on stomach, keeps arms and legs in flexed position |
|
|
Term
Discuss parental-infant attachment in relation to the high risk newborn. |
|
Definition
| risk for ineffective bonding, risk for parental role strain, anxiety related to the unknown |
|
|
Term
Identify the characteristics of the post mature infant. Discuss the physiologic action, potential side effects and nursing implications for each of the following medications. Be prepared to identify the therapeutic effect of each medication.
a. Surfactant (survanta, exosurf))
b. Indocin
c. Ibuprofen |
|
Definition
LGA, placental insufficiency,decreased amniotic fluid, or umbilical cord compression
*surfactant-used for fetal lung maturity, may prevent RDS; SE pale skin, slow heartbeat, blood in urine, noisy breathing, feeding/bowel problems
*indocin- NSAID; SE chest pain,weakness, tarry stools, coughing up blood, weight gain, swelling
*ibuprofen- NSAID; SE upset stomach, bleeding, N/V/D, headache, flatulence |
|
|
Term
| Define small for gestational age (SGA) and large for gestational age (LGA) and formulate a plan of care for each |
|
Definition
SGA-hypoglycemia, temperature regulation, jaundice, weight, measurements
LGA-injuries, hypoglycemia, polycythemia |
|
|
Term
| Describe the steps involved in neonatal resuscitation |
|
Definition
Circulation, Airway, Breathing
30:2 or 15:1
1 breath every 6 to 8 secs
compression just below the nipple
about 1.5 inches deep |
|
|
