Prematurity, Risks
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| List the 5 primary variables for high risk | show 🗑
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| List the sx cluster that emerges regardless of etiology (8) | show 🗑
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| A baby with nonreducible nuchal cord will show this pattern on fetal heart monitor | show 🗑
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| For majority of premature babies, they will have ______ throughout life | show 🗑
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| show | Prematurity
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| The mothers at highest risk for preemies are | show 🗑
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| show | 24-28 wks; intrauterine infection
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| What sort of special needs may a preemie need? | show 🗑
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| Our primary nursing role re: prematurity is ___ | show 🗑
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| ______ is paramount in a premature infant | show 🗑
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| What respiratory concerns do we expect with premature babies? | show 🗑
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| What treatment can be given to prevent RDS? (think specific prevention strategies) | show 🗑
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| What O2 treatments do we give for an infant in RDS | show 🗑
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| show | Caffeine
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| With LBW babies, we introduce ____ to help maintain surface tension of ____ | show 🗑
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| show | Pale, flaring of nares
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| show | Poor feeding, subcostal retractions, restlessness, weak/kitten cry, pale + pale mucous membranes
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| show | Intercostal/sternal/nuchal retractions, end expiratory grunting, stridor, hypotonia, poor response to pain, "asleep", cyanosis of peripheral (limbs) and/or central (mucous membranes/trunk)
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| True or false: acrocyanosis is a sign of respiratory distress | show 🗑
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| What is a pre/post-ductal test? | show 🗑
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| show | 5%
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| We look at above and below _____ during pre/post-ductal | show 🗑
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| show | 1) baby's skin, 2) humidifying O2 to not dry out mucous membranes
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| show | Oxygen hood
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| CPAP stands for | show 🗑
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| show | O2 sat, chest rise/fall, overall color, lung sounds, skin condition
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| show | Infection; blow out
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| show | Neopuff allows more control so you're less likely to blow lungs out
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| With intubation we can also cause ______ issues | show 🗑
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| How is O2 therapy and psych/social impairment related? | show 🗑
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| What is the rebound effect? How does it relate to eyes? | show 🗑
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| ROP stands for _____ | show 🗑
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| show | dose dependent
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| ____________ is one of the most common lung injuries as result of prematurity and extended O2 therapy | show 🗑
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| show | An injury to small airways, interfering with alveolar development, which reduces overall surface area for gas exchange
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| show | Chronic oxygen hunger
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| How can we avoid bronchopulmonary dysplasia? | show 🗑
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| How we care for baby with bronchopulmonary dysplasia? (O2 specific) | show 🗑
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| show | Slowly; well after discontinuation
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| show | Bleeding originates from brain w/extension from ventricular system
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| show | 32
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| show | 72 hours
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| What can increase risk of hemorrhage? | show 🗑
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| show | Monitor unexplained Hct, drop, paleness/pallor, sx of respiratory distress or desat, seizures, lethargy, babies w/ weak suck and high pitched cry, hypotonia
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| show | Cluster care and be very gentle with baby
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| show | Congenital defects (shunting, conduction issues)
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| show | 34 weeks
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| Babies born early will have prolonged _____ | show 🗑
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| Parenting role r/t feeding preemies | show 🗑
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| Prematurity affects CNS through | show 🗑
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| Renal issues r/t prematurity include | show 🗑
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| NEC stands for | show 🗑
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| show | Thoughtfully use antibiotics, careful use of parenteral nutrition, SLOW feedings, corticosteroids, probiotics, breastmilk
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| What is NEC? | show 🗑
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| Assessment of NEC | show 🗑
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| show | Resp distress, temp instability, hypotension, lethargy, decreased UO
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| With NEC you may see these labs | show 🗑
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| show | FIRST STOP FEEDINGS, place baby on IV fluids, consider TPN, IV antibiotics
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| show | Jaundice
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| Preemie skin issues include | show 🗑
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| Preemie issues with interaction | show 🗑
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| We should ____ care because preemie babies can't handle ______ stimulation | show 🗑
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| 17P refers to _____ given between _________ to decrease risk of premature delivery | show 🗑
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| 17P does what? | show 🗑
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| Near term/late preterm newborns may look _____ on the outside but they are ______ not normal | show 🗑
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| show | Poor feeding, sleepiness, transient tachypnea, poor temp/glucose control, jaundice and infection
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| show | 24
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| Late preterm NBs are considered deliveries between ______ and ___ weeks | show 🗑
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| Late preterm NBs account for >70% of _____ | show 🗑
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| To prevent late preterm deliveries, we encourage mothers to ______ | show 🗑
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| show | C/S, inductions, and older mothers
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| show | How does baby tolerate being in car seat? Late preterms may asphyxia in seat d/t poor tone
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| show | Rest, stress reduction, take care of selves, HYDRATE, avoid doing elective inductions/C-S until 39 wks
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| Babies with bronchopulmonary dyplasia may have _______ delays | show 🗑
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| Bronchopulmonary dysplasia is treated with these meds | show 🗑
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| Bronchopulmonary dysplasia is associated with | show 🗑
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| Teach parents that complications such as ______, _______ and _______ r/t nutrition and hydration may arise for BD babies | show 🗑
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| show | True
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| show | Abruption, cord prolapse, LGA, IUGR, previa, worsening preeclampsia
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