Card Set Information
Prematurity study for pediatric Nurse Practitioner school
Infant born prior to term,
usually 37 weeks gestational age,
postmenstrual age, or
post conceptional age (PCA), or
less than 259 days gestational age (WHO, 1997)
Survival prognosis prior to 29 weeks based on___________?
Survival prognosis after 30 weeks based on ________ ?
LBW: Low Birth Weight = ___________ ?
VLBW: Very Low Birth Weight = _______ ?
ELBW: Extremely Low Birth Weight = _______ ?
SGA: Small for Gestational Age = ________ ?
2000 gm – 2500 gm
What are the causes of prematurity?
Spontaneous or idiopathic preterm labor(PTL) 45%
Preterm rupture of membranes(PROM) 30%
Medical complications necessitating delivery 25%
What are the risk factors for prematurity?
Maternal Health Behaviors
Previous Ob History
Maternal Health Status
Diabetesn Multiple Gestation
How can one prevent prematurity?
Identification of Women at Risk
“High Risk” Prenatal Care (S R = 18%)
Decrease All Substance Abuse, including tobacc on Use of Tocolytics to Prolong Gestation
Identification of Early Labor (PTL)
What is the management of prematurity?
Airway, Breathing & Circulation
Feeding….Breast Feeding in NICUs
Eyes (Protection & ROP)
Issues of prematurity
Historically, when weight = 5 5½ lb
1) Sustained Pattern of Weight Gainn
2) Physiologic Stability (suckle, feed,temp)
3) Active Program of Parental Involvement(two caregivers)
4) Frequent Outpatient FollowUpn
5) Organized Program of Tracking and Surveillance