PNP: Prematurity.txt

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Author:
MBitting
ID:
86856
Filename:
PNP: Prematurity.txt
Updated:
2011-06-07 17:55:23
Tags:
prematurity
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Description:
Prematurity study for pediatric Nurse Practitioner school
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  1. Define Prematurity?
    • 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)
  2. Survival prognosis prior to 29 weeks based on___________?
    gestational age
  3. Survival prognosis after 30 weeks based on ________ ?
    weight
  4. LBW: Low Birth Weight = ___________ ?
    <2500 gm
  5. VLBW: Very Low Birth Weight = _______ ?
    <1500 gm
  6. ELBW: Extremely Low Birth Weight = _______ ?
    <1000 gm
  7. SGA: Small for Gestational Age = ________ ?
    2000 gm – 2500 gm
  8. What are the causes of prematurity?
    • Spontaneous or idiopathic preterm labor(PTL) 45%
    • Preterm rupture of membranes(PROM) 30%
    • Medical complications necessitating delivery 25%
  9. What are the risk factors for prematurity?
    • Age
    • Ethnicity
    • Socioeconomic Status
    • Maternal Health Behaviors
    • Previous Ob History
    • Hypertension
    • Hyperthyroidism
    • Maternal Health Status
    • Diabetesn Multiple Gestation
    • Fibroidsn Polyhydramnios
    • Stress
    • Violent Relationships
  10. 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
    • Bed Rest
    • Identification of Early Labor (PTL)
  11. What is the management of prematurity?
    • Airway, Breathing & Circulation
    • Temperature Control
    • Immature Skin
    • Feeding….Breast Feeding in NICUs
    • Touch/Kangaroo Care
    • Weight Gain
    • Eyes (Protection & ROP)
  12. Issues of prematurity
    • Historically, when weight = 5 5½ lb
    • AAP Guidelines:
    • 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

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