Preterm Infant

Any child born before completing 37 weeks of pregnancy, were identified as premature. Thus, the level of development and maturity, and often the severity of the complications in this group vary considerably, depending on the duration of pregnancy.

Neonatal EVALUATION DATABASE

Circulation

Apical pulse, rapid and / or irregular in the normal range (120 to 160 beats per minute).
Audible heart murmur may indicate a PDA.

Food / Fluid

Weighing less than 2500 grams (5 pounds 8 ounces).
The body is long, thin, with a slight limp piece of junk.
Suck / swallowing reflex may be missing / anarchist (the impact of food choices).

Sensorineural

Head size is large compared with the body, can easily be moved thread; fontanelles may be large or wide open.
To demonstrate to dodge or roll your eyes.
General swelling of the eyelids, fused with closed eyes (depending on gestational age).
Reflexes depends on the gestational age, firmly rooted in the 32 weeks of gestation, coordinated reflexes suck, swallow and breathe normally for 32 weeks, the first component of the reflex (Moro lateral extension of the upper limbs, hands opening) appeared in 28 weekly two other parts (front flexion and audible cry) appeared for 32 weeks.
Dubowitz study shows that gestational age between 24 and 37 weeks.
Breathing
Apgar results may be low.
Breathing may be flat, irregular, intermittent diaphragmatic breathing or periodic (40-60/min).
Grunting, nasal burning, substernal and suprasternal withdrawal or with varying degrees of cyanosis may be present.
Auscultation of the existence of "sandpaper" sound means of RDS.

Security

Temperature easy.
Crying may be weak.
His face is bruised, caput representative may attend, or job can be steep.
Hot flashes or transparent color can be pink / red or cyanotic acrocyanotic / pale.
Lanugo spread throughout the body.
The legs can prevent swelling.
All elevations may or may not attend all or part of the leg.
Nails must be short.

Sexuality

Woman of the labia minora may be greater than the labia minora, the clitoris significant.
Testes can not look down, it is not difficult or algae in the scrotum.

Education and training

Maternal history can identify factors that contribute to premature delivery, such as young age, low socioeconomic status, is firmly established in the pregnancy, multiple pregnancy, poor nutrition, previous premature birth, gynecological complications such as abruptio placenta, premature rupture membranes (PROM) premature extension of cervical cancer, infections, blood incompatibility associated with erythroblastosis fetalis, or using prescription, over-the-counter medication or on the street.

Diagnostic tests

Selection Trials and the expected results depend on the presentation of the problems and secondary complications.
Studies of amniotic fluid lecithin to sphingomyelin (L / S) ratio of fetal lung profile and phosphatidyl glycerol / phosphatidylinositol during pregnancy can be made for the assessment of fetal maturity.
CBC: Reduction in hemoglobin / HCT may be associated with anemia or blood loss. WBC count <10,000 / mm3> is

Nurses PRIORITIES

1st Promoting optimal respiratory function.
A second neutral thermal environment.
3rd Preventing or reducing the risk of possible complications.
4th maintenance of homeostasis.
5th Promote the development of healthy families.

Exemption OBJECTIVES

First maintenance of physiological and behavioral homeostasis with minimal external support.
Second weight 41 / 2 lb or more suitable for the age / condition.
3rd Complications prevent / resolve or self-government.
4th Family detect and adequate use of resources.
The fifth family is a testament to the ability to manage childcare.
6th Plan in place you need after discharge.