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12 Cards in this Set

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Premature birth occurs before ___ weeks of gestation

Affects 1/8 babies in US

25% of premature deliveries result from early induction and/or Cesarean section

__% of time no known cause for premature delivery
38 weeks

40%
Maternal conditions which may contribute to premature birth:

•Diabetes
•Heart disease
•Infection
•Kidney disease
•Pre-___
•Lack of prenatal care
•Poor nutrition
•Age of mother < ___ years
pre-eclampsia

< 18 years
Premature babies are at increased risk for:

•Respiratory problems
•Intraventricular hemorrhage (IVH)
•Necrotizing ___ (NEC)
•Bronchopulmonary dysplasia (BPD)
•Vision problems
•Hearing problems
•Learning disabilities
•CP
•GI problems (e.g. reflux)
Necrotizing enterocolitis
Most problems of prematurity occur in infants born earlier than __ weeks gestation and weighing less than ___.

Of these, 50% suffer IVH (Intraventricular hemorrhage grades I –IV)

___% of those with grade IV IVH will be diagnosed with ___
32 weeks

3 lbs 5 oz

70%

CP
___ Theory of Development

I.Autonomic Level
Ability to regulate heart rate, respiratory rate, body temperature

II.Motor Level
Refers to muscle tone, movement, posture, activity

III.State Control
Ability to move between and/or maintain sleepy/drowsy, awake/alert, fussy/crying states

IV.Ability to focus attention during interaction

V.Self –Regulatory
Ability to coordinate all levels
Synactive
Signs of ___

•Changes in color, HR, RR, BP
•Sneezing
•Yawning
•Vomiting
•Hiccups
•Hypotonia
•Flailing
•___ of limbs
•Gaze aversion
•Inability to console
Stress

Hyperextension
___ Behaviors

Hand to mouth
Sucking
Hand clasp at midline
Grasping
Self Regulatory
Factors in the NICU that can lead to stress

___ of equipment, monitors

Lighting

___ positioning for medical needs

Medical personnel traffic
Noise

Asymmetrical
___ Scale

Assessment scale based on degree of physiological ___ and ROM

Used to determine ___ in premature infants

Can also be used to show improvement in muscle ___

Used in the NICU and in the clinic setting based on adjusted age up to term
Dubowitz Scale

flexion

gestational age

tone
Role of PT in the NICU

Evaluation of motor, sensory, developmental issues

Recommendations for ___ and handling to promote state regulation and motor development

Education of parents/ professionals

Splinting/ casting/ adaptation as indicated
positioning
Goals of PT in the NICU

Increasing ___ input
Swaddling
Providing boundaries

‣Increasing midline orientation

‣Promoting improved ___

‣Providing positive tactile input

‣Improving ___ via positioning, handling

‣Educating parents and other professionals
proprioceptive

state regulation

muscle tone
Criteria for ___ from NICU

Body temperature maintained in ___ crib

Feeds well with weight gain of ___ grams per day

No longer requires medications or procedures that must be administered in hospital

No recent major changes in medications or oxygen needs
Discharge

open

20-30 grams