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12 Cards in this Set
- Front
- Back
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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% |
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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 |
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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
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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 |
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___ 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
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Signs of ___
•Changes in color, HR, RR, BP •Sneezing •Yawning •Vomiting •Hiccups •Hypotonia •Flailing •___ of limbs •Gaze aversion •Inability to console |
Stress
Hyperextension |
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___ Behaviors
Hand to mouth Sucking Hand clasp at midline Grasping |
Self Regulatory
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Factors in the NICU that can lead to stress
___ of equipment, monitors Lighting ___ positioning for medical needs Medical personnel traffic |
Noise
Asymmetrical |
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___ 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 |
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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
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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 |
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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 |
