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20 Cards in this Set
- Front
- Back
Skin problems for the preterm infant include: fragile skin that must be ?, ? tape can be very damaging. When disinfecting the skin ? should be used, avoid ? and ? b/c it can be damaging to the skin. Use sterile ? for bathing. Use ? in incubators. Postion the infant to avoid undue ? on the skin.
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protected,
adhesive, chlorhexadine gluconate, alcohol, iodine, H2O, humidification, pressure |
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The incidence of infection in preterm infants is ?-? times greater than full-term infants. The preterm infants immune system is ? The RN should always monitor for ?
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3-10,
immature, infection |
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One of the most important aspects of preventing infection is ? Nursing care involves scrupulous ? and ? of the infant's skin integrity.
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HANDWASHING,
cleanliness, maintenance |
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Because pain is the ? vital sign, pain assessment is performed whenever vital signs are taken.
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5th
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Things that can cause environmental stress to premature infants include- too much ?, ?, ?
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Noise, Light, Stimulation
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Preterm infants undergo multiple assessments, procedures, and tx that may cause frequent interruptions of sleep and may interfere with the development of normal ?-? cycles. Sleep disruption alters ? maturation and secretion of ? hormone and inteferes with ? and ?
During intrauterine life the fetus sleeps ?% of the time. |
sleep-wake,
neuronal, growth, growth and development, 90% |
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Nsg Dx for environmental stress: ? stress
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Environmental
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Signs of overstimulation: increase or decrease in ?/? rate which can cause ? and ?, flaring ?s, ↓ ? levels, arm/legs may be ?/?, eyes may turn away from eye ?, also ?,?,?
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pulse/respiration,
cyanosis, pallor, nares, O2, stiff/extended, contact, yawning, coughing, regurgitation |
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Nsg mgt for over stimulation: Schedule ? rest throughout the day. Reduce ?, control ?, and keep lights ?
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undisturbed,
stimuli, noise, dimmed |
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Preterm problems r/t feeding:The preterm infant may require ? or ? feedings to conserve energy. If the infant has a respiratory rate ≥ ? then the infant may recieve gavage feedings.
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parenteral,
gavage, ≥70 |
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If the preterm infant is receiving gavage feeding the ? should be checked before intermittent feeding or every 2-4 hrs for continuous feeding.
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residual
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Excessive residual indicates that the amount or ? of formula or the ? rate may need to be changed. It is also an early sign of a complication such as NEC/? Report abnormal residuals to the ?
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type,
flow, Necrotizing EnteroColitis, physician |
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The infant may have an immature ? reflex. They should be ready for oral feeding by ? weeks
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gag,
34wks, |
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Sign of readiness to nipple: ?ing, ?ing on gavage tube, finger, pacifier. Able to tolerate ?, RR <?, presence of ? reflex.
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Rooting,
sucking, holding, RR<60, gag |
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Adverse signs of feeding for preterm infant during nipple feeding: ↑?or↓?,↑?, ↓?, ?,?,?, falling asleep early during ?, feeding time >?-?min.
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↑HR, ↓HR, ↑RR, ↓O2sat,
apnea, coughing, gagging, feeding, >25-30min |
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If the preterm infant is having problems with latch the nurse can provide gentle ? support.
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jaw
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What could you do to facilitate bonding: let the parents ? and ? the infant in the delivery room. Bring ?s to mom if she is unable to get to the NICU. Provide ? information. Have parents use ? care.
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see, touch,
pictures, accurate, kangaroo |
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Other problems related to prematurity: The leading cause of all deaths for premature infants in the U.S. is
? syndrome formerly known as ? membrane disease. |
Respiratory distress,
hyaline membrane disease |
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The percentage of infants at 26-28wks that develop RDS/hyaline membrane disease is ?%. This is caused by insufficient ? which is first produced at ? wks. Too little allows alveoli to ? upon exhalation, and as fewer alveoli expand, ?/? and ? occurs.
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50%,
surfactant, 22 wks, collapse, atelectasis/collapse, hypoxia |
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Signs of RDS: ↑?, nasal ?, chest ?, ?, audible grunting on ?, breath sounds may be ?, and there may be an abnormal ? x-ray.
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↑RR, flaring, retractions,
cyanosis, expiration, decreased, chest |