Preterm and Postterm Newborns
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is a preterm baby? | show 🗑
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| What is a postterm baby? | show 🗑
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| What is a term baby? | show 🗑
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| What is used to evaluate gestational age? | show 🗑
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| show | physical and neuromuscular characteristics
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| show | how well the infant has grown for the amount of time spent in utero
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| show | size is below the 10th percentile
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| What is Appropriate size for Gestational Age (AGA)? | show 🗑
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| What is Large for Gestational Age (LGA)? | show 🗑
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| show | weight is 1000g (2 lb 3 oz) or less at birth.
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| What is Very low birth weight (VLBW)? | show 🗑
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| show | weight is 2500 g (5 lb 8 oz) or less at birth and of any gestational age (not to be confused with preterm)
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| show | *Poorly developed cough reflex and narrow respiratory passages *Apneic spells *Retractions *Grunting *Insufficient production of surfactant *Respiratory Distress Syndrome
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| Incidence of infection is how much greater in preterm newborns? | show 🗑
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| What is retinopathy? | show 🗑
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| In newborns, who is retinopathy most likely in? | show 🗑
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| What is Necrotizing Enterocolitis (NEC)? | show 🗑
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| When are incidence of Necrotizing Enterocolitis (NEC) much higher in preterm newborns? | show 🗑
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| show | *Abdominal distention *Increased gastric residuals *Decreased or absent bowel sounds *Vomiting *Bile-stained emesis or residuals *Bloody stools *Abdominal tenderness *Signs of infection
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| show | *Antibiotics *Parenteral nutrition to rest the bowel *NPO *Continuous or intermittent gastric suction *May need to surgically remove necrotic bowel and place an ostomy
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| show | Position infant on the side to minimize effects
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| What is Bronchopulmonary Dysplasia (BPD)? | show 🗑
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| show | infants weighing less than 1500 g at birth
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| show | High levels of oxygen, oxygen-free radicals, and high positive-pressure ventilation that damage bronchial epithelium and interfere with alveolar development
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| List five S/Sx of Bronchopulmonary Dysplasia (BPD): | show 🗑
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| show | *Use of maternal steroids to reduce prematurity and RDS *Minimizing exposure to oxygen *Avoidance of fluid overload *Increased nutrition
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| What is the Tx of Bronchopulmonary Dysplasia (BPD)? | show 🗑
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| Why are diuretics given and fluids restricted during the treatment of Bronchopulmonary Dysplasia (BPD) in a preterm nerwborn? | show 🗑
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| List five handicaps of the preterm newborn: | show 🗑
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| Why may a preterm newborn need to be placed on parenteral nutrition? | show 🗑
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| show | *Intact gag reflex *Coordination of sucking, swallowing, and breathing
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| show | 34 weeks
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| List four signs of inadequate thermoregulation (cold stress): | show 🗑
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| show | *Thin with loose skin *Unusually alert and wide-eyed *Little vernix and lanugo *Skin wrinkles *Nails long
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| What are problems associated with postterm infants? | show 🗑
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