Discuss physical examination, observation of behavior, and family history as they apply to levels of maturation.
What maternal illnesses and hazards could cause preterm birth?
Discuss Figure 13-3 on page 308 and the physical characteristics listed.
How would you describe hyaline membrane disease?
Describe intercostal and sternal retractions and the pathophysiology regarding the use of these accessory muscles.
What is the nurse’s role in monitoring the neonate during the management of RDS?
Discuss the pathophysiology regarding these effects of surfactant production.
What are the signs of under- and overhydration? Discuss the nurse’s role in monitoring the neonate for oxygen toxicity.
What are nursing interventions for a neonate who has periods of apnea? Discuss using an apnea monitor for these neonates. Audience Response Question #1 Complete the analogy. Preterm bradycardia : less than 100 bpm as preterm tachypnea : ____________. 1. Greater than or equal to 60 breaths/min 2. Less than 60 breaths/min 3. Greater than 30 breaths/min, but less than 60 4. Less than 50 breaths per minute
Discuss how maternal infection or illness at delivery can cause sepsis in the preterm infant.
Which methods provide warmth and nutrition? Give an example of organized care to minimize energy expenditure. Discuss how standard precautions may protect the preterm neonate.
Discuss the treatment for the preterm neonate with hypocalcemia.
Describe assessment of the preterm neonate’s neurological status. Discuss the pathophysiology regarding bulging fontanels and the rationale for a slight Fowler’s position.
What is the nurse’s role in providing parenteral and/or gavage feedings?
Describe bilious vomitus.
What infection control techniques should be used for an infant with NEC?
Give an example of a situation in which the nurse must determine whether the infant’s output is adequate.
Should breastfeeding continue for infants with jaundice? Discuss the pathophysiology regarding peaked levels 3 to 5 days postbirth. Audience Response Question #2 Physiologic jaundice occurs within 48 hours after birth. 1. True 2. False
Discuss the pathophysiology of phototherapy and the treatment of jaundice.
In what ways can the nurse support and encourage the parents?
Discuss Figure 13-6 on page 313.
Discuss Skill 13-2 on page 315.
Why must gastric contents be aspirated prior to gavage feedings?
In what ways could a parent overtire an infant? What nursing interventions would assist the family in managing a preterm infant?
Discuss the pathophysiology of each complication listed.
How does the nurse assess each of these conditions?
What is the nurse’s role in the discharge process of a high-risk newborn?