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8/4/2019 Preterm Infant
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Preterm Infant
, . .Manansala Ma Lourdes T
, .
Olivete Veronica Anne S
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Introduction
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Preterm Infant
A premature infant is a
baby born before 37weeks gestation.
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Causes, Incidence
andRisk Factors
Premature :
(less than 37 weeks gestation)
Full term:
(37 to 42 weeks gestation)
Post term:
(born after 42 weeks gestation)
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a lack of surfactant makes
the baby extremely
vulnerable to respiratorydistress syndrome, so the
patient needs medical
treatment and further
evaluations of her condition.
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Pathophysiology
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Maternal oral infection such as clinical
periodontal disease has also been identified
as a risk factor for preterm birth, and pilot
data suggest that oral treatment
interventions undertaken during pregnancy
may reduce preterm birth risk
Symptoms of imminent
spontaneous preterm birth are
signs of premature labor. Onesign is four or more uterine
contractions in one hour. In
contrast to false labor, true
labor is accompanied by cervical
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History
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MGM’s mother was on her 34th week
gestation when she gave birth to baby
MGM. Baby MGM, a Premature baby
was taken at the Ospital ng San Josedel Monte by her father because of
the positive sign of cyanosis. She was
diagnosed with Sepsis.
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Nursing Physical
Assessment
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Temperature was 35.4 C
pulse rate/heart rate was 127 bpm
respiratory of 68 cpm
lanugo on the forehead
has soft flexible ear cartilage
genitalia shows a very prominent clitorisand very small and widely separated labia
majora
few creases on the sole or plantar area
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Related
Treatment
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The infant was undergoing a phototherapy
to maintain her normal body temperatureand improve her body color
Gentamicin
Aminophylline
Ampicillin
Ca Gluconate incorporated in D5050
breast milk that is about 0.5ml every 2hours
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Nursing Care
Plan
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Diagnosis:
impaired gas exchange related to immature
pulmonary function as manifested by bluish discoloration
and difficulty of breathing.
Nursing intervention :
adequate oxygenation as prescribed to supplement
her oxygen. Monitor vital signs every 1 hour to identifyprogress toward or deviations from goal. Administer
bronchodilator as her medication to treat underlying
condition. Monitor her skin color to know if there is any
improvement on her condition.
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Small frequent feeding of milk
to prevent aspiration because
her gag reflex is not yet fullydevelop and also for the
capacity of her stomach
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Recommendat
ions
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When monitoring growth and development in the
premature infant, minor exceptions of administratingimmunizations should be based on the chronologic
age. Administration of hepatitis B vaccine should be
delayed until the infant weighs 2,000 g (4 lb, 5 oz).
Administration of influenza vaccine should be
considered in infants with chronic medical problems,and the pneumococcal vaccine may be beneficial at
age two in children with chronic problems, especially
pulmonary disease.Premature infants should also be monitored to
assure appropriate nutrition. Breast-fed infants
should probably receive vitamin supplements during
the first year.