Preterm Infant

Manansala, Ma. Lourdes T. Olivete, Veronica Anne S.

Introductio n

Preterm Infant
A premature infant is a baby born before 37 weeks gestation.

Causes, Incidence and Risk Factors

Premature : (less than 37 weeks gestation) Full term: (37 to 42 weeks gestation) Post term: (born after 42 weeks gestation)

Nursing Management of Preterm Infant

a lack of surfactant makes the baby extremely vulnerable to respiratory distress syndrome, so the patient needs medical treatment and further evaluations of her condition.

Pathophysi ology

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. One sign is four or more uterine contractions in one hour. In contrast to false labor, true labor is accompanied by cervical

History

MGMs 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 Jose del Monte by her father because of the positive sign of cyanosis. She was diagnosed with Sepsis.

Nursing Physical Assessment

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 clitoris and very small and widely separated labia majora few creases on the sole or plantar area

Related Treatment

The infant was undergoing a phototherapy to maintain her normal body temperature and improve her body color Gentamicin Aminophylline Ampicillin Ca Gluconate incorporated in D5050 breast milk that is about 0.5ml every 2 hours

Nursing Care Plan

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 identify progress 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.

Small frequent feeding of milk to prevent aspiration because her gag reflex is not yet fully develop and also for the capacity of her stomach

Recommendat ions

When monitoring growth and development in the premature infant, minor exceptions of administrating immunizations 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 Premature infants should also be monitored to pulmonary disease. assure appropriate nutrition. Breast-fed infants

should probably receive vitamin supplements during the first year.