Week 4: prematurity

Question 1

prematurity

Answer 1

<37wks

Question 2

egg within follicle

Answer 2

oocyte

Question 3

egg traveling down fallopian tube

Answer 3

ovum

Question 4

conception =

Answer 4

zygote

Question 5

implantation in uterus

Answer 5

blastocyte

Question 6

at 2-8 weeks the baby is called

Answer 6

an embryo

Question 7

at 9wks-birth it is called

Answer 7

a fetus

Question 8

infant axillary temp

Answer 8

98.6-99.8

Question 9

infant HR

Answer 9

80-140

Question 10

RR of infant

Answer 10

40-60

Question 11

infant birth weight

Answer 11

6-9 lbs

Question 12

premature infant birth weight

Answer 12

2-5lbs

Question 13

common conditions that premature infants can have

Answer 13

TTN - transient tachypnea of newborn

Apnea and Bradycardia (As and B)

Question 14

low birth weight

Answer 14

3-5 lbs

Question 15

very low birth weight

Answer 15

2-3 lbs

Question 16

extremely low birth weight

Answer 16

1-2 lbs

Question 17

oocyte to fetus order

Answer 17

oocyte – zygote– blastocyte – embryo– fetus

Question 18

lungs will require mechanical ventilation before ___wks

Answer 18

34 weeks

Question 19

APGAR scoring system

Question 20

premature infant forsiflexion

Answer 20

<40 degrees–> should be able to touch tibia

Question 21

muscle tone develops in a caudal –> cephalo pattern

Answer 21

true

Question 22

PT goals for prematurity

Answer 22

maintain vitals w positioning, calming, self soothing, non nutritive sucking

developmental positioning to minimize alterations in tone, prevent contracture, minimize reflexes

provide optimal positioning for visual, social, fine, gross, and cognitive development

Question 23

tone observations

Answer 23

• heel to ear - closer to eat=less tone
• scarf sign - hand across more than across chest is concerning
• ventral suspension prone-
• pull to sit - head lag

Question 24

baby signs of stress

Answer 24

yawning
crying
tremor of jaw hands legs
cycling mvmts
stiffening
hand placement
sneeze
cough

Question 25

FLACC pain rating scale for infants to 7 yrs

Answer 25

face
legs
activity
cry
consolability

scored 0,1,2 –lower score = better

Question 26

test of infant motor performance TIMP-2

Answer 26

34 wks to 3.5 mo

antigravity hip flexion response loooking for ability to flex and extend hip

orientation to sound
roll from leg response (BOB)

Question 27

HINE Hammersmith test

Answer 27

clinical neurological exam for infants between 2-24 months

looks @ cranial nerve, reflexes, tone, reactions
0,1,2,3 for each category

provides prognostic info on severity of motor outcome

Question 28

4 main intervention

Answer 28

encasement swaddling
graded sensory motor input
non nutritive sucking
positioning : prone, supine, sidelying, sitting

Question 29

supine positioning

Answer 29

early WB through LE
towel rolls to decrease effect of reflexes

facilitates use of UE for object exploration and visual regard

Question 30

sidelying posture

Answer 30

scapular protraction and trunk elongation, working on subtle WS

disassociating the upper and lower trunk using a BOB reaction

ideal for HR RR BP O2- shown to improve weight gain

Question 31

prone positioning

Answer 31

promotes WB through UE

stretches hip, knee, RF

facilitates extension and head ctrl

eye hand awareness and proprio

BUT BREATHING MAY BE MROE DIFFICULT

improved hip positioning

Question 32

sitting upright posture

Answer 32

active head and trunk control

WB through spine UE LE

frees hands for exploration

disassociation of trunk w UE and LE

visual regard! BETTER COGNITION

Question 33

carrying rocking holding positioning

Answer 33

for infants who cant tolerate prone, sidelying, sitting (too much extensor tone)