Week 4: prematurity Flashcards

1
Q

prematurity

A

<37wks

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2
Q

egg within follicle

A

oocyte

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3
Q

egg traveling down fallopian tube

A

ovum

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4
Q

conception =

A

zygote

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5
Q

implantation in uterus

A

blastocyte

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6
Q

at 2-8 weeks the baby is called

A

an embryo

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7
Q

at 9wks-birth it is called

A

a fetus

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8
Q

infant axillary temp

A

98.6-99.8

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9
Q

infant HR

A

80-140

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10
Q

RR of infant

A

40-60

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11
Q

infant birth weight

A

6-9 lbs

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12
Q

premature infant birth weight

A

2-5lbs

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13
Q

common conditions that premature infants can have

A

TTN - transient tachypnea of newborn

Apnea and Bradycardia (As and B)

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14
Q

low birth weight

A

3-5 lbs

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15
Q

very low birth weight

A

2-3 lbs

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16
Q

extremely low birth weight

17
Q

oocyte to fetus order

A

oocyte – zygote– blastocyte – embryo– fetus

18
Q

lungs will require mechanical ventilation before ___wks

19
Q

APGAR scoring system

20
Q

premature infant forsiflexion

A

<40 degrees–> should be able to touch tibia

21
Q

muscle tone develops in a caudal –> cephalo pattern

22
Q

PT goals for prematurity

A

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

23
Q

tone observations

A
  • 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
24
Q

baby signs of stress

A

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

25
FLACC pain rating scale for infants to 7 yrs
face legs activity cry consolability scored 0,1,2 --lower score = better
26
test of infant motor performance TIMP-2
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)
27
HINE Hammersmith test
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
28
4 main intervention
encasement swaddling graded sensory motor input non nutritive sucking positioning : prone, supine, sidelying, sitting
29
supine positioning
early WB through LE towel rolls to decrease effect of reflexes facilitates use of UE for object exploration and visual regard
30
sidelying posture
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
31
prone positioning
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
32
sitting upright posture
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
33
carrying rocking holding positioning
for infants who cant tolerate prone, sidelying, sitting (too much extensor tone)
34