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Flashcards in Preterm And Low Birth Weight Deck (23)
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1

What are corticosteroids?

Steroids GIVEN to the Mother to help the
development of the fetus lungs @34 wks


2

What is magnesium sulphate used for

Given to mum to help the brain development of the fetus, it prevents cerabal palsy. Given @LESS than 30wks

3

What to do in antenatal care ?

- Transfer for appropriate care if safe
- Corticosteroids given if LESS than 34 wks
- Give Magnesium sulphate of less than 30wks
- Effective communication with parents and appropriate healthcare professionals
- Tour of NEONATAL INTENSIVE CARE UNIT

4

What can cause Premature delivery?

- Smoking
- Drinking alcohol
- Stress
- Substance abuse
- low or high maternal age
- infection
-previous premature birth
-high blood pressure
-multiple birth
-maternal illness/injury
- 25% no identified cause

5

What is considered as preterm?

<37/40wks

6

What is considered as very Preterm?

29-34/40 wks

7

What is considered as moderate prematurity?

35-37/40wks

8

What is considered as extremely preterm?

24-28/40wks

9

What can premature babies suffer from?

- poor breathing and circulation
- poor nutrition
- Imbalanced blood sugars
- infection
-Jaundice
- intolerance of handling
-skin integrity
- ventricular haemorrhage
-retinopathy

10

What are possible causes for low birth weight?

- Placental Failure
- congenital infection
- chromosome abnormality
- Substance abuse
- Malnourished mother
-Asymmetric IUGR

11

What can be considered as Low Birth Weight?

<2500g

12

What is considered as very Low Birth Weight?

<1500g

13

What is considered as extremely Low Birth Weight?

<1000g

14

Low Birth Weight babies...

- May be born term/Preterm
- weight is below 10th percentile for gestation
- Have difficulty with Tempreture control
- Low blood sugars
-Feeding
-polychthima
- organ failure

15

When do babies suffer from respiratory distress syndrome?

- predominately occurs in premature babies
-babies delivered by LSCS
- Monozytogtic TWINS
-lack of surfactant

16

Signs of increased work breathing?

- Tachypnoea
- Apnoea
- Resscation
- Grunting
- nasal flaring
-Dusky/cynosed

17

What is a thermo neutral Environment?

An environment that encourages the Minimum metabolic rate and oxygen consumption to maintain a normal body temperature.

18

What is the normal temperature for the baby?

36.7-37.3

19

What is would u see physically in an Symetrical IUGR baby?

SMALL HEAD AND SMALL BODY

20

What would you physically see in an Asymmetrical IUGR baby?

NORMAL HEAD AND SMALL ABDOMEN

21

Name 6 clinical features

- poor breast bud formation
- Thin umbilical cord
-Absence of buccal fat (old man look)
- Long finger nails
-large head
- small Abdomen
-Loose, dry and east peel able skin

22

Why do preterm and Low Birth Weight babies get cold?

- Larger surface area
- low subcutaneous Fat
- low Brown fat
- low body water content
- ineffective positioning ability
- poor response to cold stress
-unable to maintain peripheral vasoconstriction

23

Name 5 strategies to prevent cold stress?

1. Warm room
2. Dry baby
3. Skin to Skin
4. Early feeding
5. Monitoring of temperature