preterm infant

8/4/2019 Preterm Infant

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Preterm Infant

, . .Manansala Ma Lourdes T

, .

Olivete Veronica Anne S



Introduction



Preterm Infant

A premature infant is a

baby born before 37weeks gestation.



Causes, Incidence

andRisk Factors

Premature :

(less than 37 weeks gestation)

Full term:

(37 to 42 weeks gestation)

Post term:

(born after 42 weeks gestation)



a lack of surfactant makes

the baby extremely

vulnerable to respiratorydistress syndrome, so the

patient needs medical

treatment and further

evaluations of her condition.



Pathophysiology



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



History



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.



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 clitorisand 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 temperatureand improve her body color

Gentamicin

Aminophylline

Ampicillin

Ca Gluconate incorporated in D5050

breast milk that is about 0.5ml every 2hours



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 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.



Small frequent feeding of milk

to prevent aspiration because

her gag reflex is not yet fullydevelop and also for the

capacity of her stomach



Recommendat

ions



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.

preterm infant

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