Neonatal Intensive Care: Assessment, Treatment, and Developmental Care, Exams of Nursing

Download Neonatal Intensive Care: Assessment, Treatment, and Developmental Care and more Exams Nursing in PDF only on Docsity! Neonatal ICU T/F: infants typically have a lower HR and RR - false Gravata and Para - G = number of pregnancies P = number of live deliveries Sterotypical premature infant - -Poor flexion and antigravity movement -Dorsiflexion limited -less movement -varying vitals -muscle tone still developing caudal to cephalo 3 PT Goals in prematurity care - -Maintain Vitals -Developmental positioning -Provide optimal positioning for visual and cognitive development Paramount feature of PT exam of infant - Support of the infant-parent attachment T/F: heel to ear is an assessment of muscle tone in infants - true Assessment of muscle tone - Heel to Ear Popliteal angle Scarf Sign Ventral suspension Pull to sit Slipping through axilla FLACC pain rating scale - Face, Legs, Activity, Cry, Consolability -scored 0,1,2 -higher the score = greater pain Pain Scales for infants - FLACC NIPS CRIES N-PASS TIMP-2 - Test of infant motor performance Hammersmith (HINE) - brief standardized infant neurological assessment -opimality and cutoff scores on the severity of the motor outcome -good interrater reliability Finnegan assessment - Test of neonatal abstinence General Movements assessment - test of infant motor performance -sensitive for screening CP Tests to Dx CP for children less than 5 months - HINE + GMA + MRI Tests to Dx CP for children greater than 5 months - Any infant motor test + MRI Respiratory Distress syndrome (RSD) - Seen in surfactant deficient infants -increased surface tension of water and alveolar collapse RSD treatments - -administer surfactant -O2 supplementation -ventilation -ECMO When do fetus' lungs become mature - 34 weeks Bronchopulmonary Dysplasia (BPD) - Chronic lung disease that is caused by interstitial fibrosis and alveolar collapse while recovering from RSD -increased WOB -common in infants with LBW Periventricular Leukomalacia - Primary ischemic event that occurs in infants. -necrosis surrounds ventricles and progresses in 4 stages -Can effect the internal capsule that carries the afferent motor information Intraventricular (periventricular) Hemorrhage (IVH/PVH) - Happens in germinal matrix of ventricle -occurs 2-7 days after birth