Exam 4 Study Guide
**23 High Risk Newborn: Complications Associated with Gestational Age and Development
**24 High Risk Newborn: Acquired and Congenital Conditions
25 Family Planning
26 Infertility
27 Women’s Health
...
Exam 4 Study Guide
**23 High Risk Newborn: Complications Associated with Gestational Age and Development
**24 High Risk Newborn: Acquired and Congenital Conditions
25 Family Planning
26 Infertility
27 Women’s Health
• (CH 23) What are some of the barriers to feeding a preterm infant? How do we assess readiness?
o Problems:
▪ Lack of nutrition, glucose and fat stores
▪ Small digestive capacity
▪ Poor absorption of fat in gut
▪ Poor coordination of suck & swallow — assess gag reflex — give pacifier to promote
sucking
▪ Fatigues easily — can only eat for ~10-20 minutes
▪ **check VS (rr <60) and gag reflex
o Assess tolerance to feeding
▪ Check the residual — lots of residual hold feeding OR <3-4mL put back in and wait
o Readiness: rooting, sucking, respiration <60, gag reflex
o Not ready: excessive gastric residual, respiration >60, lack of readiness signs
▪ Might to Gavage feeding if respiration >60bpm
o MUST check bowel sounds and measure abdominal girth — before feeding or daily
• (CH 23) How do we know when they’re ready to feed, or unable to feed?
o Ready to feed: respiration <60, have gag reflex, hunger cues — rooting & sucking
o Unable to feed: respiration >60, no suck and shallow coordination, excessive gastric residual
• (CH 23 & 24) What can we do in the delivery room for infants who are having difficulty with
respirations/breathing?
o Newborn resuscitation — problem: Asphyxia = a lack of oxygen & increase in carbon dioxide —>
ischemia to major organs
o Need quick intervention to prevent brain damage/death
▪ Oxygen hoods — can breath on their own but need a little extra O2
▪ Nasal canula
▪ CPAP
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