OB Exam 3 from notes
1. Late preterm infants (34-36 weeks) are at high risk for : hypothermia
hypoglycemia
respiratory distress
jaundice
feeding diflculties
2. How do late pre-term infants struggle with nutrition?: They have trouble coordinating
sucking, swallowing, and breathing. This puts them at a aspiration and nutrition risk
3. What findings would you find on a infant who is born post-term?: -dry cracked skin
-no vernix or lanugo
-Potential meconium staining
4. What is meconium aspiration?: The fetus will pass meconium in utero. There is a chance that the fetus
can aspirate the passed meconium when taking it's first breath.
5. What are some signs of meconium aspiration?: -Hypoxia
-Meconium staining in the fluids
-apnea
1/4
, -pallor
-low tone
6. What is the treatment for meconium aspiration?: -Mainly prevention
-deep suctioning by the provider
-respiratory support
-abx
-monitor glucose
7. What is surfactant?: responsible for alveoli expansion and facilitating gas exchange
8. What factors contribute to respiratory issues in preterm infants?: -decreased
surfactant production
-Airway lumens are too small
-Premature infants lack a gag reflex --> aspiration risk
9. When is apnea a concern in a preterm infant?: If breathing stops for more than 20 seconds
or is associated with either a heart rate less than 70-80 or SpO2 below80-85%
10. How do you treat occasional apnea in a preterm infant?: Tactile stimulation (rubbing
the chest or back)
11. What medication can you give for preterm apnea?: caffeine citrate
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1. Late preterm infants (34-36 weeks) are at high risk for : hypothermia
hypoglycemia
respiratory distress
jaundice
feeding diflculties
2. How do late pre-term infants struggle with nutrition?: They have trouble coordinating
sucking, swallowing, and breathing. This puts them at a aspiration and nutrition risk
3. What findings would you find on a infant who is born post-term?: -dry cracked skin
-no vernix or lanugo
-Potential meconium staining
4. What is meconium aspiration?: The fetus will pass meconium in utero. There is a chance that the fetus
can aspirate the passed meconium when taking it's first breath.
5. What are some signs of meconium aspiration?: -Hypoxia
-Meconium staining in the fluids
-apnea
1/4
, -pallor
-low tone
6. What is the treatment for meconium aspiration?: -Mainly prevention
-deep suctioning by the provider
-respiratory support
-abx
-monitor glucose
7. What is surfactant?: responsible for alveoli expansion and facilitating gas exchange
8. What factors contribute to respiratory issues in preterm infants?: -decreased
surfactant production
-Airway lumens are too small
-Premature infants lack a gag reflex --> aspiration risk
9. When is apnea a concern in a preterm infant?: If breathing stops for more than 20 seconds
or is associated with either a heart rate less than 70-80 or SpO2 below80-85%
10. How do you treat occasional apnea in a preterm infant?: Tactile stimulation (rubbing
the chest or back)
11. What medication can you give for preterm apnea?: caffeine citrate
2/4
