MISCELLANEOUS
Ensuring a feeding
What step must be taken after administering glucose gel?
Within 2 hours then at least every 3 hours
When do you complete your ESC assessment?
Items in the crib
What is a risk for causing suffocation?
No latch @ 18 hours-after trying hand expression; ‘At Risk’ newborn-Triple Feeding Plan-If inadequate volume pumped; No void or stool in 24 hours; Ineffective feeding with no production when pumping; Weight loss term=10%, late preterm=7%
What are medical indications for supplementing with donor milk?
Late Preterm Baby Help Me Grow & Stay Healthy
What is the name of the card to be applied to the crib for each late preterm infant?
Less than or equal to 10th percentile or greater than or equal to 90th percentile. Less than or equal to 2500gm or greater than or equal to 4000gm
What are indications for initiating the hypoglycemia algorithm?
Welcome folder
What do you provide for the family upon arrival to the MBU?
Breastfeed in bed
What is preferable to breastfeeding in on a sofa or in an armchair?
Has not regained birth weight by 2 weeks, feeling pain during feedings, sleepy baby, flutter or weak sucking, clicking or popping sounds in baby's mouth, prolonged or infrequent nursing, engorgement
What are warning signs to report about breastfeeding after discharge?
Your Late Preterm Baby and What you Need to Know and Warning Signs for Your Late Preterm Baby
What are two handouts to be given to parents of a Late Preterm baby upon arrival to the MBU?
≤ 6.0 or ≥ 20.0 g/dL
What is the new critical value for Hgb?
Coordinate with peds for parent/team first huddle
What must be done the morning of discharge?
Sleep sack
What is an alternative to swaddling at bedtime?
Infant drinking from a bottle
What can impact the baby's preference for a faster flow of milk?
Poor latch, lack of energy to transfer milk, decreased oro-buccal strength, difficulty coordinating swallowing breathing mechanisms
What are examples of feeding difficulties for a Late Preterm Baby?
Swaddling during a newborn bath
What is one measure you can take to decrease anxiety in a newborn?
Upon arrival to the MBU and when you have any questions about ESC, including assessments
When do you send the messages to NAGS?
Infant held by a sleepy parent
What is an unsafe sleep environment?
Masking hunger cues, decreased stimulation of the breast leading to reduction in milk production
What is a possible impact of pacifier use when breastfeeding?
Late Preterm Infants who were never admitted to the NICU, who had short NICU stays, or who were discharged from the hospital early (less than a 2 night stay)
What creates a higher risk of rehospitalization of a late preterm infant?
Once unless the previous value was in the non-critical range, or it has been >48 hours since the last value.
What is how often will you receive notifications of a critical value?
"My ESC Progress" form
What is posted in rooms and completed with help of parent(s)?
Head of crib elevated
What is an incorrect position of the crib?
Pacifier use
What is discussed and documented on EVERY baby, regardless of feeding method?
What education do you need to provide to parent(s) of a late preterm infant?