It's the Policy!
35 and 0/7 weeks to 36 and 6/7 weeks gestation.
How "old" is the Late Pre-term Infant?
Administer your erythromycin and Vitamin K here if baby's condition allows. (HINT: NOT where on baby's body)
What is skin to skin with mom?
Do this every four hours for all late pre term babies until they go home.
What is a full set of vital signs?
Contact the pediatrician for a neonatology referral if one of these condition persists.
What is:
hypoglycemia -OR- poor feedings -OR- low temeratures
This is how all healthy term and late preterm babies are fed.
What is cue based feeding?
The best intervention for temperature regulation.
What is skin to skin?
Though normally done in PP, if the mother has any health conditions that could put baby at risk, you would do this immediately in L&D.
What is the first bath?
For a LPTI, monitor this with every feed for the first 12 hours of life.
What is baby's respiratory status?
These interventions will support baby's innate abilities and conserve baby's resources.
What is:
avoid maternal separation -OR- cluster care -OR- use skin to skin -OR- limit environmental stimulation -OR- support sleep/wake cycles -OR- support thermoregulation -OR- encourage cue based feeding?
Breastfeeding should be initiated within this time period in the immediate post partum period.
What is within one hour?
Hold this intervention for 24 hours making sure glucose and temperature are stable before you do it.
What is a [swaddled immersion] bath?
Infants with an APGAR less than [this number] at 5 minutes should have the glucose protocol initiated.
What is 7?
Baby needs this prior to discharge is he or she is less than 37 weeks.
What is an Infant Car Seat Test?
We should offer this to mom's going home prior to 48 or any mom with a late preterm baby?
What are VNA services?
If supplementation is required for a late preterm infant we should use this.
What is PHDM fortified to 22cal/oz (-OR- Neo sure 22cal/oz for the formula fed infant)?
Hold this intervention for 36 hours and only perform if baby has had 3 consecutive effective feeds. (HINT: only for the little guys)
What is circumcision?
Initiate sepsis screening if mother has one intrapartum temperature greater than this.
What is 102.2?
For optimal results draw this lab as close to 48 hours of life as possible.
What in the Newborn Screen or Metabolic Screen?
This is the maximum number of doses of glucose gel allowed by the Newborn Blood Glucose protocol a nurse can administer without notifying the physician.
What is two doses?
Feeding attempts should be limited to this amount of time to preserve energy and decrease fatigue.
What is 30 minutes?
Take this off 24 hours prior to discharge to ensure baby can regulate his or her own temperature.
What is a hat?
Initiate this for baby if mother has a placental abruption and no known history of high blood pressure.
What is toxicology screening?
For LPTI, draw this lab when you perform the metabolic screen.
What is a serum glucose?
Obtain infant weights daily during at this time.
What is between 5 and 7 am?
Breastfed babies that require supplementation should not be more than this volume at each feed on day one.
What is 10 ml?