Preterm

Question 1

incidence (4)

Answer 1

**multiple births
- lack prenatal care
- substance abuse
- high BP

Question 2

PT role in preterm care (2)

Answer 2

• behavioral and movement science approach
• facilitate neuroprotective and behavioral care

Question 3

what is term birth

Answer 3

38-40 wk gestation

Question 4

how is prematurity defined

Answer 4

gestational age and birth wt

Question 5

premature gestational age

Answer 5

< 37 wks

Question 6

low, very low, and extremely low birth wts

Answer 6

1500-2500 g

< 1500 g

< 1000 g

Question 7

chronological vs adjusted age

Answer 7

chron: actual age from birth to date

adjusted: preterm for development assessments (up to 2 years)

Question 8

what is necrotizing enterocolitis? when do is it occur

Answer 8

inflam/death of intestinal wall

occurrence < 1500 g infants

Question 9

what is bronchopulmonary dysplasia

Answer 9

chronic lung disease
- poor alveolar capillary development, inflam and scarring of lungs

Question 10

2 major brain complications in low birth weight premy

Answer 10

• intraventricular hemorrhage (IVH)
• periventricular leukomalacia (PVL)

Question 11

intraventricular hemorrhage (structure, vulnerable time)

Answer 11

• germinal matrix
• vulnerable wk 26-32 d/t rapid growth of area and poor cerebral autoregulation
  **only happens in preterm

Question 12

periventricular leukomalacia (vulnerable time)

Answer 12

• necrosis white matter
• vulnerable < 33 wks gestation or 1500 g

Question 13

when does LE flexor tone begin

Answer 13

32 wks

Question 14

what age can you tx

Answer 14

around 36 weeks

Question 14

what is Al’s synactive theory (5 levels)

Answer 14

behavioral of developmental care
- physiologic
- motor
- state
- attention
- self regulation (top)

Question 15

3 developmental consequences of premy

Answer 15

• increased risk for school dysfxn, attention/learning disorders
• gross motor delay
• higher risk for med probs

Question 15

what is most prevalent major impairment in preterm infants

Answer 15

CP

Question 16

2 main NICU interventions

Answer 16

• conserve infant’s energy
• assess infant’s stress responses