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3 Care of low birth weight infants

Objectives

When you have completed this unit you should be able to:

  • Identify and manage low birth weight infants.
  • Define preterm and underweight for gestational age infants.
  • List the complications of low birth weight infants.
  • Prevent hypothermia and hypoglycaemia.
  • Prevent recurrent apnoea.
  • Manage anaemia of prematurity.
  • Provide kangaroo mother care (KMC).
  • Keep good patient notes.
  • Assess patient care.
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Item Title
3-1 What is a low birth weight infant?
3-2 Why is it important to identify all low birth weight infants?
3-3 Why are some infants born with a low birth weight?
3-4 Which infants are born too soon?
3-5 What is an underweight for gestational age infant?
3-6 Which infants have grown too slowly during pregnancy?
3-7 Which infants have lost weight during the last weeks of pregnancy?
3-8 How do you assess the gestational age of an infant?
3-9 What are the clinical features of preterm infants?
3-10 What are the common causes of an infant being born preterm?
3-11 What are the common complications of preterm infants?
3-12 What are the clinical features of underweight for gestational age infants?
3-13 What are the causes of infants being born underweight for gestational age?
3-14 What are the common complications of an underweight for gestational age infant?
3-15 Why is it important to decide whether a low birth weight infant is born preterm or underweight?
3-16 What is the management of a low birth weight infant?
3-17 What is hypothermia?
3-18 Which infants are at an increased risk of hypothermia?
3-19 How can you prevent hypothermia?
3-20 What is the best environmental temperature?
3-21 How can you keep an infant warm?
3-22 What is the normal concentration of glucose in the blood?
3-23 What is hypoglycaemia?
3-24 How is blood glucose measured in the nursery?
3-25 Which infants are at an increased risk of developing hypoglycaemia?
3-26 How can you prevent hypoglycaemia?
3-27 What is apnoea?
3-28 How should you manage apnoea of immaturity?
3-29 What determines an infant’s fluid needs?
3-30 How much fluid do most infants need?
3-31 Why do the daily fluid needs increase during the first 5 days?
3-32 What milk feeds should be given to a low birth weight infant?
3-33 What route should be used to feed a low birth weight infant?
3-34 How often should a low birth weight infant be fed?
3-35 What are the dangers of milk feeds in low birth weight infants?
3-36 What supplements are needed by low birth weight infants?
3-37 What is anaemia?
3-38 What is anaemia of prematurity?
3-39 How should you manage anaemia of prematurity?
3-40 What is kangaroo mother care (KMC)?
3-41 Which infants should receive KMC?
3-42 What are the advantages of KMC?
3-43 What are good clinical notes?
3-44 What is the SOAP method of writing notes?
3-45 What is the story?
3-46 What are the observations?
3-47 What is the assessment?
3-48 What is a problem list?
3-49 How should the plan of management be decided?
3-50 An example of good SOAP notes.
 
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