Growing Preterm 33 to 36 Weeks
Assessment
- Assess infant’s response/ability to tolerate activities.
- Monitor for signs of stress. Infants may display increased tolerance for handling but watch for signs of exhaustion in infants with residual respiratory compromise.
Handling and Interventions
Behavioral Development
- Behavioral states become more distinct.
- Smoother transition between states.
- Quiet/deep sleep continues to increase.
- Infant may arouse for feeding.
- Stress response to noxious stimuli may vary; physiologic instability still evident.
Nursing Implications
- Interventions or opportunities for sensory experiences should take place with consideration of infant cues and ideally when an infant is in an awake state.
- Slow controlled and gentle handling during caregiving. Gently prepare infants for handling with a soft voice or gentle touch to help infant minimize stress and remain stable.
- Contain (head and hands in the midline, shoulders forward, lower limbs in neutral towards the midline) or swaddle infant during uncomfortable or noxious procedures.
- Patting or stroking may be better tolerated at this age. Monitor infant’s cues.
- Hold infants during feeding if awake - this includes during tube feeding. Offer pacifier for pre-feeding skill development.
- Where clinically possible consider day/night patterns for interventions. For example, weigh infant, take blood pressure and change bedding in the daytime as able.
- Introduce kangaroo care when medically stable. Nuzzling at the empty breast as appropriate in preparation for breastfeeding.
Positioning
Motor Development
- Smoother and more controlled movements are present at this gestational age.
- Stronger flexion of knees and hips during rest and development of tone in the lower extremities occurs at this age.
- Infant can turn own head from side to side.
- Infant has improved capability to use posture and movement to self regulate (calm themselves).
Nursing Implications
- Use supportive positioning techniques to enhance flexion and promote comfort.
- Opportunities for movement should always be possible. Provide boundaries using nested bedding, blanket rolls and/or Snuggle-up for infants in isolettes to enhance flexion, promote midline and improve symmetrical development.
- Continue swaddling at this age to help control over body movements to develop.
- Swaddle infant for bathes to minimize infant stress.
- Infants in cribs should be positioned on their backs (SIDS recommendation unless a special medical order) in a position allowing hand to mouth contact.
- For infants in cribs who display limited flexion continue to provide a nest of bedding. No nests or blankets around face.
- Vary the position of the crib or the infant’s head for proper development.
Light and Vision
Development
- Increased ability to maintain lid tightening in response to bright light.
- Eye opening and alert state are improved with low lighting.
- Infant may have difficulty breaking gaze on a highly stimulating object.
Nursing Implications
- Protect infant from bright lights during care giving and procedures. Reduce exposure from light in isolettes by using a cover. Provide eye protection for infants receiving phototherapy and shield light from infants in adjacent isolettes or cribs.
- Support emerging need for eye contact. Generally infant shows preference for human faces at this age.
- Research does not support the use of black and white visual stimuli.
- Dim the lights at night if safe to do so, whereby promoting development of circadian rhythms.
Sound and Hearing
Development
- Sensory and transmission portions of the auditory system are functional.
- At this age there is increasing responsiveness to voices with a preference for a soft human voice.
- Responses to noise and auditory environments begin to organize.
- Startle response with loud noise still evident
Nursing Implications
- Minimize environmental noise. Be aware of sound/noise levels in NICU. Talk softly at the bedside.
- Attend to alarms promptly and set alarm volume as low as is clinically safe. Decrease telephone ring volume and no music in room.
- Discourage the use of the top of the isolette as a writing surface or a storage area.
- Ensure CPAP and Ventilator tubing is regularly cleared of H2O
- Talk softly to your baby as cues allow.
- Music and audiotapes are not recommended for this gestational age group.
Non-Nutritive Sucking
Development
- Suck, swallow and breathe coordination is maturing. Developing rhythm with sucking but coordination can be inconsistent.
- Rooting reflex emerges.
- Nipple feeding usually tolerated. Refer to Feeding Readiness Scale and consider infant readiness cues prior to oral feeding.
Nursing Implications
- Encourage hand to mouth contact.
- Offer standard small pacifier to encourage wider jaw excursion and nutritive sucking patterns.
- Encourage non-nutritive sucking during NG/OG feeds and for comfort.
- Do not offer pacifier prior to painful procedure.
- Oral suction only when clinically necessary.
Smell and Taste
Development
- Taste and smell receptors are functional.
- Physiologic responses to unpleasant smells and tastes have been documented by research.
Nursing Implications
- Encourage parents to hold infant during NG/OG feedings. Continue to offer pacifier as tolerated.
- Protect from noxious odors. Open alcohol wipes and antiseptic preparations away from the incubator and infant.
- Avoid use of scented perfume.
- Dip pacifier or cotton swab in milk to offer tastes to infant.