Quote from prmenrs
Gompers, Dawngloves, KRVRN, and all the other experienced NICU nurses--what do you think?
I agree! It's such a weird gestation - they can either act premature or full-term, yet underneath it all, they DO have premature lungs, guts, brains, and immune systems...
I've seen quite a few 35-week gestation babies do some horrible things...
Getting NEC in step-down and dying in 12 hours.
Suddenly getting so septic in step-down that before we can physically put the baby on a radiant warmer and move him/her to the ICU, there is a code situation.
Room air, taking all PO, in step-down, getting ready to go home...and then deciding to stop breathing, then aspirate during a feeding, requireing a full code.
Doing extremely well, getting ready to go home, then going to OR for a "routine" hernia operation - and ending up coding in the OR, then being on the vent in the NICU for another week, on pressors and steroids.
The other side of the coin - a newborn 35-weeker in RDS who should be cured with a dose of surfactant, but ends up acting full-term and goes into full-blown PPHN. You never know what to expect with that gestation!!!