After your premature baby is moved to the NICU, he or she may undergo a number of tests. Some are ongoing, while others may be performed only if the NICU staff suspects a particular complication.
Possible tests for your premature baby may include:
- Breathing and heart rate monitor. Your baby's breathing and heart rate are monitored on a continuous basis. Blood pressure readings are done frequently, too.
- Fluid input and output. The NICU team carefully tracks how much fluid your baby takes in through feedings and intravenous fluids and how much fluid your baby loses through wet or soiled diapers, blood draws and other tests.
- Blood tests. Blood samples are collected through a heel stick or a needle inserted into a vein to check a variety of items including calcium, glucose and bilirubin levels in your baby's blood. A blood sample may also be analyzed to measure the red blood cell count and check for anemia. If your baby's doctor anticipates that several blood samples will be needed, NICU staff may insert a central umbilical intravenous (IV) line, to avoid having to stick your baby with a needle each time blood is needed.
- Echocardiogram. This test is an ultrasound of the heart to check for problems with your baby's heart function. Much like a fetal ultrasound, an electrocardiogram uses sound waves to produce moving images on a display monitor.
- Ultrasound scan. Ultrasound scans may be done to check the brain for bleeding or fluid buildup or to examine the abdominal organs for problems in the gastrointestinal tract, liver or kidneys.
- Eye exam. An ophthalmologist (eye doctor) may examine your baby's eyes and vision to check for problems with the retina (retinopathy of prematurity).
If your baby develops any complications, other specialized testing may be needed.
Nov. 27, 2014
- Cunningham FG, et al. Williams Obstetrics. 24th ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=46. Accessed Oct. 3, 2014.
- Creasy RK, et al., eds. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 7th ed. Philadelphia, Pa.; Saunders Elsevier: 2014. http://www.clinicalkey.com. Accessed Sept. 30, 2014.
- Cook WJ, et al. Mayo Clinic Guide to Your Baby's First Year. Intercourse, Penn.: Good Books; 2012:503.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed Oct. 13, 2014.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.mhmedical.com/book.aspx?bookid=497. Accessed Oct. 17, 2014.
- Fenton TR, et al. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatrics. 2013;13:59.
- Norwitz ER. Prevention of spontaneous preterm birth. http://www.uptodate.com/home. Accessed Sept. 30, 2014.
- Robinson JN, et al. Risk factors for preterm labor and delivery. http://www.uptodate.com/home. Accessed Sept. 30, 2014.
- Mandy GT. Short-term complications of the premature infant. http://www.uptodate.com/home. Accessed Oct. 18, 2014.
- Cerebral palsy. March of Dimes. http://www.marchofdimes.org/baby/cerebral-palsy.aspx. Accessed Oct. 18, 2014
- Stewart J. Care of the neonatal intensive care unit graduate. http://www.uptodate.com/home. Accessed Oct. 18, 2014.
- Common NICU tests. March of Dimes. http://www.marchofdimes.org/baby/common-nicu-tests.aspx. Accessed Oct. 18, 2014.
- Mandy GT. Long-term complications of the premature infant. http://www.uptodate.com/home. Accessed Oct. 18, 2014.
- Harris MN, et al. ADHD and learning disabilities in former late preterm infants: A population-based birth cohort. Pediatrics. 2013;132:e630.
- Pertussis: Summary of vaccine recommendations. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/pertussis/recs-summary.htm. Accessed Oct. 18, 2014.
- Grieger JA, et al. Preconception dietary patterns in human pregnancies are associated with preterm delivery. Journal of Nutrition. 2014;144:1075.
- Hypertension in pregnancy. Washington, D.C.: American College of Obstetricians and Gynecologists. http://www.acog.org. Accessed Oct. 10, 2014.
- Hofmeyr GJ, et al. Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems (Review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001059.pub4/abstract. Accessed Oct. 10, 2014.
- Stampalija AZ, et al. Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy (Review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008991.pub2/abstract. Accessed Oct. 10, 2014.
- Goya M, et al. Cervical pessary in pregnant women with a short cervix (PECEP): An open-label randomised controlled trial. The Lancet. 2012;379:1800.
- Abdel-Aleem H, el al. Cervical pessary for preventing preterm birth (Review) Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007873.pub3/abstract. Accessed Oct. 10, 2014.
- Ferguson KK, at al. Environmental phthalate exposure and preterm birth. JAMA Pediatrics. http://archpedi.jamanetwork.com/article.aspx?articleid=1769137. Accessed Oct. 10, 2014.
- Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 23, 2014.
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