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Not Ready for Prime Time: Transitional Events in the Extremely Preterm Infant

Armentrout, Debra PhD, MSN, NNP-BC, RN

The Journal of Perinatal & Neonatal Nursing: April/June 2014 - Volume 28 - Issue 2 - p 144–149
doi: 10.1097/JPN.0000000000000025
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Successful transition from intrauterine to extrauterine life involves significant physiologic changes. The majority of these changes occur relatively quickly during those first moments following delivery; however, transition for the extremely preterm infant occurs over a longer period of time. Careful assessment and perceptive interventions on the part of neonatal care providers is essential as the extremely preterm infant adjusts to life outside the womb. This article will focus on respiratory, cardiovascular, gastrointestinal, and neurologic transitional events experienced by the extremely premature infant.

University of Texas Medical Branch School of Nursing, Galveston, Texas.

Corresponding Author: Debra Armentrout, PhD, MSN, NNP-BC, RN, University of Texas Medical Branch School of Nursing, 301 University Blvd, Galveston, TX 77555 (

Disclosure: The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Submitted for publication: November 1, 2013; Accepted for publication: February 9, 2014.

© 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.