UBC Graduate Research

Primary care management of the late-preterm infant for the family nurse practitioner : a literature review Bate, Simon-Matthew


It can be said that the family nurse practitioner (FNP) may feel stressed and overwhelmed when caring for older adults with complex health needs in the primary care setting (Hill & Sawatzky, 2011). Whilst there is no direct evidence, it is likely that this is also the case when managing a late-preterm infant (LPI) too. The LPI appears deceivingly innocent (Darcy, 2009), as they are often the size and weight of a full-term infant (FTI) and because of this, they are quickly discharged into the primary care setting (Lapillonne, O'Connor, Wang and Rigo, 2013) and are then treated by parents and the FNP as though they are developmentally mature and at low risk of morbidity. Mally, Hendricks-Muñoz and Bailey (2010) discuss that the FNP who is involved in managing the LPI would benefit from a clear understanding of the potential differences in risks faced by LPIs when compared with their FTI counterparts. The FNP who manages the LPI needs to have an understanding of the potential manifestations that may occur in the primary care setting. Therefore, the purpose of this literature review is to create a poster presentation that will highlight the primary care management of the LPI for the FNP. The author believes that this will help build FNPs confidence and competence, whilst enabling FNPs to safely manage this vulnerable yet resilient population.

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