HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT. NURSING MANAGEMENT OF POST MATURE INFANT
DEFINITIONHigh risk newborn can be defined as a newborn, regardless of birth weight, size or gestational age who has a greater than average chance of morbidity especially within the first 28 days of life.
IDENTIFICATION
Birth weight less than 2.5kgTwinsBirth order 5 and moreArtificial feedingInfection
GOALS
Perinatal preventionResuscitation and stabilization
Evaluate and manageMonitoring and therapeutic modalities
Family centered care
ASSESSMENTInitial assessment apgar scoring
Clinical assessment
Transitional assessment first period of reactivity
second period of reactivityBehavioral assessmentPhysical assessmentReflexes
Post mature infantInfants born of a gestation that
extends beyond 42weeks as calculated from the mothers last menstrual period.
Predisposing factors
Pregnancy between the age of 15-19 yrs
Elderly womenWrong datesMultiple pregnancyFetal anomaliesHereditary
Clinical manifestation Absence of vernix caseosaLoose skin and little
subcutaneous fatAbsence of lanugoAbundent hair on the head
and long nailsSkin is wrinkles, cracked
and peelingUmbilical cord is thin
Diagnostic evaluation
History collectionFetal movement recordingElectronic fetal monitoringUltrasonograpyBiophysical profileDoppler flow study
managementImmediate care clear the
airway
Body temperature
Prevention of infection
Apgar score Breast feeding
Umbilical cord care
Eye care
Diaper care Hypoglycemic management
Vitamin k injection
Weight record