high risk-assessment

HIGH RISK NEWBORN: GOALS,

CONCEPTS, PRINICPLES,

ASSESSMENT. NURSING

MANAGEMENT OF POST

MATURE INFANT

Dr. Jayesh Patidarwww.drjayeshpatidar.blogspot.com

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 2.5kg

Twins

Birth order 5 and more

Artificial feeding

Infection

9/15/2014 3www.drjayeshpatidar.blogspot.com

GOALS

Perinatal prevention

Resuscitation and stabilization

Evaluate and manage

Monitoring and therapeutic

modalities

Family centered care


ASSESSMENT

Initial assessment

apgar scoring


Clinical assessment


Transitional assessmentfirst period of reactivity

second period of reactivity

Behavioral assessment

Physical assessment

Reflexes


Post mature infant

Infants 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 women

Wrong dates

Multiple pregnancy

Fetal anomalies

Hereditary


Clinical manifestation

Absence of vernix caseosa

Loose skin and little subcutaneous fat

Absence of lanugo

Abundent hair on the head and long nails

Skin is wrinkles, cracked and peeling

Umbilical cord is thin


Diagnostic evaluation

History collection

Fetal movement recording

Electronic fetal monitoring

Ultrasonograpy

Biophysical profile

Doppler flow study


management

Immediate 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


Thank you


high risk-assessment

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