1 HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT. NURSING MANAGEMENT OF POST MATURE INFANT
2 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.
3 Birth weight less than 2.5kg Twins Birth order 5 and more IDENTIFICATIONBirth weight less than 2.5kgTwinsBirth order 5 and moreArtificial feedingInfection
4 GOALS Perinatal prevention Resuscitation and stabilization Evaluate and manageMonitoring and therapeutic modalitiesFamily centered care
7 Transitional assessment first period of reactivity second period of reactivityBehavioral assessmentPhysical assessmentReflexes
8 Post mature infantInfants born of a gestation that extends beyond 42weeks as calculated from the mothers last menstrual period.
9 Predisposing factors Pregnancy between the age of 15-19 yrs Elderly womenWrong datesMultiple pregnancyFetal anomaliesHereditary
10 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
11 Diagnostic evaluation History collectionFetal movement recordingElectronic fetal monitoringUltrasonograpyBiophysical profileDoppler flow study