HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT. NURSING MANAGEMENT OF POST MATURE INFANT

DEFINITION High 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.

Birth weight less than 2.5kg Twins Birth order 5 and more IDENTIFICATION Birth weight less than 2.5kg Twins Birth order 5 and more Artificial feeding Infection

GOALS Perinatal prevention Resuscitation and stabilization Evaluate and manage Monitoring and therapeutic modalities Family centered care

ASSESSMENT Initial assessment apgar scoring

Clinical assessment

Transitional assessment first 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