Nursing Management of High-Risk Newborns: Post-Mature Infant Focus

High-risk newborns, including post-mature infants, require specialized care due to their increased chances of morbidity. Identification, goals, assessment, nursing principles, and management strategies are crucial in providing effective care for these vulnerable neonates. Predisposing factors, clinical manifestations, and diagnostic evaluations play key roles in the comprehensive care plan for these infants.

• High-Risk Newborns
• Post-Mature Infants
• Nursing Management
• Neonatal Care
• Assessment

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

2. 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.

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

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

5. ASSESSMENT Initial assessment apgar scoring

6. Clinical assessment

7. Transitional assessment first period of reactivity second period of reactivity Behavioral assessment Physical assessment Reflexes

8. Post mature infant Infants 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 women Wrong dates Multiple pregnancy Fetal anomalies Hereditary

10. 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

11. Diagnostic evaluation History collection Fetal movement recording Electronic fetal monitoring Ultrasonograpy Biophysical profile Doppler flow study

12. management Immediate care clear the airway

13. Body temperature Prevention of infection

14. Apgar score Breast feeding

15. Umbilical cord care Eye care

16. Diaper care Hypoglycemic management

17. Vitamin k injection Weight record