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