1. HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT. NURSING MANAGEMENT OF POST MATURE INFANT
Dr. JayeshPatidar
www.drjayeshpatidar.blogspot.com
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
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4. GOALS
Perinatalprevention
Resuscitationand stabilization
Evaluate and manage
Monitoring and therapeutic modalities
Family centered care
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7. Transitional assessmentfirst period of reactivity
second period of reactivity
Behavioral assessment
Physical assessment
Reflexes
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8. Post mature infant
Infants born of a gestation that extends beyond 42weeks as calculated from the mothers last menstrual period.
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9. Predisposingfactors
Pregnancy between the age of 15-19 yrs
Elderly women
Wrong dates
Multiple pregnancy
Fetal anomalies
Hereditary
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10. Clinical manifestation
Absence of vernixcaseosa
Loose skin and little subcutaneous fat
Absence of lanugo
Abundenthair on the head and long nails
Skin is wrinkles, cracked and peeling
Umbilical cord is thin
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11. Diagnostic evaluation
History collection
Fetal movement recording
Electronic fetal monitoring
Ultrasonograpy
Biophysical profile
Doppler flow study
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