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HIGH RISK NEWBORN: GOALS,
CONCEPTS, PRINICPLES,
ASSESSMENT. NURSING
MANAGEMENT OF POST
MATURE INFANT
Dr. Jayesh Patidarwww.drjayeshpatidar.blogspot.com
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.
IDENTIFICATION
Birth weight less than 2.5kg
Twins
Birth order 5 and more
Artificial feeding
Infection
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GOALS
Perinatal prevention
Resuscitation and stabilization
Evaluate and manage
Monitoring and therapeutic
modalities
Family centered care
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ASSESSMENT
Initial assessment
apgar scoring
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Clinical assessment
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Transitional assessmentfirst period of reactivity
second period of reactivity
Behavioral assessment
Physical assessment
Reflexes
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Post mature infant
Infants born of a gestation that
extends beyond 42weeks as
calculated from the mothers
last menstrual period.
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Predisposing factors
Pregnancy between the age of
15-19 yrs
Elderly women
Wrong dates
Multiple pregnancy
Fetal anomalies
Hereditary
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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
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Diagnostic evaluation
History collection
Fetal movement recording
Electronic fetal monitoring
Ultrasonograpy
Biophysical profile
Doppler flow study
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management
Immediate care clear the airway
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Body temperature Prevention of
infection
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Apgar score Breast feeding
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Umbilical cord care Eye care
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Diaper care Hypoglycemic
management
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Vitamin k injection Weight record
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Thank you
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