High Risk Assessment of Newborn
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Transcript of High Risk Assessment of Newborn
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HIGH RISK NEWBORN: GOALS,
CONCEPTS, PRINICPLES,ASSESSMENT. NURSING
MANAGEMENT OF POST
MATURE INFANT
Dr. Jayesh Patidarwww.drjayeshpatidar.blogspot.com
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DEFINITIONHigh risk newborn
can be defined as anewborn, regardless
of birth weight, size
or gestational age
who has a greater
than average chanceof morbidity
especially within the
first 28 days of life.
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IDENTIFICATION
Birth weight less than 2.5kg
Twins
Birth order 5 and more
Artificial feeding
Infection
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GOALS
Perinatal prevention
Resuscitationand stabilization
Evaluate and manageMonitoring 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 reactivityBehavioral assessment
Physical assessment
Reflexes
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Post mature infant
Infants born of a gestation that
extends beyond 42weeks ascalculated from the mothers
last menstrual period.
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Predisposingfactors
Pregnancy between the age of
15-19 yrs
Elderly womenWrong 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, crackedand peeling
Umbilical cord is thin
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Diagnostic evaluation
History collection
Fetal movement recording
Electronic fetal monitoring
Ultrasonograpy
Biophysical profileDoppler 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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hank
you
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