High risk-assessment

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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5. ASSESSMENT
Initial assessment
apgarscoring
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6. Clinical assessment
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7. Transitional assessment
first 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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12. management
Immediate care clear the airway
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13. Body temperature Prevention of
infection
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14. Apgarscore Breast feeding
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15. Umbilical cord careEye care
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16. Diaper care Hypoglycemic
management
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17. Vitamin k injectionWeight record
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18. Thank
you
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