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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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