Nursing Care of newborn

Objectives Discuss priorities in the high risk newborn Compare and contrast the differences with the gestational ages and their physical changes using weeks as your guidelines. Explain why preterm infants need so much care utilizing the head to toe assessments.

Newborn Priorities Initiate respiratory effort Extra uterine circulation Fluid and electrolyte balance

Newborn Priorities Temperature Radiant heat sources Incubators Kangaroo care

Newborn Priorities Nutritional intake Waste elimination Infection prevention

Post Resuscitation Protocol S-sugar/ safe care T-Temperature A-Airway B-Blood Pressure L-Lab work E-Emotional Support

Altered Gestational Age/Birth Weight Classifications Term Preterm Post term AGA SGA LGA

Altered Gestational Age/Birth Weight Small for gestational age Causes Assessment Whitney on Oct 11, 2000 at 25.5 weeks gestational age weighing one pound ten ounces - just 737 grams.

Altered Gestational Age/Birth Weight Large for gestational age A woman in Brazil gave birth in January of 2005 to a boy that doctors nicknamed "giant baby." The infant weighed 17 pounds, about the average size of a six-month-old. He was delivered by Caesarean section.

Altered Gestational Age/Birth Weight Preterm infant Incidence Causes Assessment History Appearance Laboratory findings

Altered Gestational Age/Birth Weight The Preterm infant Potential complications Anemia Kernicterus Persistent patent Periventricular/intraventricular hemorrhage

Altered Gestational Age/Birth Weight The Preterm infant issues Temperature Nutrition Feeding schedule Gavage feeding Formula Breast milk

Altered Gestational Age/Birth Weight Post term infant Post term syndrome Dry cracked skin Absence of vernix

Comparison

POST TERM

Illness in the Newborn Respiratory distress syndrome Pathophysiology Assessment Therapeutic management Surfactant replacement Oxygen administration Ventilation

Illness in the Newborn Transient Tachypnea of Newborn (TTN) Meconium Aspiration Syndrome (MAS)

Illness in the Newborn Hyperbilirubinemia

FAS (Fetal Alcohol Syndrome)

Maternal Infections Maternal infection Beta-hemolytic, group B strep Generalized herpes virus Infant of a diabetic mother Infant with fetal alcohol syndrome