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Nursing Care of newborn
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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.
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Newborn Priorities Initiate respiratory effort
Extra uterine circulation Fluid and electrolyte balance
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Newborn Priorities Temperature Radiant heat sources Incubators
Kangaroo care
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Newborn Priorities Nutritional intake Waste elimination
Infection prevention
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Post Resuscitation Protocol
S-sugar/ safe care T-Temperature A-Airway B-Blood Pressure L-Lab work E-Emotional Support
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Altered Gestational Age/Birth Weight
Classifications Term Preterm Post term AGA SGA LGA
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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.
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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.
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Altered Gestational Age/Birth Weight
Preterm infant Incidence Causes Assessment History Appearance Laboratory findings
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Altered Gestational Age/Birth Weight
The Preterm infant Potential complications Anemia Kernicterus Persistent patent Periventricular/intraventricular hemorrhage
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Altered Gestational Age/Birth Weight
The Preterm infant issues Temperature Nutrition Feeding schedule Gavage feeding Formula Breast milk
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Altered Gestational Age/Birth Weight
Post term infant Post term syndrome Dry cracked skin Absence of vernix
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POST TERM
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Comparison
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Illness in the Newborn Respiratory distress syndrome Pathophysiology
Assessment Therapeutic management Surfactant replacement Oxygen administration Ventilation
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Illness in the Newborn Transient Tachypnea of Newborn (TTN)
Meconium Aspiration Syndrome (MAS)
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Illness in the Newborn Hyperbilirubinemia
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FAS (Fetal Alcohol Syndrome)
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Maternal Infections Maternal infection Beta-hemolytic, group B strep
Generalized herpes virus Infant of a diabetic mother Infant with fetal alcohol syndrome
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