1. HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT
HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES, ASSESSMENT. NURSING MANAGEMENT OF POST MATURE INFANT

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. Birth weight less than 2.5kg Twins Birth order 5 and more
IDENTIFICATION
Birth weight less than 2.5kg
Twins
Birth order 5 and more
Artificial feeding
Infection

4. GOALS Perinatal prevention Resuscitation and stabilization
Evaluate and manage
Monitoring and therapeutic modalities
Family centered care

5. ASSESSMENT
Initial assessment
apgar scoring

6. Clinical assessment

7. Transitional assessment first period of reactivity
second period of reactivity
Behavioral assessment
Physical assessment
Reflexes

8. Post mature infant
Infants born of a gestation that extends beyond 42weeks as calculated from the mothers last menstrual period.

9. Predisposing factors Pregnancy between the age of 15-19 yrs
Elderly women
Wrong dates
Multiple pregnancy
Fetal anomalies
Hereditary

10. 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, cracked and peeling
Umbilical cord is thin

11. Diagnostic evaluation
History collection
Fetal movement recording
Electronic fetal monitoring
Ultrasonograpy
Biophysical profile
Doppler flow study

12. management
Immediate care clear the airway

13. Body temperature
Prevention of infection

14. Apgar score
Breast feeding

15. Umbilical cord care
Eye care

16. Diaper care
Hypoglycemic management

17. Vitamin k injection
Weight record