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Comprehensive Nursing Management of High-Risk Newborns: Goals, Assessment, and Interventions

High-risk newborns are defined as those with an increased chance of morbidity in the first 28 days of life. Key factors include low birth weight (<2.5 kg), multiple gestations, and certain medical conditions. Effective nursing management involves identifying at-risk infants, implementing perinatal prevention strategies, resuscitation, stabilization, and family-centered care. Comprehensive assessments, including APGAR scoring, behavioral and physical evaluations, are essential. Additionally, the management of post-mature infants requires careful monitoring and interventions to ensure optimal health outcomes.

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Comprehensive Nursing Management of High-Risk Newborns: Goals, Assessment, and Interventions

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  1. 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. 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 vernixcaseosa • 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

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