HIGH RISK NEWBORN:

GOALS, CONCEPTS,
PRINICPLES, ASSESSMENT.
NURSING MANAGEMENT OF
POST MATURE INFANT

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.

IDENTIFICATION
Birth

weight less than 2.5kg

Twins
Birth order 5 and more
Artificial feeding
Infection

GOALS
Perinatal

prevention
Resuscitation and stabilization
Evaluate and manage
Monitoring and therapeutic
modalities
Family centered care

ASSESSMENT

Initial assessment
apgar scoring

Clinical assessment

Transitional

assessment
first period of reactivity
second period of reactivity
Behavioral assessment
Physical assessment
Reflexes

Post mature infant

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

Predisposing factors
Pregnancy

between the age of

15-19 yrs
Elderly women
Wrong dates
Multiple pregnancy
Fetal anomalies
Hereditary

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

Diagnostic evaluation
History

collection
Fetal movement recording
Electronic fetal monitoring
Ultrasonograpy
Biophysical profile
Doppler flow study

management

Immediate care
airway

clear the

Body temperature

Prevention of
infection

Apgar score

Breast feeding

Umbilical cord care

Eye care

Diaper care

Hypoglycemic
management

Vitamin k injection

Weight record