HIGH RISK NEWBORN: GOALS, CONCEPTS, PRINICPLES

Report
NURSING MANAGEMENT
OF PRE-TERM AND
SMALL FOR DATES…..
Classification of high risk infants
1. Classification according to size.
2. Classification according to
gestational age.
3. Classification according to
mortality.
New born assessment
Transitional assessment
first period of reactivity
second period of reactivity
Behavioral assessment
Physical assessment
Reflexes
Classification according to size
1. Low birth weight infant.
2. Very low birth weight infant.
3. Extremely low birth weight infant.
4. Appropriate for gestational age.
5. Small for date (SFD) infant or
6. Small for gestational age (SGA)
infant.
7. Intra uterine growth restriction.
8. Large for gestational age infant.
Classification according to GA
1. Premature infant (preterm).
2. Full term infant.
3. Post mature infant (postterm).
Classification according to mortality
1. Live birth
2. Fetal death
3. Neonatal death
4. Perinatal mortality
5. Post natal death.
Pre-Term Definition.
A baby born before 37
completed weeks of gestation
calculating from the first day of
last menstrual period is
arbitrarily defined as pre0term
baby.
ETIOLOGY FACTORS
SMOKING
Cervical incompetence
Fetal Stress
Face & Head
Skin & Subcutaneous
Genitals
Central nervous system
Respiratory System
Cardio vascular system
Gastro intestinal system
Initial assessment
APGAR Score
Clinical assessment
Intra uterine growth chart.

Immediate care
clear the airway
PRE TERM CARE
Positioning of the baby.
Thermal comfort
Oxygen supply
Phototherapy
Polythene cover
Infection: closed port
Tactile stimulation
Nutrition :TPN Therapy
Nutritional line
Weight record
Kangaroo care

Umbilical cord care

Eye care

Diaper care

Hypoglycemic
management
Mother’s Role…….
Partner’s support
Difference’s
Take home
message
There is no evidence in
human biology which
tells us so much about
the past events and the
future
trajectory
of
life, as the weight and
time of the infant at
the time of birth.
By: V.Ramalingaswami.

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