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
clear the airway

Body temperature

Prevention of
infection

Apgar score

Breast feeding

Umbilical cord care

Eye care

Diaper care

Hypoglycemic
management

Vitamin k injection

Weight record