Nursing Care of newborn Objectives o Discuss priorities

Nursing Care of newborn

Objectives o Discuss priorities in the high risk newborn o Compare and contrast the differences with the gestational ages and their physical changes using weeks as your guidelines. o Explain why preterm infants need so much care utilizing the head to toe assessments.

Newborn Priorities o Initiate respiratory effort o Extra uterine circulation o Fluid and electrolyte balance

Newborn Priorities Temperature Radiant heat sources Incubators Kangaroo care

Newborn Priorities o Nutritional intake o Waste elimination o Infection prevention

Post Resuscitation Protocol o o o S-sugar/ safe care T-Temperature A-Airway B-Blood Pressure L-Lab work E-Emotional Support

Altered Gestational Age/Birth Weight Classifications o Term o Preterm o Post term o AGA o SGA o LGA

Altered Gestational Age/Birth Weight o Small for gestational age Causes Assessment Whitney on Oct 11, 2000 at 25. 5 weeks gestational age weighing one pound ten ounces - just 737 grams.

Altered Gestational Age/Birth Weight o Large for gestational age A woman in Brazil gave birth in January of 2005 to a boy that doctors nicknamed "giant baby. " The infant weighed 17 pounds, about the average size of a six-month-old. He was delivered by Caesarean section.

Altered Gestational Age/Birth Weight o Preterm infant o Incidence o Causes o Assessment o History o Appearance o Laboratory findings

Altered Gestational Age/Birth Weight o The Preterm infant Potential complications Anemia Kernicterus Persistent patent Periventricular/intraventricular hemorrhage

Altered Gestational Age/Birth Weight The Preterm infant issues o Temperature o Nutrition o Feeding schedule o Gavage feeding o Formula o Breast milk

Altered Gestational Age/Birth Weight Post o o o term infant Post term syndrome Dry cracked skin Absence of vernix

POST TERM

Comparison

Illness in the Newborn o Respiratory distress syndrome Pathophysiology Assessment Therapeutic management Surfactant replacement Oxygen administration Ventilation

Illness in the Newborn o Transient Tachypnea of Newborn (TTN) o Meconium Aspiration Syndrome (MAS)

Illness in the Newborn o Hyperbilirubinemia

FAS (Fetal Alcohol Syndrome)

Maternal Infections Maternal infection o Beta-hemolytic, group B strep o Generalized herpes virus o Infant of a diabetic mother o Infant with fetal alcohol syndrome