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NURSING CARE OF THE HIGH RISK NEWBORN

PREPARED BY: ABIGAIL M. MADRIAGA, RN, MAN

SMALL FOR GESTATIONAL AGE


Predisposing Factors: 1. Congenital malformations 2. Chromosomal anomalies 3. Maternal infections 4. PIH 5. Maternal DM 6. Intrauterine malnutrition 7. Maternal smoking 8. Maternal drug or alcohol use 9. Multiple gestation

SMALL FOR GESTATIONAL AGE


Assessment: 1. Wide eyed 2. Alert 3. Reflexive gasping 4. Hypoglycemia 5. Decreased subcutaneous fat 6. Large ratio of body surface area to weight

SMALL FOR GESTATIONAL AGE


Treatment: 1. Supportive and individualized 2. High caloric needs and benefit from frequent feedings 3. Glucose monitoring 4. Respiratory assessment

SMALL FOR GESTATIONAL AGE


Nursing Interventions: 1. Supporting respiratory efforts 2. Providing a neutral thermal environment 3. Protecting the neonate from infection 4. Providing adequate nutrition 5. Maintaining adequate hydration 6. Conserving the neonates energy 7. Assessing glucose level 8. Preventing skin breakdown 9. Facilitating growth and development 10. Keeping parents informed 11. Providing support to the entire family

LARGE FOR GESTATIONAL AGE


Predisposing Factors: 1. Genetic factors 2. Multipara 3. Maternal DM

LARGE FOR GESTATIONAL AGE


Assessment: 1. Weigh more than 400g 2. Plump and full faced 3. Hypoglycemia 4. hypoxia

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