HIGH RISK NEWBORN Flashcards
an infant whose birth weight is less than 2500g (5.5lbs)
low birthweight infant
an infant whose birth weight is less than 1500g (3.3lbs)
very low birthweight infant
an infant whose birthweight is less than 1000g (2.2lbs)
extremely low birthweight infant
an infant whose birthweight falls between 10th & 90th percentiles on IUGC
appropriate for gestational age infant
an infant whose rate of IUG was slowed, weight falls below 10th percentile on IUGC
small for date/gestational age infant
infant whose birthweight falls above the 90th percentile on IUGC
large for gestational age infant
infant born before 37 weeks
preterm (premature) infant
infant born between beginning of 38 weeks to completion 42 weeks
full term infant
infant born between 34 0/7 & 36 6/7 weeks
late-preterm infant
infant born after 42 weeks
postterm (postmature) infant
death that occurs after 20 weeks gestation & before delivery
fetal death
death that occurs in the first 27 days of life
neonatal death
death that occurs in the first week of life
early neonatal death
death that occurs at 7-27 days
late neonatal death
death that occurs at 28 days-1year after birth
postnatal death
intervention for APGAR score of 4-7
- stimulate, rub NB’s back
- administer oxygen
- rescore at specific intervals
intervention for APGAR score of 8-10
- no intervention required except to support NB’s spontaneous efforts
ballard score that indicates a full-term infant
35
- periods of apnea
- body temp below normal
- poor suck & swallow reflex
- does not maintain flexion
- soles & palms have minimum creases
- lanugo is present in woolly patches
- skin is thin, blood vessels are visible, minimal SC fat pads
assessment for premature infant
- multiple pregnancy
- gestational hypertension
- placental problems
- low socioeconomic class
risk factors for preterm births
preterm infants are more susceptible to these conditions
- hyperbilirubinemia
- hypoglycemia
- monitor vs q2-q3hrs
- MAINTAIN AIRWAY & CARDIOPULMONARY FUNCTIONS
- oxygen & humidification as prescribed
- monitor i/o & electrolyte balance
- monitor daily weight
- maintain NB in WARMING DEVICE
- avoid exposure to infection
nursing intervention for preterm infants
- absence of lanugo
- little to no vernix
- abundant scalp hair
- parchment-like skin
- old looking
- wasted physical appearance
- depleted SC fat
assessment of postmature infant
postmature infant is most prone to what conditions?`
- fetal distress assoc w/ decreasing efficiency of placenta
- macrosomia
- MAS
