Nursing care of well,at-risk,high risk,sick newborn and infant Flashcards
characteristics of well child
no apparent health issue or concern
meeting developmental milestones
engaging in age appropriate activities
healthcare focus of well child
preventive care,vaccinations,routine check up
example of well child
neonate 3.0kgs
at risk child
these are children who might face problems due to certain circumstances but are not currently sick
high risk child
these children have a higher chance of morbidity and mortality because they already shows some signs of health issues
at risk child characteristics
family history of living conditions (poverty)
family history of disease
family history of exposure to environmental risks
healthcare focus of at-risk child
close monitoring
early intervention
high risk child
elevated likelihood of health problem or developmental delays
may have existing health condition or complications
high risk child healthcare focus
intensive monitoring
early intervention
specialized care as needed
sick child
currently unwell
needs treatment
characteristics of sick child
currently experiencing an illness or health condition
symptoms are mild to severe
requires immediate or ongoing medical attention
high risk neonate conditions/circumtances
birth trauma
maternal substance abuse
infection
congenital anomalies
what should you do for a high risk infant?
1.identify the clinical problem
2.prevent problem occurring
3. carefully monitored
4. treat as early as possible
most important clinical signs that indicate that an infant is sick
- heart rate
- respiration and pattern
3.color
4.temperature - activity
less common but abnormal signs on clinical examination
- bleeding
- edema
- abdominal distension
- loose stools
what are causes of sick infant?
• Infection.
• Hypoxia.
• Hypothermia
• Hypoglycemia.
• Acute blood loss.
• Anemia.
• Trauma.
• Marked hyperbilirubinemia.
• Intraventricular hemorrhage.
Consideration for Nursing Care
nurses must respond to the child/patient’s need for:
• Safety
• Privacy
• Confidentiality
• Comfort
• Pain Management
• Choices and control
• Involvement of family and/ or significant others