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    Unit 6 - 6.4 PP

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    Krista Klose
    The document discusses several categories of high-risk newborns including those that are small or large for gestational age, premature, post-term, and those experiencing respiratory distress, meconium aspiration, sudden infant death syndrome, or drug/alcohol exposure. It notes key characteristics and risks for each group and emphasizes the importance of close monitoring, treatment, parental support and education for these newborns and their families.

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    Unit 6 - 6.4 PP

    Uploaded by

    Krista Klose
    14 views8 pages
    The document discusses several categories of high-risk newborns including those that are small or large for gestational age, premature, post-term, and those experiencing respiratory distress, meconium aspiration, sudden infant death syndrome, or drug/alcohol exposure. It notes key characteristics and risks for each group and emphasizes the importance of close monitoring, treatment, parental support and education for these newborns and their families.

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    The document discusses several categories of high-risk newborns including those that are small or large for gestational age, premature, post-term, and those experiencing respiratory distress, meconium aspiration, sudden infant death syndrome, or drug/alcohol exposure. It notes key characteristics and risks for each group and emphasizes the importance of close monitoring, treatment, parental support and education for these newborns and their families.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    14 views8 pages

    Unit 6 - 6.4 PP

    Uploaded by

    Krista Klose
    The document discusses several categories of high-risk newborns including those that are small or large for gestational age, premature, post-term, and those experiencing respiratory distress, meconium aspiration, sudden infant death syndrome, or drug/alcohol exposure. It notes key characteristics and risks for each group and emphasizes the importance of close monitoring, treatment, parental support and education for these newborns and their families.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 8

    Topic 6.

    High-Risk Needs of the Newborn


    6.4 High Risk Newborns and their
    Families
    • Small for gestational age (SGA)
    • infants who below the 10% for weight for their age
    • Large for gestational age (LGA)
    • babies who above 90% in weight
    • Premature neonate (preterm)
    • Less than 2500g = low birthweight
    • 1000-1500 = very low birthweight
    • Post term neonate
    • Risk for hypoglycemia
    • Cracked skin
    • Increased difficulty establishing respiration especially if meconium is
    present
    High Risk Newborns and their
    Families
    • AGA – no problems but could still be preterm,
    full-term, post-term.

    • SGA – IUGR – could still be preterm, full-term,


    post-term

    • LGA – Could still be preterm, full-term or post-


    term.
    High Risk Newborns and their
    Families
    Respiratory Distress Syndrome
    • Expiratory grunting
    • In drawing of sternum, zyphoid, intercostals
    • Rapid respirations – Tachypnea RR>60
    • Preterm- Deficient artificial surfactant
    • Diabetic Moms – poor exchange of oxygen and Co2 at
    alveoli

    • Keep warm, O2, blood gases, IV, NICU


    High Risk Newborns and their
    Families
    Meconium Aspiration
    • Aspirated meconium during labour, birth or at birth.
    Meconium in alveoli, impairs gas exchange, O2 levels at
    risk.
    • Treatment - O2, antibiotics.
    • Pneumothorax possible with high ventilation pressures
    used
    • High Pulmonary resistance – Ductus Arteriosus may
    remain open causing cardia insufficiency and hypoxia
    High Risk Newborns and their
    Families
    Sudden Infant Death Syndrome
    • Unknown cause
    • Tends to occur more in babies of adolescents
    • Peak occurrence 2-4 months of age
    • Decrease in occurrence due to preventative measures:
    • Sleep on back
    • Safe sleeping environment (no loose blankets or toys)
    • Smoke free environment
    • Avoid overheating
    *Breastfeeding and pacifier use may DECREASE the rate
    of SIDS
    High Risk Newborns and their
    Families
    Drug-dependent or Alcohol Exposure infants
    • Tend to be SGA
    • May demonstrate withdrawal symptoms
    • Symptoms usually seen within 24-48 hours of
    birth
    • Symptoms & treatment dependant on type of
    drug mother has taken
    High Risk Newborns

    • Communication with parents


    • Resources(Community, Doctor, clinics, support groups)
    • Support
    • Education
    • High risk support/organizations/ follow up clinics.
    Glenrose Hospital for rehab

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