Maternal and Child Health Nursing: High-Risk Newborn Care
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Questions and Answers

What is a potential risk for a pre-term infant?

  • Risk for imbalanced nutrition, more than body requirements
  • Risk for infection due to immune system maturity
  • Effective thermoregulation due to mature status
  • Deficient fluid volume due to excessive water loss (correct)

What is a common issue for a post-mature infant?

  • Ineffective airway clearance due to amniotic fluid
  • Risk for deficient fluid volume due to insensible water loss
  • Ineffective tissue oxygenation due to breathing difficulty (correct)
  • Risk for infection due to lowered immune response

Why is a pre-term infant at risk for impaired parenting?

  • Due to excessive crying
  • Due to immature immune response
  • Due to illness in the newborn at birth (correct)
  • Due to the lack of strength for effective sucking

What is a crucial aspect of developmental care for a high-risk newborn?

<p>Maintaining a quiet, stable environment to minimize stress (B)</p> Signup and view all the answers

What is a potential consequence of a pre-term infant's weakened sucking ability?

<p>Risk for imbalanced nutrition, less than body requirements (B)</p> Signup and view all the answers

What is a key aspect of infection prevention for a high-risk newborn?

<p>Implementing proper hand hygiene and isolation techniques (A)</p> Signup and view all the answers

What is a nutritional challenge for a pre-term infant?

<p>Risk for imbalanced nutrition, less than body requirements (D)</p> Signup and view all the answers

Why is a small for gestational age (SGA) infant at risk for impaired thermoregulation?

<p>Due to immature development of thermoregulatory mechanisms (C)</p> Signup and view all the answers

What is a potential neonatal condition that can be caused by necessary lifesaving procedures at birth?

<p>Respiratory distress syndrome (B)</p> Signup and view all the answers

Why is it important to establish realistic expected outcomes for newborns?

<p>Because each newborn has a unique potential for recovery (C)</p> Signup and view all the answers

What is a nursing diagnosis related to developmental care for high-risk infants?

<p>Readiness for developmental care to decrease overstimulation (B)</p> Signup and view all the answers

What is a potential risk factor for neonatal conditions?

<p>Maternal age older than average (B)</p> Signup and view all the answers

What is a potential neonatal condition related to infection prevention?

<p>Neonatal sepsis (A)</p> Signup and view all the answers

What is a consideration for establishing nursing diagnoses for high-risk infants?

<p>Awareness of usual parameters of newborns (B)</p> Signup and view all the answers

What is a potential neonatal condition related to nutrition and feeding?

<p>Hyperbilirubinemia (B)</p> Signup and view all the answers

What is an important consideration for planning care for high-risk infants?

<p>Establishing realistic expected outcomes (B)</p> Signup and view all the answers

What is essential to identify infants who may need greater than usual care at birth?

<p>Maternal lifestyle and concurrent disease conditions (D)</p> Signup and view all the answers

Why is it important to keep painful procedures to a minimum for high-risk newborns?

<p>To prevent exhaustion and promote comfort (D)</p> Signup and view all the answers

What is a key aspect of developmental care for high-risk newborns?

<p>Conserving the baby's energy and providing a thermoneutral environment (D)</p> Signup and view all the answers

Why may families of high-risk newborns need a referral to a home health care agency?

<p>To support care for their infant at home and provide additional resources (B)</p> Signup and view all the answers

What is a common observation made by a nurse when assessing a high-risk newborn?

<p>Comments from fellow nurses about the infant's behavior (C)</p> Signup and view all the answers

What is a key aspect of planning care for high-risk newborns?

<p>Focusing on individualized care and considering developmental level (D)</p> Signup and view all the answers

Why is it important to consider a newborn's developmental level when planning care?

<p>To provide individualized care and consider physiologic strengths and weaknesses (D)</p> Signup and view all the answers

What is a key aspect of assessment for high-risk newborns?

<p>Cardiac function, apnea, oxygen saturation, and blood pressure monitoring (C)</p> Signup and view all the answers

Flashcards

Pre-term infant risk

Pre-term infants are at risk for deficient fluid volume due to excessive water loss.

Post-mature infant issue

Post-mature infants may experience ineffective tissue oxygenation due to breathing difficulties.

Pre-term infant parenting risk

A newborn's illness at birth can potentially impact the parents' ability to care for the child.

High-risk newborn developmental care

A quiet, stable environment is crucial to minimize stress on high-risk newborns.

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Weak sucking in pre-term infants

Weakened sucking ability in pre-term infants can lead to imbalanced nutrition.

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Infection prevention in high-risk infants

Hand hygiene and isolation are crucial for preventing infections in high-risk newborns.

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Pre-term infant nutrition challenge

Pre-term infants often face a risk of imbalanced nutrition, potentially receiving less than their body needs.

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SGA infant thermoregulation

Small for gestational age (SGA) infants are at risk for impaired thermoregulation due to underdeveloped mechanisms.

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Lifesaving procedure's effect

Necessary lifesaving procedures at birth can lead to neonatal conditions, like respiratory distress.

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Realistic expected newborn outcomes

Establishing realistic expectations regarding a newborn's recovery is important, recognizing individual differences.

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Nursing diagnosis for high-risk infants. Develop. Care

Readiness for developmental care is important to avoid overstimulation.

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Neonatal condition risk factor

Maternal age above average is a potential risk factor for neonatal conditions.

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Neonatal sepsis

Neonatal sepsis is a form of infection.

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Nursing diagnosis considerations

Awareness of normal newborn parameters is essential when establishing nursing diagnoses for high-risk infants.

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Nutritional neonatal condition

Hyperbilirubinemia is a potential neonatal condition related to nutrition and feeding.

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Important care planning

Establishing realistic expected outcomes is crucial for caring for high-risk infants.

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Identifying high-care newborns

Maternal lifestyle and concurrent diseases can help identify newborns in need of specialized care.

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Minimizing painful procedures

Limiting painful procedures helps prevent exhaustion and promotes comfort for high-risk newborns.

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Developmental care aspect

Developmental care involves conserving the newborn's energy and providing a thermoneutral environment.

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Home health care referrals

Families of high-risk newborns may need referrals to support home care and offer additional resources.

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Nurse assessment observation

Nurse observations may include fellow nurses' comments on newborn behavior.

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Planning care for high-risk newborns

Care planning for high-risk newborns needs to focus on individualized care and developmental level.

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Importance of developmental level

Understanding the newborn's developmental level is essential for providing individualized care, considering physiological strengths and weaknesses.

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Essential assessment aspect

Monitoring cardiac function, apnea, oxygen saturation, and blood pressure is key for assessing high-risk newborns.

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Study Notes

Nursing Care of the High-Risk Newborn

  • Pre-maturity, post-maturity, small for gestational age, and large for gestational age are all risk factors for high-risk newborns.
  • Concurrent disease conditions, such as diabetes or HIV infection, pregnancy complications, and unhealthy maternal lifestyle, can also lead to high-risk newborns.

Nursing Diagnosis

  • Ineffective airway clearance related to the presence of mucus or amniotic fluid in the airway.
  • Ineffective tissue oxygenation related to breathing difficulty.
  • Ineffective thermoregulation related to immature status.
  • Risk for deficient fluid volume related to insensible water loss.
  • Risk for imbalanced nutrition, less than body requirements, related to the lack of strength for effective sucking.
  • Risk for infection related to lowered immune response due to prematurity.
  • Risk for impaired parenting related to illness in newborn at birth.
  • Deficient diversional activity (lack of stimulation) related to illness.

Nursing Process Overview

  • Individualized care plans considering a newborn's developmental level, physiologic strengths, weaknesses, and needs.
  • Support for families of high-risk newborns to care for their infant at home through referrals to home health care or other agencies.

Assessment

  • Obvious congenital anomalies and gestational age.
  • First assessment is done under a prewarmed radiant heat warmer.
  • Continuing assessment includes cardiac, apnea, oxygen saturation, and blood pressure monitoring.

Planning

  • Interventions should be carried out by a consistent caregiver, focusing on conserving the baby's energy and providing a thermoneutral environment.
  • Painful procedures should be kept to a minimum to help the infant achieve a sense of comfort and balance.
  • Developmental care should be implemented to decrease overstimulation.
  • Expected outcomes should be consistent with a newborn's potential and realistic.

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Maternal and Child Health Nursing Care of High-Risk Newborns PDF

Description

Assess your knowledge of nursing care for high-risk newborns, including ineffective airway clearance and diagnosis. This quiz covers Week 8 of maternal and child health nursing.

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