24 Questions
What is a potential risk for a pre-term infant?
Deficient fluid volume due to excessive water loss
What is a common issue for a post-mature infant?
Ineffective tissue oxygenation due to breathing difficulty
Why is a pre-term infant at risk for impaired parenting?
Due to illness in the newborn at birth
What is a crucial aspect of developmental care for a high-risk newborn?
Maintaining a quiet, stable environment to minimize stress
What is a potential consequence of a pre-term infant's weakened sucking ability?
Risk for imbalanced nutrition, less than body requirements
What is a key aspect of infection prevention for a high-risk newborn?
Implementing proper hand hygiene and isolation techniques
What is a nutritional challenge for a pre-term infant?
Risk for imbalanced nutrition, less than body requirements
Why is a small for gestational age (SGA) infant at risk for impaired thermoregulation?
Due to immature development of thermoregulatory mechanisms
What is a potential neonatal condition that can be caused by necessary lifesaving procedures at birth?
Respiratory distress syndrome
Why is it important to establish realistic expected outcomes for newborns?
Because each newborn has a unique potential for recovery
What is a nursing diagnosis related to developmental care for high-risk infants?
Readiness for developmental care to decrease overstimulation
What is a potential risk factor for neonatal conditions?
Maternal age older than average
What is a potential neonatal condition related to infection prevention?
Neonatal sepsis
What is a consideration for establishing nursing diagnoses for high-risk infants?
Awareness of usual parameters of newborns
What is a potential neonatal condition related to nutrition and feeding?
Hyperbilirubinemia
What is an important consideration for planning care for high-risk infants?
Establishing realistic expected outcomes
What is essential to identify infants who may need greater than usual care at birth?
Maternal lifestyle and concurrent disease conditions
Why is it important to keep painful procedures to a minimum for high-risk newborns?
To prevent exhaustion and promote comfort
What is a key aspect of developmental care for high-risk newborns?
Conserving the baby's energy and providing a thermoneutral environment
Why may families of high-risk newborns need a referral to a home health care agency?
To support care for their infant at home and provide additional resources
What is a common observation made by a nurse when assessing a high-risk newborn?
Comments from fellow nurses about the infant's behavior
What is a key aspect of planning care for high-risk newborns?
Focusing on individualized care and considering developmental level
Why is it important to consider a newborn's developmental level when planning care?
To provide individualized care and consider physiologic strengths and weaknesses
What is a key aspect of assessment for high-risk newborns?
Cardiac function, apnea, oxygen saturation, and blood pressure monitoring
Study Notes
Nursing Care of the High-Risk Newborn
Problems Related to Maturity
- 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.
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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