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DYSMATURITY
POSTMATURITY
CONGENITAL ANOMALIES
Detect early
Keep newborn warm.
RATIONALE: The presence of a congenital defect, acquired
injuries, and other metabolic disorders predispose the
newborn to HYPOTHERMIA
Provide immediate supportive care
Report/refer promptly
DANGER SIGNS OF NB DISTRESS
Difficult Respiration or Tachypnea/ Increase Rate
> 60 bpm
Earliest sign of various problems
Respiratory in origin
ASPHYXIA
RESPIRATORY DISTRESS
SEPSIS
CAUSE Pushing when the cervix is not yet Pressure from bony pelvis or blades of
fully dilated-pressing fetal head forceps
against soft cervix
Signs
In supine position, one or both arms extended with hand
extension, unmoving (normally, flexed and moving)
Decreased muscle tone, grasp reflex and negative arm recoil
on the affected side – WAITER’S SIGN
Asymmetry in arm movements
Prognosis
Majority of cases are resolved in 2 weeks of life
Nursing Implementation
Position at rest: place arm gently in flexed position
Immune System
No IgM and IgG at birth
Prevent Bleeding
Administer Vit. K injection as ordered