Page 215 - كتاب تمريض نسا الاكتروني
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                       •      Resuscitates the infant and observes him at regular intervals.
                       •      Records the time of birth and sex of the infant. ·

                       •      Observes and records the time of placental expulsion.
                       •      Records the location and extent of episiotomy or tear, and type of

                       repair.
                       •      Records the amount of blood loss.

                       •      Observes and records any unusual conditions.
                       •      Prepares and places the identification measure of the infant.
                       •      Assists in giving anesthesia and emergency drugs if needed

               Neonatal Care in the Delivery Room
               The very first minutes of the neonatal life are critical. Anticipation of problems and
               preparation are key for the neonatal resuscitation.

               The nursing care for the newborn can be classified into three stages:
                 Stage                                        Theme
                 Before delivery                              Preparation

                 During delivery                              Identify risk
                 After delivery                               action
               Before Delivery

                       o      As soon as the mother is admitted to the labor room, the following
                       items for infant care should be checked:
                       o      The bed warmer is working appropriately.

                       o      There is a resuscitation bag and an appropriate size mask.
                       o      Oxygen tubing is available and attached to the bag. Suction system is
                       working appropriately. Different sizes suction catheters are available.

                       o      Different sizes endotracheal tubes are available. Laryngoscope is
                       available. Attach the blade to ensure the bulb is working. Do not leave the
                       blade on. The bulb will get hot and can bum the infant.
                       o      Once the mother is progressing in labor:

                       o      Tum the bed warmer on the non-servo (manual) mode and set it at
                       pre-heat.

                       o      Attach the oxygen tubing to the flow meter and set the flow at 10 min.
                       o      Ensure that an infant mask is attached to the resuscitation bag.
                       o      Attach an appropriate size suction catheter to the suction canister
                       tubing.



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