Page 216 - كتاب تمريض نسا الاكتروني

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o Make sure the suction pressure does not exceed 100 mmHg
o Attach the laryngoscope blade to the handle and do not turn it on

o Make sure the resuscitation cart is in place. Check the contents of the
cart daily.
o Put gloves on
During Labor

Deliveries can be classified into three categories according to the expected risk to
the newborn.
o Low risk delivery:

o Identification:
 Mothers with uncomplicated pregnancy, labor and delivery.
o Personnel:

 Labor room nurse will provide the care to the normal infant in the
labor room.
 If the infant is unexpectedly ill, resuscitation should start while

awaiting the arrival of the pediatric staff.
o Equipment:
 The labor room nurse is responsible for ensuring that the following
infant care equipment is present and operating properly:

 Infant bed warmer.
 Oxygen unit.
 Infant suction apparatus.

 Infant resuscitation bag and masks.
 Laryngoscope with appropriate endotracheal tubes.
o Mild to moderate risk delivery

o Identification
 Premature delivery from 32 - 36 weeks gestation.
 Post-term delivery greater than 42 weeks gestation.

 Meconium stained amniotic fluid.
 Cesarean section.
 Fetal distress as determined by obstetrician. Expected fetal growth
retardation.

 Multiple pregnancy.
 Breech delivery.

 Mild Rh disease as determined by obstetrician.

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