Page 217 - كتاب تمريض نسا الاكتروني

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 Maternal illnesses, such as:
 Diabetes mellitus.

 Pre-eclampsia.
 Thyroid disease.
 Suspected infection, including:
 Maternal fever during labor.

 Rupture of membranes > 18 hours.
 Other findings identified by the obstetrician.
o Personnel:

 Pediatric resident.
 Intensive care nursery nurse.
 Assistant specialist or specialist (only if the obstetrician or the

pediatric resident feels necessary).
o Equipment:
 Infant care equipment as indicated above.

 Emergency cart or the NICU should be ready for immediate use:
 The Emergency cart: contains several drawers that have all the
required emergency medications (such as: epinephrine, NaHC03, calcium
gluconate, saline, etc.) and tools (such as: IV catheters, endotracheal tubes,

chest tubes, etc.). This cart is physically located on each floor or unit and can
be moved to the bedside
o High risk delivery

o Identification:
Premature delivery less than 32 weeks gestation.
 Severe Rh disease.

 Several antepartum or intrapartum hemorrhage.
 Suspected asphyxia (such as: cord prolapsed or loss of fetal heart
rate).

o Personnel:
 The most senior resident or assistant specialist in house.
 NICU nurse.
 Specialist should be available as necessary.

Equipment: As in mild to moderate.
 Conclusion:

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