Page 230 - ترم ثاني كتاب تمريض صحة الام الكتروني

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adequate resuscitation of the infant:
o Airway

o Breathing
o Circulation
o Warmth

Objectives of Immediate Care of the Newborn
• To establish and maintain respiratory function.

• To provide warmth and prevent hypothermia.
• To ensure safety from injury and infection.

To identify actual and potential problems that might require immediate action
Assessment of the Infant's Condition
• The airway: To clear the airway, hold the infant upside down for few

seconds and perform gentle suction to establish breathing, and improve
infant's color.
• The APGAR Score: APGAR Score involves consideration of 5 signs,

and the degree to which they are present or absent. It is recorded at 1 and
5 minutes after birth

The APGAR Score
Sign 0 1 2
Hear rate Absent Slow blew 100 Fast above 140

Respiration Absent Weak crying Good crying
Reflex irritability No response Grimace Good response

Body pink
Color Blue and pale Completely pink
extremities blue

Total Score = 10 Normal= 7 – 10
Mild asphyxia = 4 6 - Severe asphyxia = 0 3 -

• Warmth: It is very important to keep the infant warm at birth because
he will lose heat rapidly through evaporation. So, the labor room should
be warm and the infant should be dried gently and wrapped in a warm dry

towel to avoid exposure.

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