Page 235 - ترم ثاني كتاب تمريض صحة الام الكتروني

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tubing.
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.

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