Page 236 - ترم ثاني كتاب تمريض صحة الام الكتروني

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▪ Mild Rh disease as determined by obstetrician.
▪ 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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