Page 86 - 33Elctronic Book (3) Normal Labor
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o Extremities:
▪ Observe for symmetry, movement and abnormalities.
▪ Observe digits of hands and feet for number and webbing.
▪ Observe hips for range of motion.
▪ Observe feet for abnormalities.
o Neurological assessment:
▪ Observe rooting and sucking reflex.
▪ Observe grasp reflex of hands and feet.
▪ Observe Moro reflex.
▪ Observe startle reflex, hold the infant with head supported and allow the
head to drop back, the response will be lateral extension of arms and
opening of hands.
▪ Observe stepping reflex, when the infant is held upright, he makes stepping
movements.
o Breastfeeding:
▪ The infant should be given to the mother for breastfeeding. Early
breastfeeding is recommended to prevent hypoglycemia, promote mother
infant bonding, and stimulate milk secretion.
Duties of the Nurse in the Labor Room
Duties of the Scrub Nurse
• Scrubs and wears cap, mask, sterile gown and gloves.
• Arranges the instruments on the delivery table.
• Assists in draping the woman.
• Hands the instruments and catheter to the doctor as called for.
• Assists in perinea! repair, and prepares proper length sutures on proper
needles.
• Massages the uterus as needed.
• Assists in holding the newborn infant.
Duties of the Circulating Nurse
• Assists the woman during her transfer from the labor bed, and positions her
properly on the delivery table.
• Opens packs or drums, and ties the gowns of doctor and assistant.
• Prepares and administers routine medications as ordered, and records its
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