Page 87 - 33Elctronic Book (3) Normal Labor

time.

• Prepares resuscitation and emergency equipment.
• Observes and records FHR.
• Receives the infant from the doctor and takes care of him.

• Resuscitates the infant and observes him at regular intervals.
• Records the time of birth and sex of the infant. ·

• Observes and records the time of placental expulsion.
• Records the location and extent of episiotomy or tear, and type of repair.

• Records the amount of blood loss.
• Observes and records any unusual conditions.

• Prepares and places the identification measure of the infant.
• Assists in giving anesthesia and emergency drugs if needed
Neonatal Care in the Delivery Room
The very first minutes of the neonatal life are critical. Anticipation of problems and

preparation are key for the neonatal resuscitation.
The nursing care for the newborn can be classified into three stages:

Stage Theme
Before delivery Preparation
During delivery Identify risk

After delivery action
Before Delivery
o As soon as the mother is admitted to the labor room, the following items for

infant care should be checked:
o The bed warmer is working appropriately.
o There is a resuscitation bag and an appropriate size mask.
o Oxygen tubing is available and attached to the bag. Suction system is

working appropriately. Different sizes suction catheters are available.
o Different sizes endotracheal tubes are available. Laryngoscope is available.

Attach the blade to ensure the bulb is working. Do not leave the blade on.
The bulb will get hot and can bum the infant.
o Once the mother is progressing in labor:
o Tum the bed warmer on the non-servo (manual) mode and set it at pre-heat.

o Attach the oxygen tubing to the flow meter and set the flow at 10 min.
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