Page 83 - 2023 Elctronic Book (3) Normal Labor_Neat

• 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.

o Ensure that an infant mask is attached to the resuscitation bag.
o Attach an appropriate size suction catheter to the suction canister 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.

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