5Keep the newborn at the level of the mother after delivery with head slightly

5keep the newborn at the level of the mother after

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5.Keep the newborn at the level of the mother after delivery, with head slightly lower than the body. 6.Clamp the umbilical cord in two places and cut cord between clamps. a.If the cord comes out ahead of the newborn, the blood supply to the fetus may be cut off. i.Relieve pressure on the cord by gently moving the newborn’s body off the cord and pushing the cord back. 7.Do an initial rapid assessment simultaneous with treatment interventions. a.Note time of delivery. b.Monitor ABCs. c.Assess airway patency, respiratory rate and effort, tone, pulse rate, and color. 8.Newborn is at risk for hyperthermia. a.Ensure thermoregulation by: i.Placing the newborn on prewarmed towels or radiant warmer ii.Drying the head and body thoroughly iii.Discarding wet towels and covering with a dry towel iv.Covering the head with a cap 9.Position the newborn to ensure a patent airway, clear secretions, and assess the respiratory effort. 10.All babies are cyanotic right after birth. a.If the newborn stays vigorous and begins to turn pink in the first 5 minutes: i.Maintain ongoing observation. ii.Continue thermoregulation with direct skin-to-skin contact with mother while en route. D.The Apgar score 1.The Apgar score helps record the newborn’s condition in the first few minutes after birth. a.Helps paramedics determine specific resuscitation measures needed and their effectiveness b.Each sign is given a value of 0, 1, or 2. c.Recorded at 1 and 5 minutes after birth. i.If the 5-minute score is less than seven, an additional score should be done every 5 minutes until 20 minutes after birth. d.If resuscitation is necessary, the Apgar score is done by determining the resuscitation results. E.Algorithm for neonatal resuscitation 1.Approximately 10% of newborns need additional assistance, and 1% need major resuscitation. 2.The American Academy of Pediatrics and the American Heart Association have developed an algorithm to optimize the outcome of resuscitation for complicated births. a.Interventions, assessment, and determination of need to progress to the next level delineated in 30-second intervals. 3.Following delivery, the initial resuscitation steps should be done for 30 seconds. a.If no response, further intervention is needed. b.Asses respiratory rate and effort, pulse rate, and color.
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i.Determine respiratory and pulse rate per minute by counting them for 6 seconds and multiplying by 10. ii.Determine pulse rate by auscultation or feeling the base of the umbilical cord at the baby’s abdomen. iii.Many newborns have blue hands and feet (acrocyanosis) after they turn pink. (a)If there is a normal breathing pattern and pulse rate greater than 100 beats/min, but central cyanosis of the trunk or mucous membranes, provide supplemental free-flow oxygen.
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