Normal Labor Emergency Medical Care

Question 1

Emergency medical care

Answer 1

1. Position patient. Have patient lie on a firm surface with her knees drawn up and spread apart. Put sheet under butt.
2. Even if there are no signs of hypoxia Or if SpO2 reading is 94% or greater. Still apply nasal cannula at 2-4 lpm
3. Create sterile field around the vaginal opening if time permits
4. Monitor patient for vomiting
5. Continually assess for crowning
6. Place gloved fingers on the bony part of the infants skull when it crowns
7. Tear the amniotic sac if not already ruptured
8. Determine the position of umbilical chord.
9. Suction fluid from infants air way.
10. Support newborn with two hands as infant is expelled
11. Grasp the feet of the newborn.
    12 dry wrap warm and position the infant. Auction if necessary
12. Partner monitor and complete initial care of newborn
13. Clamp tie and cut umbilical cord as pulsation cease
14. Observe for delivery of placenta
15. Transport and deliver placenta
16. Place 1-2 sanitary pads over vaginal opening
17. Record the time of delivery and transport the mother, infant and placenta to hospital.