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Important point to remember when suctioning the airway of a newborn with a bulb syringe.
Squeeze the syringe BEFORE inserting the tip into the newborn's mouth or nose.
Two ways a newborn may be stimulated to breathe.
1. Flick the soles of the infant's feet.
2. Rub the infant's back.

NOTE: Infant's should start breathing on their own within 20-30 seconds after birth. If not or the rate is inadequate, start artificial ventilations.
When caring for a newborn, heart rate which indicates a need for artificial ventilation, and heart rate which indicates a need for ventilations and chest compressions.
If Heart Rate Is Less Than 100:
Provide artificial ventilations at a rate of 60 per minute.
If Heart Rate Is Less Than 80 And Patient Is Not Responding To Ventilations:
Continue ventilations and start chest compressions at a rate of 120 per minute(2 compressions a second).
Position in which the newborn should be placed prior to cutting the cord.
Keep the infant level with the mother's vagina and with it's head slightly lower than it's trunk.
Proper spacing for cord clamps or ties.
Place the first clamp FOUR finger widths away from the baby.
Place the second clamp several inches further away from the first clamp.
Normal amount of blood loss which may be expected following delivery.
Up to 500ml.
NOTE: More than 500ml blood loss is considered excessive. Uterine Massage can help control bleeding after delivery. Massaging can be continued enroute to the hospital.
Primary problem associated with a meconium emergency.
Severe Respiratory Problems:
The presence of meconium may be an indication of maternal or fetal distress during labor.

NOTE: Amniotic fluid which contains meconium is greenish or brownish-yellow in color. Aggressive management of the newborn's airway, including proper suctioning, is critical.
Proper position in which to place a pregnant patient with a prolapsed cord, breech presentation or limb presentation.
Head down position with pelvis elevated. This will let gravity lessen the pressure in the birth canal.
Two instance during delivery when an EMT-Basic may need to insert fingers into the patient's vagina.
1. Breech Birth: To form an airway for the infant.
2. Prolapsed Cord: To take pressure off the cord.
Proper position in which to place a pregnant patient who has suffered traumatic injuries.
Transport the patient on her left side.

NOTE: This position reduces the pressure which the fetus places on the mothers Vena Cava. The patient can be secured to a backboard prior to placing her on her left side.
Common cause of vaginal bleeding which occurs late during pregnancy.
Late pregnancy vaginal bleeding normally indicates an emergency involving the placenta.

NOTE: Bleeding may or may not be accompanied by pain.

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