“You are called to assist at the birth of 34 week (7-1/2 months) gestation baby.

You have identified a

helper, prepared an area for ventilation, washed your hands, and checked your equipment. The baby
is born, and the amniotic fluid is not clear. Show how you will care for the baby.”

Baby condition Participants Don Not Commen

e Don t
e
Prompt: Before delivery Prepare for Birth
□Identifies a helper and reviews an
emergency plan
□ Prepares the area for delivery
(warm, well-lighted, clean)
□ Washes hand
Equipment :
□ Prepares an area for ventilation
□ Assemble disinfected equipment
and supplies
□ Checks function of bag, mask and
suction device
Prompt: Show the baby is □ Dries thoroughly
not Removes wet cloth
crying. The baby is not
breathing
Prompt: Show the baby is □ Recognizes baby is not crying
not □ Positions head and
crying. “There is meconium □ Clear airway with suction
and
□ Stimulates breathing by rubbing
secretion blocking the
the back
mouth.”
Prompt: Show the baby is □ Recognizes baby is not breathing
not □ Clamps or ties and cuts the cord
breathing □ Moves to area for ventilation
□ Ventilates with bag and mask
within The Golden Minute
□ Achieves a firm seal as
demonstrated by chest
movement
□ Ventilates at 40 breaths/minute
(30-50 acceptable)
□ Evaluates for breathing or chest
movement
Prompt: Show the baby is □ Recognizes baby is not breathing
not □ Calls for help
breathing. □ Continues ventilation
Prompt: Show the chest is □Recognizes the baby chest is not
not moving
moving. □Reapplies mask
□Repositions head

After steps squeezes bag
harder to
improve ventilation, say
“The chest
is moving now.”
Prompt: Show the baby is
not
breathing
Prompt: heart rate is
normal, the
baby still not breathing
Prompt: (After 3 minutes)
Show the
heart rate is 120 per minute
and the
baby is breathing.
Prompt: Show the baby is
breathing well (cries)
□Clears secretions from the mouth
and nose as needed
□Opens mouth slightly
□Squeezes bag harder
□Recognizes baby is not breathing
□Recognizes heart rate : normal or
slow or no heart rate
□ Continues ventilation
□ Recognizes baby is breathing and
heart rate is normal.
□ Stops ventilation
□ Recognizes baby is crying and
breathing well
□ Positions skin-to-skin on
mother’s chest
□ Puts on the head covering
□ Communicates with mother
□ Prolong skin-to-skin care
□ Continue with immediate
essential newborn : care to assess,
maintain temperature, provide
nutrition, and
prevent infection
□ Make a note of care provided in
the clinical record
□ Provides close observation for
the baby and communicates with
the mother