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EMT > Ch.37 Obsterics And Care Of The Newborn > Flashcards

Ch.37 Obsterics And Care Of The Newborn Flashcards

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1
Q

Spontaneous Abortion

A
  • AKA miscarriage
  • Delivery of fetus and placenta prior to viability
  • happens in 1st trimester/ before 12th week gestation
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2
Q

Ectopic pregnancy

A
  • Happens in 1st trimester

- Fertilized egg implanted anywhere but the uterus, usually found in the Fallopian tube

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3
Q

Placenta Previa

A
  • Happens in 3rd trimester

- placenta implants itself over the cervix

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4
Q

Placenta Previa S/Sx

A
  • Lots of bleeding

- No pain

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5
Q

Abruptio Placentae

A
  • Abnormal separation of placenta from uterine wall prior to birth of baby
  • Happens in 3rd trimester
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6
Q

Abruptio Placentae S/Sx

A
  • Lots of pain

- Little to no external bleeding

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7
Q

Ruptured Uterus

A
  • Happens in 3rd trimester
  • Spontaneous or traumatic rupture of uterine wall
  • Releases fetus into abdominal cavity
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8
Q

Preeclampsia

A
  • Happens in 3rd trimester
  • Condition characterized by high blood pressure and swelling of the extremities
  • Pregnancy-induced Hypertension (PIH)
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9
Q

Eclampsia

A
  • Happens in 3rd trimester
  • When the preeclamptic pt has a seizure and or coma will occur
  • LIFE THREATENING EMERGENCY
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10
Q

Supine Hypotensive Syndrome

A
  • Happens in 3rd trimester

- Weight of fetus compresses inferior vena cava while woman lays supine

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11
Q

Rx Supine Hypotensive Syndrome

A

-Tilt pt onto left side

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12
Q

Preeclampsia S/Sx

A
  • Extremity Swelling
  • Elevated BP >140/90
  • Persistent Headaches
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13
Q

Miscarriage S/Sx

A
  • Abdominal cramping

- Vaginal bleeding

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14
Q

Premature Birth

A

Before 37 weeks and/or < 5lbs in birth weight

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15
Q

Post term birth

A

> 42 weeks

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16
Q

Umbilical Cord

A
  • Lifeline for the fetus

- 1 vein and 2 arteries

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17
Q

Gravida

A

How many times have you been pregnant?

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18
Q

Para

A

How many live births have you given?

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19
Q

Common assessment questions

A
  • Gravida and Para
  • Have you been under doctors care?
  • Any complications expected?
  • Have you had twins? Triplets?
  • Previous C section
  • OPQRST investigate pain complaints
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20
Q

Stage 1 (Giving Brith)

A

Beginning of true contractions to full dilation of cervix

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21
Q

Braxton Hicks

A
  • “False Labor”

- Contractions thought to condition uterus for labor

22
Q

Stage 2 (Giving Birth)

A
  • AKA expulsion stage
  • Crowning
  • Complete dilation to delivery of baby
  • Make sure to check for the umbilical cord
23
Q

Stage 3 (Giving Birth)

A
  • Following delivery of baby to expulsion of placenta

- 5-20 min following the delivery of baby

24
Q

What do you do if you want to deliver the bottom shoulder of the baby?

A

Lift up on the head

25
Q

what happens If you push down on the head of the baby while delivery?

A

Top shoulder would be delivered

26
Q

Prolapsed Cord

A
  • Umbilical cots is the first presenting part
  • Infant May compress cord cutting off blood supply
  • True emergency
27
Q

Prolapsed Cord Rx

A
  • insert gloves into vagina and lift baby off the cord if the cord stops pulsating
  • put wet sterile towel over the cord
  • Rapid transport
28
Q

Breech Birth

A
  • Butt or lower extremities present first

- If infant delivers , allow it to progress

29
Q

What do you do If the head gets stuck during birth?

A

Insert gloved index and middle finger into vagina and make an Airway for baby using a V pattern

30
Q

Limb presentation

A
  • One arm or leg is presenting
  • DO NOT deliver under any circumstances
  • C-section is needed
31
Q

Multiple Births

A
  • twins to multiple babies

- Deliver as normal

32
Q

Meconium staining

A
  • Fetus has a bowel movement in amniotic sac during delivery
  • yellow/green/brown color of amniotic fluid
33
Q

Precipitous delivery

A

-Delivery 3 hours from onset of labor

34
Q

Shoulder Dystocia

A

Shoulders larger than head

35
Q

Preterm labor

A

-Labor between 20th and 37th week

36
Q

Premature rupture of membranes

A

Water breaks before onset of true labor

37
Q

Postpartum hemorrhage

A

Blood loss greater than 500cc following delivery

38
Q

Rx postpartum hemorrhage

A
  • Massage the fundus
  • Apply O2
  • Put baby to breast of mom
39
Q

Rx Limb Presentation

A

Transport immediately with mom in knee to chest position

40
Q

APGAR

A
  • Appearance
  • Pulse
  • Grimace
  • Activity
  • Respirations
41
Q

When should APGAR be done?

A

1-5 min after birth or as needed after

42
Q

Appearance points

A 
-0 points
  •Entire body is blue
-1 points
  •pink core, blue extremities 
-2 points
  •All pink
43
Q

Pulse points

A 
-0 points 
  •No pulse
-1 points 
  •pulse <100
-2 points
  •pulse >100
44
Q

Grimace

A 
-0 points
  •No flex activity 
-1 points
  •Some grimace to stimulation
-2 points 
  •Cough, sneeze, cry
45
Q

Activity points

A 
-0 points 
  •limp 
-1 points
  •Flexion without active movement 
-2 points
  •Actively moving
46
Q

Respiration points

A 
-0 points 
  •No respiratory effort
-1 points 
  •weak cry
-2 points
  •strong cry
47
Q

7-10 points for APGAR

A
  • Within normal range

- only routine care needed

48
Q

4-6 points

A
  • Stimulation

- O2

49
Q

0-3 point APGAR

A
  • Severely depressed
  • BVM needed
  • CPR as needed
50
Q

Neonate

A

Birth to 28 days

51
Q

Loose up to 500cc of Blood during child birth

A

Is NORMAL

EMT (26 decks)

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