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EMT Course > Chapter 31: Obstetrics and Neonatal Care > Flashcards

Chapter 31: Obstetrics and Neonatal Care Flashcards

1
Q

____ or womb is responsible for contractions during labor and pushes the infant through the birth canal

A

uterus

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2
Q

_____ is made of the vagina and cervix

A

birth canal

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3
Q

the ____ completes the passageway from the uterus to the outside world for the infant

A

birth canal

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4
Q

the _____ is disk shaped and attached to inner lining of uterus. it is connected to the fetus by the umbilical cord

A

placenta

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5
Q

the _____ is the lifeline of the fetus

A

umbilical cord

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6
Q

the umbilical cord connects the ____ and the ____ through the _____

A

connects the woman and the fetus through the placenta

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7
Q

the ______ carries oxygen and blood from the woman to the heart of the fetus

A

umbilical vein

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8
Q

the _____ carry deoxygenated blood from the heart of the fetus to the woman

A

umbilical arteries

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9
Q

the fetus developed in a fluid-filled membrane called the

A

amniotic sac

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10
Q

there is about ____-____ ml of amniotic fluid in the amniotic sac that protects the floating fetus

A

500-1,000

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11
Q

normal changes during pregnancy involve these three systems

A

CV, respiratory, and musculoskeletal

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12
Q

in pregnancy ___ shift from their normal positions

A

organs

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13
Q

in the ____ trimester there is rapid uterine growth

A

2nd

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14
Q

there is ___ resp rate and ___ TV/minute volume

A

INC resp rate, DEC TV/minute volume

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15
Q

blood volume rate increases by __% and heart rate increases by ___% by the end of the third trimester

A

BV INC by 50% and HR INC by 20%

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16
Q

in the ____ trimester there is an increased risk of vomiting and potential aspiration following trauma due to changes in the GI tract

A

3rd

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17
Q

braxton hicks contractions are

A

false labor

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18
Q

what are the three stages of labor

A

dilation of cervix
delivery of infant
delivery of placenta

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19
Q

the first stage of labor begins with

A

onset of contractions as fetus enters the birth canal

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20
Q

the first stage of labor ends when

A

the cervix is fully dilated

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21
Q

the ____ is usually the longest (avg of 16 hours for first delivery)

A

first stage

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22
Q

at the end of the third trimester is ____ when the head of the fetus descends into the womans pelvis

A

lightening

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23
Q

the 2nd stage of labor begins when the

A

fetus begins to encounter the birth canal

24
Q

the 2nd stage of labor ends when the

A

fetus is born

25
Q

in the 2nd stage of labor contractions are

A

closer together and longer

26
Q

in the 2nd stage of labor the ____ bulges significantly and the top of the infant’s head begins to appear at the vaginal opening (crowning)

A

perineum

27
Q

the 3rd stage of labor begins with the

A

birth of the infant

28
Q

the 3rd stage of labor ends with the

A

delivery of the placenta

29
Q

the placenta must completely separate from the

A

uterine wall

30
Q

_____ is pregnancy induced hypertension

A

preeclampsia

31
Q

preeclampsia occurs around the ___ week of gestation

A

30th week

32
Q

_____ involves seizures that result from hypertension

A

eclampsia

33
Q

pregnant patients with eclampsia are placed on their left side to prevent

A

supine hypotensive syndrome

34
Q

supine hypotensive syndrome is caused by

A

compression of the descending aorta and inferior vena cava by the uterus when the patient lies supine

35
Q

____ may be a sign of an ectopic pregnancy

A

internal bleeding

36
Q

leading cause of maternal death in the 1st trimester is

A

internal hemorrhage in the abdomen following the rupture of an ectopic pregnancy

37
Q

____ is when the placenta separated prematurely from the wall of the uterus

A

abruptio placenta

38
Q

placenta previa is when the placenta

A

develops over and covers the cervix

39
Q

gestational diabetes will clear up after

A

delivery

40
Q

treatment of gestational diabetes is

A

the same as for any other patient with diabetes

41
Q

Prompt hospital treatment should be provided for a pregnant woman with vaginal bleeding. Which of the following should not be done in this emergency?

a. Place a sanitary pad or trauma dressing in the vagina.
b. Place her on her left side during transport.
c. Give her high-flow oxygen.
d. Save any tissue that may be passed from the vagina.

A

a.Place a sanitary pad or trauma dressing in the vagina.

42
Q

An unruptured amniotic sac may contain a foul-smelling, greenish color fluid. This information must be:

A

relayed in your report to medical control

43
Q

As soon as the head is delivered, use the index finger of your other hand to feel whether the umbilical cord is wrapped around the neck. This condition is commonly called:

A

a nuchal cord

44
Q

Post delivery care includes drying the baby off, wrapping it immediately in a blanket or towel, and placing it on one side with:

A

the head slightly lower than the rest of the body

45
Q

Once the infant is born, the umbilical cord is of no further use to the mother or infant. Post delivery care of the umbilical cord is important because:

A

infection is easily transmitted through the cord to the baby

46
Q

To slow bleeding, you can massage the mother’s abdomen in a firm, circular motion after the baby is delivered, stimulating the uterus to contract. You can also:

A

place the infant on the mothers breast to nurse

47
Q

Excessive bleeding occurs when the bleeding exceeds:

A

500 ml

48
Q

full-term fetus grows and develops inside the uterus for approximately _________ weeks.

A

40 weeks

49
Q

Which of the following does not occur during the second stage of labor?

  • The fetus enters the birth canal.
  • Lightening occurs.
  • The mother may feel pressure on her rectum.
  • The perineum will begin to bulge.
A
  • Lightening occurs.
50
Q

Which of the following is not measured using the Apgar score?

  • grimace or irritability
  • pulse
  • weight
  • activity or muscle tone
A

weight

51
Q

In what situation is it acceptable to place your sterile gloved fingers into the vagina?

  • breech delivery
  • limb presentation
  • prolapsed cord
  • both a and c
A

both a and c (prolapsed cord and breech delivery)

52
Q

most serious complications of spontaneous abortion are ___ and ____

A

bleeding and infection

53
Q

if a prolapsed cord is present, transport the mother in ___ position

A

trendelenburg/knee-chest position

54
Q

INC ______ affect the musculoskeletal system by making joints loose

A

hormone levels

55
Q

once labor has begun it cant be slowed but in the ____ there is time to transport

A

1st stage of labor

56
Q

suction the ___ first when delivering an infant

A

mouth

57
Q

apgar score is calculated at ____ and __ minutes after birth

A

1 and 5

EMT Course (43 decks)

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