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► Med - EMT > 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
in the 2nd stage of labor contractions are
closer together and longer
26
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)
perineum
27
the 3rd stage of labor begins with the
birth of the infant
28
the 3rd stage of labor ends with the
delivery of the placenta
29
the placenta must completely separate from the
uterine wall
30
_____ is pregnancy induced hypertension
preeclampsia
31
preeclampsia occurs around the ___ week of gestation
30th week
32
_____ involves seizures that result from hypertension
eclampsia
33
pregnant patients with eclampsia are placed on their left side to prevent
supine hypotensive syndrome
34
supine hypotensive syndrome is caused by
compression of the descending aorta and inferior vena cava by the uterus when the patient lies supine
35
____ may be a sign of an ectopic pregnancy
internal bleeding
36
leading cause of maternal death in the 1st trimester is
internal hemorrhage in the abdomen following the rupture of an ectopic pregnancy
37
____ is when the placenta separated prematurely from the wall of the uterus
abruptio placenta
38
placenta previa is when the placenta
develops over and covers the cervix
39
gestational diabetes will clear up after
delivery
40
treatment of gestational diabetes is
the same as for any other patient with diabetes
41
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.Place a sanitary pad or trauma dressing in the vagina.
42
An unruptured amniotic sac may contain a foul-smelling, greenish color fluid. This information must be:
relayed in your report to medical control
43
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 nuchal cord
44
Post delivery care includes drying the baby off, wrapping it immediately in a blanket or towel, and placing it on one side with:
the head slightly lower than the rest of the body
45
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:
infection is easily transmitted through the cord to the baby
46
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:
place the infant on the mothers breast to nurse
47
Excessive bleeding occurs when the bleeding exceeds:
500 ml
48
full-term fetus grows and develops inside the uterus for approximately _________ weeks.
40 weeks
49
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.
- Lightening occurs.
50
Which of the following is not measured using the Apgar score? - grimace or irritability - pulse - weight - activity or muscle tone
weight
51
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
both a and c (prolapsed cord and breech delivery)
52
most serious complications of spontaneous abortion are ___ and ____
bleeding and infection
53
if a prolapsed cord is present, transport the mother in ___ position
trendelenburg/knee-chest position
54
INC ______ affect the musculoskeletal system by making joints loose
hormone levels
55
once labor has begun it cant be slowed but in the ____ there is time to transport
1st stage of labor
56
suction the ___ first when delivering an infant
mouth
57
apgar score is calculated at ____ and __ minutes after birth
1 and 5

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