Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

EMT - MedTerm and ECare > ECare - Chapter 32 (Obstetric & Gynecologic) > Flashcards

ECare - Chapter 32 (Obstetric & Gynecologic) Flashcards

You may prefer our related Brainscape-certified flashcards:
NREMT® EMT flashcards
1
Q

labia

A

soft tissues that protect the entrance to the vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

perineum

A

surface area between vagina and anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

mons pubis

A

soft tissue covering pubic symphysis; where hair grows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

vagina

A

birth canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ovary

A

female reproductive organ that produces ova

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

fallopian tubes

A

narrow tube that connects ovary to uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ectopic pregnancy

A

ovum implants in the fallopian tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

uterus

A

muscular abdominal organ where fetus develops (womb)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cervix

A

neck of uterus at entrance of birth canal; constricts in non-pregnant women, dilates to push baby out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ovulation

A

phase in reproductive cycle where ovum is released from ovary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

embryo

A

baby from fertilization to 8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

fetus

A

8 weeks to birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

placenta

A

organ where exchange of oxygen, nutrients, and wastes occurs between mom and fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

umbilical cord

A

fetal structure that has vessels carrying blood to/from placenta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

amniotic sac

A

“bag of waters: surrounding developing fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

supine hypotensive syndrome

A

dizziness and drop in BP caused by mom in supine position and weight of infant, etc compressing inferior vena cava reducing return of blood to heart and CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

transporting moms in 3rd trimester

A

must transport on left side!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

first stage of labor

A

regular contractions, thinning, and dilation of cervix; ends when cervix is fully dilated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

second stage of labor

A

baby enters birth canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

third stage of labor

A

baby is born; lasts until afterbirth (other materials are delivered)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Braxton-Hicks contractions

A

irregular prelabor contractions of the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

lightening

A

sensation of fetus moving from high in the abdomen to low in birth canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

labor pains

A

contraction time or duration: time from beginning of contraction to when uterus relaxes

contraction interval or frequency: time from one contraction to the next (start to start)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

contractions: delivery of baby

A

duration: 30 -60seconds
frequency: 2-3 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

meconium staining

A

green/brownish-yellowish amniotic fluid due to fetal defecation; indicated maternal or fetal distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

patient assessment: pregnant woman about to go into labor

A
  1. name, age, expected due date
  2. is this your first pregnancy?
  3. Have you seen a doctor regarding your pregnancy? (important for multiple gestations, complications, etc).
  4. When did labor pains begin? and how often? Did your water break? Any bleeding?
  5. Do you feel the urge to push as if you need to move your bowels?
  6. Examine for crowning
  7. Feel for uterine contractions
  8. Vitals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

crowning

A

part of baby is visible

28
Q

cephalic presentation

A

baby appears headfirst (normal)

29
Q

Patient Assessment: Neonatal Resuscitation

A

no prior prenatal care, premature delivery, labor induced by trauma, multiple births, history of pregnancy problems, labor induced by drug use, meconium staining with water breaking

30
Q

preparing mom for delivery

A
  1. control scene
  2. PPE (ex. surgical gloves)
  3. put mother in position: elevate butt with cushion, knees drawn up and spread apart
  4. remove clothes from vaginal opening and cover mom with clean sheets
  5. position someone at mom’s head (in case she vomits)
  6. make environment as warm as possible
31
Q

delivering the baby

A

ALWAYS HAVE ONE HAND ON BABY’S HEAD

  1. spread hands above and below the baby’s head for support
  2. one hand should have towel to support tissue between vagina and anus to prevent tearing
  3. puncture amniotic sac if not broken by time of delivery
  4. be prepared to suction if meconium is present
  5. unwrap umbilical cord is wrapped around neck; if can’t, clamp cord between two places and cut in between
  6. guide head upwards to lower shoulder is hard to devlier
  7. once delivered, lay baby on side with head lower; keep baby at same level of mom’s vagina until umbilical cord is cut
  8. assess airway ; suction if needed by using bulb (mouth first then nose)
32
Q

neonate

A

newly born baby (less than one month)

33
Q

AGPAR score

A

appearance, pulse, grimace, activity, respiratory

normal for hands and feet to be blue

34
Q

neonate care

A

dry baby (dont wash), keep head covered, allow for breastfeeding

35
Q

cutting the cord

A

around the neck, impedes resuscitation efforts, interferes with urgent transport, protocols

cut it after 1 minute of birth; dont cut if still pulsating

36
Q

umbilical cord care

A
  1. clamp cord 10 inches and 7 inches from baby
  2. clamp again if bleeding continues
  3. no clamps? clean shoelaces; no scissors? dip in alcohol
  4. wrap placenta in towel and place on same level as baby
37
Q

initial care for neonate

A
  1. warm baby
  2. assess airway (suction if needed)
  3. check breathing, if not adequate, rub baby’s back or flick at foot
  4. assess heart rate; if less than 100 bpm, ventilate at rate of 40-60/min; if less than 60 bpm, 120 compression/min
38
Q

care for mother

A

deliver the placenta, control vaginal bleeding, make her comfy

39
Q

delivering the placenta

A

usually right after birth and indicated by labor pains; if not delivered after 20 minutes, transport

40
Q

controlling vaginal bleeding after birth

A
  1. place sanitary napkin over vaginal opening
  2. help mom lower leg and knees together
  3. massage uterus (grapefruit-size object on abdomen)
  4. mom should nurse baby
41
Q

breech presentation

A

baby’s butt or leg appears first during birth

42
Q

patient care: breech presentation

A
  1. rapid transport
  2. don’t pull on legs
  3. high concentration oxygen
  4. place mom head down with pelvis elevated
  5. if body delivers, support it and prevent explosive delivery
  6. make a V with your fingers and put it into the vagina in case baby starts to spontaneously breathe
43
Q

limb presentation

A

infant’s limb protrudes from vagina first

44
Q

patient care: limb presentation

A
  1. care for prolapsed cord
  2. push up on baby until seen by physician
  3. transport
  4. mom in head down pelvis up position
  5. oxygen
45
Q

prolapsed umbilical cord

A

umbilical cord is presented first

46
Q

patient care: prolapsed umbilical cord

A
  1. mom in head down pelvis first position
  2. oxygen to mom
  3. check cord for pulse, wrap cord to keep warm
  4. put fingers inside vagina to lift head off cord
  5. transport as a unit
47
Q

patient care: multiple births

A
  1. clamp cord of first baby before second baby
  2. second baby can be born before or after delivery of placenta
  3. keep them warm
48
Q

premature birth

A

baby is born less than 5.5 pounds OR born before 37th week

49
Q

patient care: premature birth

A
  1. keep baby warm
  2. keep airway clear
  3. ventilations/chest compressions if necessary
  4. check umbilical cord for bleeding
  5. transport
50
Q

patient care: meconium

A
  1. suction
  2. stimulate infant
  3. maintain open airway
  4. ventilations and chest compressions if needed
  5. transport
51
Q

placenta previa

A

placenta is in weird location; can’t delivery fetus and causes prebirth bleeding

52
Q

abruptio placentae

A

placenta separates from uterine wall; causes prebirth bledding

53
Q

patient care: excessive prebirth bleeding

A
  1. if shock, give oxygen and transport
  2. sanitary napkin over vaginal opening and note time
  3. save all tissue that passes and the blood soaked pads
54
Q

ectopic pregnancy

A

implantation of fertilized egg is not in uterus

55
Q

patient care: ectopic pregnancy

A
  1. consider transport
  2. position pt for shock
  3. care for shock
  4. oxygen via nonrebreather
  5. nothing by mout
56
Q

eclampsia

A

complication of pregnancy causing seizure and coma

57
Q

preeclampsia

A

complication of pregnancy where mom retains fluid and has hypertension

58
Q

patient care: seizures in pregnancy

A
  1. open airway
  2. oxygen via nonrebreather
  3. transport on left side
  4. keep pt warm
  5. suction if needed
  6. ALS
59
Q

spontaneous abortion (miscarriage)

A

fetus and placenta delivers before week 28

60
Q

patient care: miscarriage and abortion

A
  1. vitals
  2. if shock, oxygen via NRM
  3. sanitary napkin over vaginal opening
  4. transport
  5. save blood soaked pads
  6. save tissues expelled
61
Q

patient care: trauma in pregnancy

A
  1. resuscitation if needed
  2. oxygen via NRM
  3. suction if needed
  4. control external hemorrhage
  5. transport
62
Q

patient care: stillborn

A
  1. no resuscitation if baby had obviously died
  2. if in pulmonary or cardiac, full resuscitation measures
  3. life support if needed
63
Q

resuscitation in 20 week+ pregnant woman

A

displace uterus by two hands on abdomen and move it to the left OR tilt backboard 30 degrees

1-2 in higher on sternum

consider early transport esp if witnessed

64
Q

patient care: vaginal bleeding

A
  1. PPE
  2. adequate airway
  3. signs of shock
  4. oxygen by NRM
  5. transport
65
Q

patient care: trauma to external genitalia

A
  1. control bleeding with direct pressure over bulky dressing; dont remove undergarments unless necessary
  2. treat for shock
66
Q

patient care: sexual assault

A
  1. treat immediate life threats
  2. don’t disturb criminal evidence
  3. examine genitals only if severe bleeding
  4. do not move items on scene
  5. discourage pt from bathing, voiding, or cleansing wounds
  6. document carefully
  7. social services

EMT - MedTerm and ECare (40 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions