Maternity

Question 1

Why are babies unable to thermoregulate?

Answer 1

Some of the reasons why babies are prone to poor thermoregulation at birth include:

Transition from a constant Intrauterine temperature to a variable external temperature;

A relatively high metabolic rate;

Large surface to body mass ratio;

A large head relative to the body accounting for up to 25% heat loss;

Lack of subcutaneous fat resulting in poor insulation;

Permeable skin, especially with prematurity;

Immature hypothalamus, central nervous system and vasomotor control;

Inability to conserve heat through shivering;

Reduced energy stores;

Poor muscle tone and inability to change body position; and

Inefficient sweat glands.

Question 2

What is within the service maternity bag/pack?

Answer 2

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Question 3

Why do me place slight pressure/support on babies head as its being born?

Answer 3

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Question 4

What is the Moro Reflex?

Answer 4

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Question 5

Why is it handy to leave a generous amount of umbilical cord when clamping?

Answer 5

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Question 6

Why does emptying the females bladder help the birth of the placenta?

Answer 6

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Question 7

What is cord prolapse?

Answer 7

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Question 8

Why is it important to place mother on all fours position in cord prolapse?

Answer 8

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Question 9

What is a transverse lie?

Answer 9

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Question 10

What is hypoxic ischemic encephalopathy or birth asphyxia?

Answer 10

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Question 11

What are the 2 consequences of cord prolapse?

Answer 11

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Question 12

What position does mother need to be in when transporting a cord prolapse birth to hospital?

Answer 12

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Question 13

Where is the most appropriate hospital / department to take a patient with cord prolapse?

Answer 13

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Question 14

What is a Postpartum hemorrhage?

Answer 14

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Question 15

What are the three types of PPH?

Answer 15

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Question 16

What are the causes of haemorrhage, postpartum? (4T’s)

Answer 16

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Question 17

What is uterine massage and it’s benefits?

Answer 17

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Question 18

What is a perineal tear?

Answer 18

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Question 19

What is the most appropriate cannula size for IV access in postpartum haemorrhage?

Answer 19

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Question 20

What position is best for encouraging the birth of the placenta and why?

Answer 20

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Question 21

What are the signs of impending placenta birth?

Answer 21

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Question 22

How long after baby is born does the placenta birth?

Answer 22

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Question 23

How much ml does a standard teatowl and bath towl normally hold / obtain?

Answer 23

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Question 24

How much ml does ambulance service inco pad hold?

Answer 24

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Question 25

What is Shoulder dystocia?

Answer 25

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Question 26

Where does the shoulder get stuck at in shoulder dystocia?

Answer 26

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Question 27

In management for shoulder dystocia, what do we do pre-hospitally?

Answer 27

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Question 28

What is the McRoberts maneuver?

Answer 28

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Question 29

Why do we apply gentle downward traction whilst mother in McRoberts maneuver position?

Answer 29

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Question 30

What is suprapubic pressure?

Answer 30

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Question 31

How long do we push down consistently for when applying suprapubic pressure?

Answer 31

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Question 32

What is removal of the posterior arm?

Answer 32

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Question 33

What is benefical with placing a dressing gown on mother when walking out to ambulance if not given birth yet? (Baby catcher)

Answer 33

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Question 34

What is a breech birth?

Answer 34

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Question 35

What are the three types of breech birth?

Answer 35

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Question 36

Why do we have a hands off approach in breech births?

Answer 36

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Question 37

What does a pale/white baby highlight in childbirth?

Answer 37

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Question 38

What are nuchal arms and why is this concerning?

Answer 38

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Question 39

What is the important position baby needs to be in for breech birth? (B to T)

Answer 39

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Question 40

Where do your fingers need to be when assisting delivery of breech birth child?

Answer 40

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Question 41

What is Pre-eclampsia & Eclampsia?

Answer 41

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Question 42

What are the three main symptoms/signs of pre-eclampsia?

Answer 42

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Question 43

What is a Placental abruption?

Answer 43

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Question 44

What is a Intrauterine fetal death?

Answer 44

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Question 45

What is Disseminated intravascular coagulation?

Answer 45

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Question 46

What is the single, most effective medication we can administer to stop eclampsia? (only CCP's carry this)

Answer 46

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Question 47

Why is it so important to dry baby with a seperate towel and replace with a clean fresh towel when wrapping?

Answer 47

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Question 48

Initial spontaneous respirations will occur between what time frame normally?

Answer 48

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Question 49

After drying and stimulatation, what is the next important management phase to perform to encourage respirations in newborns?

Answer 49

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Question 50

What is the correct neutral position for newborn head in newborn resuscitation?

Answer 50

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Question 51

How many initial postiive pressure ventilations / inflation breaths do we give in resuscitation and the duration of ventilation time in seconds when squeeing BVM?

Answer 51

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Question 52

What clinical observation are we monitoring to see change and a positive effect of correct ventilations?

Answer 52

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Question 53

What is Meconium?

Answer 53

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Question 54

What things could cause a airway obstruction in newborns and therefore causes inadequte chest rise?

Answer 54

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Question 55

Before starting chest compressions in the algorithm, what do we do first? (x30 of what?)

Answer 55

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Question 56

What is the ratio of compressions and ventilations in newborn resuscitation?

Answer 56

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Question 57

What can we do with the ambulance in preperation for conveyance of newborn emergency?

Answer 57

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Question 58

What is the Two-thumb-encircling technique?

Answer 58

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Question 59

What does the HR need to be to cease compressions and continue with JUST ventilations?

Answer 59

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Question 60

What do we do prehospitally for a cord prolapse?

Answer 60

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Question 61

What is BPAS?

Answer 61

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Question 62

How many weeks is the cut off for not performing neonatal resuscitation?

Answer 62

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Question 63

What weeks gestation do we begin full NLS?

Answer 63

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Question 64

What is Antepartum haemorrhage?

Answer 64

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Question 65

What is Gravida & Parity?

Answer 65

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Question 66

Do we use O2 in neontal / NLS with BVM?

Answer 66

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Question 67

How many stages of labour are there?

Answer 67

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