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UL PARAMEDICS > MATERNITY > Flashcards

MATERNITY Flashcards

1
Q

What is gynecology?

A

Study of diseases of women’s reproductive organs

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2
Q

What is obstetrics?

A

The care of women during pregnancy, childbirth, and up to 42 days after expulsion of all pregnancy contents

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3
Q

What is the transport position for a woman >20wks and why?

A

Left lateral recumbent

Prevents compression of inferior vena cava (supine hypotension)

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4
Q

What is the 1st stage of labour?

A

Onset of regular contractions to full dilation of cervix

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5
Q

What is stage two of labour?

A

Full dilation to birth of baby

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6
Q

What is the 3rd stage of labour?

A

Delivery of the placenta?

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7
Q

What is uterine atony?

A

Uterus fails to contract after delivery

Can cause PPH

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8
Q

What signs and symptoms would query pre-eclampsia?

A

Symptom + 2 elevated BP readings (15 mins apart)

BP >140/90

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9
Q

What can be given for vomiting in pregnancy?

A

Cyclizine 50mg IM

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10
Q

How long is an umbilical cord?

A

≈50cm

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11
Q

What are the cord clamp distances?

A

20/15/10cm

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12
Q

Where is the cord clamped?

A

Between 20-15cm
AFTER 1 minute!!!!

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13
Q

What is considered a full term baby?

A

37-40wks

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14
Q

What is considered a pre-mature baby?

A

<37wks

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15
Q

What is considered a late birth?

A

> 42 weeks

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16
Q

What is a multiparous woman?

A

A woman who have given birth one of more times

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17
Q

What is the 5-1-1 rule?

A

Contractions every 5 minutes
Lasting 1 minute
For at least 1 hour

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18
Q

How do you remember gravida vs parity?

A

G -got it
P- pushed it

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19
Q

What is a mucus plug/bloody show?

A

Sits inside cervix during pregnancy to keep cervix closed

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20
Q

What is gestational diabetes?

A

Diabetes during pregnancy

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21
Q

What is parity?

A

The number of times a woman has given birth to a foetus with a gestational age of >24wks regardless of the outcome

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22
Q

What is the gestational time for the delivery of twins in Ireland?

A

37.1wks

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23
Q

How do you assess PV bleeding?

A

Volume/colour/consistency/location

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24
Q

If there is PV bleeding, when would you pre-alert the ED?

A

If there is:
- pain
- high/low BP
- shock
- low placenta
- shoulder tip pain
- SEPSIS

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25
Q

What is low placenta?

A

Placenta is attached lower in the uterus

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26
Q

What is another term for low placenta?

A

Placenta previa

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27
Q

What is placental abruption?

A

Placenta has come away from uterine wall

28
Q

What is a miscarriage?

A

Foetus that has been delivered/not survived before 24wks

29
Q

What is an ectopic pregnancy?

A

Pregnancy that implants outside the uterus

30
Q

What is a molar pregnancy?

A

RARE

abnormal collection of cells in the uterus

31
Q

What is an incompetent pregnancy/CERVIX?

A

Cervix opens too early

32
Q

What are the different classifications of miscarriage?

A
  • threatened
  • inevitable
  • incomplete
  • complete
  • missed
33
Q

What is hyperemesis gravidarum?

A
  • vomiting more than x3 a day
  • dark coloured urine
  • severe dehydration
34
Q

What is a mal presentation?

A

Any presentation other than vertex presentation

35
Q

What is the treatment for prolapsed cord

A

(Hips higher than head)
Mother to adopt head down in left lateral position

36
Q

What are the three things you look for when a baby is born?

A

CRY
COLOUR
TONE

37
Q

What is placenta accreta?

A

Placenta grows too deeply into uterine wall

38
Q

How many arteries/veins in umbilical cord?

A

2A/1V

39
Q

What is unstable lie?

A

Baby’s position keeps changing

40
Q

What is polyhydramnios?

A

Too much amniotic fluid around baby during pregnancy

41
Q

What is the first stage of labour?

A

The first stage of labour is the period of time from the onset of contractions to full dilation of the cervix.

42
Q

What is the second stage of labour?

A

The second stage of labour involves the baby being born.

43
Q

What is the third stage of labour?

A

The third stage of labour involves the delivery of the placenta and cord.

44
Q

What is the duration of the first trimester?

A

The first trimester lasts from 0 to 12 weeks + 6 days.

45
Q

What is the duration of the second trimester?

A

The second trimester lasts from 13 to 27 weeks + 6 days.

46
Q

What is the duration of the third trimester?

A

The third trimester lasts from 28 weeks to delivery.

47
Q

What is SpO2 for a newborn at 1 minute?

A

The SpO2 for a newborn at 1 minute is 60-65%.

(+5% every min)

48
Q

What is SpO2 for a newborn at 10 minutes?

A

The SpO2 for a newborn at 10 minutes is 85-95%.

49
Q

What is oxygen therapy for a term infant?

A

FiO2 21% (room air)

50
Q

What is oxygen therapy for a preterm infant?

A

FiO2 30%

51
Q

What is the procedure for PPV on an infant?

A

Single finger and thumb ventilations. Count: BREATHE….2…3.

M.R S.O.P.A: MASK (correct size/fit), REPOSITION (move head to open airway), SUCTION, OPEN MOUTH, PRESSURE, AIRWAY (alternative P/AP).

52
Q

How long is PPV done on an infant?

A

At least 30 seconds.

53
Q

What is the CPR rate for infants?

A

30 compressions and 2 breaths.

54
Q

Where do you check for pulse on an infant?

A

Brachial artery.

55
Q

When do you check the pulse of an infant in distress?

A

After effective positive pressure ventilation (PPV).

56
Q

What is the pre-alert criteria for an infant?

A

Preterm/low birth weight, suspected congenital anomaly, pre-identified complications, cardiac arrest.

57
Q

What are the components of the warm chain?

A

Drying and wrapping the baby immediately at birth; keeping the baby warm during any procedure.

  • skin to skin contact
  • early initiation of breast feeding
58
Q

BGL of a newborn?

A

> 2.6mmol/L

59
Q

Where is BGL taken from on newborn?

A
  • lateral curve of foot
  • medial curve of foot
60
Q

If BGL of a neonate is <2.6mmol/L
What medication can be given?

A

Glucose gel 2-4mL buccal

61
Q

What is the positive pressure ventilation rate for a new born neonate?

A

40-60 breaths per minute

62
Q

What is the amount of oxytocin given?

A

10 international units IM

63
Q

What are the side effects of oxytocin?

A

CHAND

C - Cardiac arrhythmias
H - headache/hypotension
A - abdominal pain
N - nausea
D - dizziness

64
Q

What are the storage rules for oxytocin?

A

Store @ 2-8°C
Shelf life unrefrigerated 3 months

65
Q

What may happen is oxytocin is given too quickly?

A

May transiently reduce BP

66
Q

What are the contra-indications for oxytocin?

A

Severe cardiac dysfunction
KSAR

UL PARAMEDICS (32 decks)

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