Mod 7 Flashcards
What does the umbilical cord do?
Carries oxygen to the infant via the umbilical vein.
Which of the following is a sign of imminent birth in the next few minutes?
Crowning
Identify the first stage of labor
Contractions to crowning.
Identify the second stage of labor:
crowning to delivery of infant.
Identify the third stage of labor:
delivery of infant to delivery of placenta.
You are delivering a newborn and see this.(head coming out picture)
You should:
Apply firm downward pressure on the outside of the head with your finger.
You are delivering a newborn and see this.(cord around babies neck)
You should FIRST:
Attempt to manipulate the cord off the neck
You are delivering a newborn and see this.(looks like head with black stuff on it)
You should FIRST:
apply gentle pressure to the top of the head to prevent explosive delivery.
Which fetal age corresponds to an embryonic fetus that is only a few layers of cells thick and no organs?
5 weeks
Which fetal age corresponds to a uterus that is roughly at the level of the bellybutton?
20 weeks
What fetal age corresponds to an infant that is head-down and a mother that experiences Braxton-Hicks contractions?
36 weeks
What makes women in late-stage pregnancy breathe shallow and often quickly?
Upward pressure on the diaphragm makes large breaths difficult.
What does PRIMIGRAVIDA mean?
First pregnancy.
When a patient is referred to as Gravida 4 para 2 that means:
She has been pregnant 4 times, but only carried 2 infants to a viable age of birth.
What is a typical time for a primigravida to spend in the first stage of labor?
16 hours
As the time of birth approaches, the contractions will:
Increase in frequency and intensity.
After the fetus has descended into the pelvis at the end of the third trimester many mothers experience:
easier breathing.
Preeclampsia MOST commonly occurs after the ___week of gestation.
20th
Eclampsia is MOST accurately defined as:
seizures that result from severe hypertension.
What causes a late-stage pregnant woman to get diaphoretic and hypotensive when laid supine?
Pressure of the uterus on the inferior vena cava inhibiting blood flow back to the heart.
What is it called when the placenta develops over the cervical opening?
Placenta previa
What is it called when a cord is wrapped around a newborn’s head?
Nuchal cord
Meconium is material from the fetus’ GI tract. The presence of it in the amniotic fluid makes you suspect:
the fetus may have airway obstruction
During delivery of the baby’s head, you should suction the mouth before the nose because:
suctioning the nose first may cause the baby to gasp and aspirate fluid.
This age is characterized by no speaking, no stranger anxiety, and a preference for parents or care-givers.
Infant
This age is characterized by associating injury with punishment and anxiety over being separated from parents/caregivers.
Toddler
This age is characterized by boundary testing, needing to be interviewed in private, and not wanting to be observed during procedures.
Adolescent
What is are appropriate vitals for newborns?
Breathing 40-60; Heart rate 110-180.
What is are appropriate vitals for adolescents?
Breathing 12-20; Heart rate 60-100.
Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the:
intercostal muscles are not well developed.
The Pediatric Assessment Triange (PAT) allows you to effectively perform a/n_
_ in a pediatric patient.
general impression
Which is NOT an element of the Pediatric Assessment Triangle (PAT)?
Airway
Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than:
6 years
Strategies when communicating with older adults include:
have only one EMT speak to the patient at at time.
Stress in elderly patients can often be caused by all of the following except:
keen understanding of the healthcare system and how it works.
In thinking about trauma in the elderly the EMT should remember that:
elderly patients often have trauma triggered by medical events such as
зупсоре.
Because of the complexity of the older patient and the vagueness of his or her complaint, you should:
attempt to differentiate between chronic and acute problems.
Since older patients often fear being admitted to a hospital, they may:
understate how severe their symptoms are.
(True or false) An altered mental status is a normal part of aging and should not be considered remarkable during physical exam.
False
An important part of determining altered mental status in the elderly patient is to:
establish the patient’s baseline mental status from family or caretakers.
The elderly may not display tachycardia during shock the way an older patient would because:
the shock response may be bluntened by anti-hypertensive medication.
An older patient with significant dehydration would MOST likely present with:
dizziness or fainting upon standing.
Which of the following patients is at highest risk for a pulmonary embolism?
71-year-old male with recent surgery to a lower extremity.
In contrast to younger patients, older patients are more prone to a decrease in blood pressure upon standing because:
the baroreceptors have become less sensitive to blood pressure.
A “silent” heart attack occurs when:
the usual chest pain is not present.
The EMT should suspect left-sided heart failure in the geriatric patient who presents with:
tachypnea and paroxysmal nocturnal dyspnea.
When assessing a 78-year-old female who complains of shortness of breath, the EMT should:
ask her how many pillows she uses when she sleeps.
What is the most important piece of information when treating an ischemic stroke patient?
The best estimate possible of time of the start of symptoms.
A 10% to 20% reduction in brain weight and volume would MOST likely increase an older person’s risk for:
Head trauma