OB/GYN

Question 1

What factors effect the decision to deliver a baby in the field or transport the patient to the hospital?

Answer 1

1. number of previous deliveries
2. frequent contractions less than 2 minutes apart lasting 30-45 seconds
3. crowning of bluging
4. mother has the urge to push or mover her bowels

Question 2

Once delivery has occurred, what should be done with the umbilical cord?

Answer 2

Clamp the cord at 6” and 8” from the navel and cut between the clamps

Question 3

When shall an APGAR score be obtained?

Answer 3

at 1 and 5 minutes after delivery

Question 4

What is a prolapsed cord?

Answer 4

occurs when the umbilical cord presents itself outside the uterus while the fetus is still inside.

Question 5

What position will the provider place a pregnant person in whose presents signs of a prolapsed cord?

Answer 5

knee-chest position

Question 6

What should all providers do for a prolapsed cord?

Answer 6

DO NOT attempt to push the cord back into the vagina. Wrap the cord in a saline soaked dressing.

Question 7

What shall all providers do when faced with a newborns limb as the presenting part?

Answer 7

DO NOT attempt delivery and transport immediately to the closest appropriate facility.

Question 8

What should all providers do during a breech presentation if the head is not delivered within 3 minutes?

Answer 8

place a gloved hand in the vagina, with your palm toward the newborns face utilizing a “V” technique with your fingers. push the vaginal wall away from the newborns face.

Question 9

What is uterine inversion?

Answer 9

condition when the uterus protrudes through the vagina with the placenta still attached.

Question 10

How do all providers perform management of post-partum vaginal hemorrhaging?

Answer 10

apply a firm uterine massage starting from the pubis toward the umbilicus clockwise.

Question 11

What does APGAR stand for?

Answer 11

Activity, Pulse, Grimace, Appearance, Respiration