OB&NEO Flashcards
The umbilical cord is the lifeline of fetus by…(artery,vein)
2 Artery delivers deoxygenated blood from fetus to placenta
1 Vein delivers oxygenated blood to fetus
Gestational diabetes
Can be hypo or hyper, resolves after pregnancy
Preeclampsia occurs when? S&S…
After 20 weeks
Hypertension 140/90 or higher,headache, visual abnormalities(spots), swelling of hands/feet
Eclampsia has one key factor? How to treat…
Seizures
Lay on left side, airway,O2, suction, ALS
Why does supine hypotensive syndrome happen?
Compression of inferior vena cava by uterus when laying supine. Reduces amount of blood returning to heart
What is Placenta Previa? What should you look out for?
Placenta covers cervix as it develops
Heavy vaginal bleeding without significant pain
Needs C-section
Abruptio Placenta happens when? (S&S)
Placenta separates prematurely from uterine wall causing massive internal hemorrhaging
Severe tearing pain, external vaginal bleeding but not heavy
What is the main thing EMTs do to deliver baby?
We guide and support assisting the women
When delivering a baby where should the mothers hips be?
Raised 2 to 4 inch
What can EMTs do to help with Perinatal tearing?
Apply gentle pressure across perineum with dry gauze pad
What is a unruptured amniotic sac? What do you have to do?
Baby is crowning but fluid filled sac is emerging from vagina
Membrane with fluid intact
Need to pinch and tear to open sac (If this doesn’t happen fetus will suffocate)
What is a Nuchal Cord? How can you treat?
Umbilical cord wrapped around babies head
Have one attempt to place 1 finger in vagina to pull cord around babies head if unsuccessful you have to cut the cord baby stops getting O2 so you need a rapid delivery
What is the Vernix Caseosa?
White, cheesy substance making the baby slippery
Why would you do a Fundal Massage after the placental delivery? What motion is it?
Helps to slow/stop vaginal bleeding
Firm, circular “Kneading” motion
Breach position happens when? And can cause
Baby’s buttocks delivered 1st
Causes major trauma to baby and prolapsed cord
Prolapsed Cord definition and causes
Umbilical Cord comes out of vagina 1st
Shuts of oxygenated blood supply to fetus
Premature birth definition
Born before 8 months(36weeks) or less then 5lbs
What should you do with a neonatal with a HR of 90 following birth?
Keep warm and BVM with room air
What should you do 1 min and 5 min a free Birth? Give time example
APGAR
12:01 and 12:05
What do you do to neonatal during the 1st min of life?
Airway position/suction if needed
Drying baby
Warming
Tactile stimulation
APGAR stands for what?
Appearance
Pulse
Grimace
Activity
Respiration
