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NREMT Review > OBGYN > Flashcards

OBGYN Flashcards

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1
Q

dysmenorrhea

A

pain during menstruation

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2
Q

mittelschmerz

A

pain as a result of follicular rupture and bleeding from ovary durign menstural cycle

pain in R or L lower quadrant and bleeding from ovary during menstrul cycle

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3
Q

gravida

A

got knocked up
# of pregnancies including this one

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4
Q

para

A

pushed one out
# of live births

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5
Q

antepartum

A

maternal period before delivery

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6
Q

intrapartum

A

during delivery

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7
Q

postpartum

A

after delivery

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8
Q

term

A

pregnancy lasting 40 weeks

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9
Q

first stage of labor

A

begins with contractions. ends when cervix is fully dilated at 10 cm

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10
Q

second stage of labor

A

full dilation to delivery of newborn

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11
Q

third stage of labor

A

begins with delivery of baby and ends with placental delivery

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12
Q

precipitous birth

A

onset of labor to birth is less than 3 hours

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13
Q

what is an ovarian cyst

A

thin walled fluid filled sac on surface of ovary.
can result in significant hemorrhage

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14
Q

ss of ovarian cyst

A

localized one sided abd pain, vaginal bleeding or a late/missed period at the time of rupture

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15
Q

what is ectopic pregnancy

A

pregnancy that develops outside uterus in fallopian tube or ovary. typically found at 8-12 weeks gestation

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16
Q

ectopic pregnancy ss

A

vaginal bleeding, crampy abd pain, spotting, rigid stiff board like abd. can cause sepsis and shock

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17
Q

ectopic pregnancy managemnt

A

IV and fluids
pain management
rapid transport

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18
Q

what is placenta previa

A

placental implantation in lower uterine segment partially or completly covering cervical opening

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19
Q

placenta previa ss

A

third trimester pain (aching)
can be painless
bright red bleeding
strongly associated with previous c sections

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20
Q

what is abruptio placenta

A

partial or full detachment of a normally implanted placenta at more than 20 weeks gestation

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21
Q

ss abruptio placenta

A

third trimester pain (stabbing)
painful
dark red bleeding
localized uterine tenderness

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22
Q

what is preeclampsia

A

gestational htn after 20 weeks

treat with iV o2 as needed and transport

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23
Q

what is eclampsia

A

preeclampsia and seizure
transport in left lateral position

treat with o2, mag 4g over 10-20 min
consider benzo
can occur postpartum

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24
Q

normal blood loss during labor

A

500 ml

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25
Q

postpartum hemorrhage treatment

A

fundal massage->breastfeed->give pitocin 10U/L 1drop every 2 sec

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26
Q

what is amniotic fluid embolism

A

amniotic fluid enters maternal circulation during labor, delivery, or immediatly after via laceration of endocervical veins, lower uterine segment, uterine veins

27
Q

signs of imminent delivery

A

contractions 45-60 seconds in length 1-2 min apart measured between beginning of one contraction to beginning of next

28
Q

where to clamp cord

A

4-6” away from newborn

29
Q

A apgar

A

activity
0 absent
1 flexed arms and legs
2 active

30
Q

P apgar

A

pulse
absent
below 100
over 100

31
Q

G apgar

A

grimace
floppy
minimal
prompt response to stimulaiton

32
Q

2nd a apgar

A

appearance
blue
pink body blue extremities
pink

33
Q

r apgar

A

respirations
absent
slow
vigourous cry

34
Q

when to assess apgar

A

1 and 5 min

35
Q

cephalopelvic disproportion what is it and treatment

A

newborn has a big ass head and wont fit in the birth canal

o2, IV, transport

36
Q

what is shoulder dystocia

A

fetal shoulders are wedged against symphysis pubis blocking shoulder delivery

position pt in mcroberts maneuver and apply pressure to suprapubic area

37
Q

breech presentation

A

head delivered last
dont push

38
Q

when to provide o2 to baby

A

central cyanosis

39
Q

what percent o2 to give pre term newborns

A

21-30%

40
Q

newborn target spo2 `

A

1 min 60-65
2 min 65-70
3 min 70-75
4 min 75-80
5 min 80-85
10 min 85-95

41
Q

PPV indications newborn

A

hr <100 or no spontaneous breathing
1 breath every 2-3 sec

42
Q

chest compressions indicaitons newborn

A

hr >60 at a ratio of 3:1

43
Q

intubation indication newborn

A

failure to respond to bvm in 30 sec

44
Q

resuscitation flow

A

dry warm suction
o2
bvm
chest compression
intubation
meds

allow each step 30 seconds before moving deeper

45
Q

preferred IV site newborn

A

umbilical vein

46
Q

umbilical cord prolapse
treatment

A

cord passes through cervix before kid.
if pulsating, wrap in dry dressing to maintain temp and continue to assess for pulse
if not pulsating, insert 2 fingers into vagina and attempt to move baby off cord, can also place mom in knee chest position

47
Q

newborn bp forumla

A

80+(2xage)

48
Q

fluid resuscitation for neonates and babys

A

10 ml/kg neonate
20 ml/kg newborn

49
Q

about croup

A

viral
affects 6 months - 4 years

50
Q

croup ss

A

hoarsness, stridorm barking cough
temp above 104
emergencies typically occur at night

51
Q

croup treatment

A

cooled misted o2
racemic epi

52
Q

epiglottitis ss

A

bacterial
occurs at any age
begins suddenly
muffled voice, drooling, difficulty or painful swallowing, temp above 104
can see tripod

53
Q

epiglottits treatment

A

o2

54
Q

bronchiolitis causes and age

A

casued by virus typically rsv
usually 2 years of age

55
Q

bronchiolitis ss

A

coarse breath sounds

56
Q

bronchiolitis treatment

A

abluterol or racemic epi

57
Q

meningitis ss

A

stiff neck (kernigs or brudzinski sign)
fever
pertechiae
purpura

58
Q

symptomatic brady

A

02 ->
cpr (if less than 60)->
epi .01 mg/kg
atropine .02mg/kg
tcp

59
Q

SVT rate in infant

A

220

60
Q

SVT stable

A

vagal (ice to face or blow through straw)
adenosine .1 mg/kg
adenosine .2mg/kg

61
Q

unstable svt

A

cardioversion
.5-1j/kg
followed by 2 j/kg

62
Q

v tac stable

A

amiodarone 5 mg/kg over 20-60 min
or
procainamide 15 mg/kg

63
Q

defib dose

A

2j/kg followed by 4j/kg

64
Q

benadryl dose kids

A

1mg/kg up to 25 mg

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