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NREMT Review > OBGYN > Flashcards

OBGYN Flashcards

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
postpartum hemorrhage treatment
fundal massage->breastfeed->give pitocin 10U/L 1drop every 2 sec
26
what is amniotic fluid embolism
amniotic fluid enters maternal circulation during labor, delivery, or immediatly after via laceration of endocervical veins, lower uterine segment, uterine veins
27
signs of imminent delivery
contractions 45-60 seconds in length 1-2 min apart measured between beginning of one contraction to beginning of next
28
where to clamp cord
4-6" away from newborn
29
A apgar
activity 0 absent 1 flexed arms and legs 2 active
30
P apgar
pulse absent below 100 over 100
31
G apgar
grimace floppy minimal prompt response to stimulaiton
32
2nd a apgar
appearance blue pink body blue extremities pink
33
r apgar
respirations absent slow vigourous cry
34
when to assess apgar
1 and 5 min
35
cephalopelvic disproportion what is it and treatment
newborn has a big ass head and wont fit in the birth canal o2, IV, transport
36
what is shoulder dystocia
fetal shoulders are wedged against symphysis pubis blocking shoulder delivery position pt in mcroberts maneuver and apply pressure to suprapubic area
37
breech presentation
head delivered last dont push
38
when to provide o2 to baby
central cyanosis
39
what percent o2 to give pre term newborns
21-30%
40
newborn target spo2 `
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
PPV indications newborn
hr <100 or no spontaneous breathing 1 breath every 2-3 sec
42
chest compressions indicaitons newborn
hr >60 at a ratio of 3:1
43
intubation indication newborn
failure to respond to bvm in 30 sec
44
resuscitation flow
dry warm suction o2 bvm chest compression intubation meds allow each step 30 seconds before moving deeper
45
preferred IV site newborn
umbilical vein
46
umbilical cord prolapse treatment
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
newborn bp forumla
80+(2xage)
48
fluid resuscitation for neonates and babys
10 ml/kg neonate 20 ml/kg newborn
49
about croup
viral affects 6 months - 4 years
50
croup ss
hoarsness, stridorm barking cough temp above 104 emergencies typically occur at night
51
croup treatment
cooled misted o2 racemic epi
52
epiglottitis ss
bacterial occurs at any age begins suddenly muffled voice, drooling, difficulty or painful swallowing, temp above 104 can see tripod
53
epiglottits treatment
o2
54
bronchiolitis causes and age
casued by virus typically rsv usually 2 years of age
55
bronchiolitis ss
coarse breath sounds
56
bronchiolitis treatment
abluterol or racemic epi
57
meningitis ss
stiff neck (kernigs or brudzinski sign) fever pertechiae purpura
58
symptomatic brady
02 -> cpr (if less than 60)-> epi .01 mg/kg atropine .02mg/kg tcp
59
SVT rate in infant
220
60
SVT stable
vagal (ice to face or blow through straw) adenosine .1 mg/kg adenosine .2mg/kg
61
unstable svt
cardioversion .5-1j/kg followed by 2 j/kg
62
v tac stable
amiodarone 5 mg/kg over 20-60 min or procainamide 15 mg/kg
63
defib dose
2j/kg followed by 4j/kg
64
benadryl dose kids
1mg/kg up to 25 mg

NREMT Review (12 decks)

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