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EMT > OBGYN > Flashcards

OBGYN Flashcards

1
Q

Full term

How long is it

A

40 weeks which is 9 months

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2
Q

Pre-term

A

<35 -37 weeks

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3
Q

How many trimesters are there?

A

3

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4
Q

first trimester

A

1-3 months

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5
Q

Second trimester

A

3-6 months

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6
Q

Third trimester

A

6 month-term

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7
Q

How do you position pregnant patients

And what do you never do with positioning

A

Lay them on their side
Never lay the patient supine

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8
Q

Blood pressure changes for each trimester

A
  • First - decreases 5-10 mmHg
  • Second - time of lowest BP
  • Third- returns to pre pregnancy BP
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9
Q

Physiological changes to the respiratory drive

(4)

A
  • Structural changes - uterus shifts diaphram upward, decreasing the length of the lungs
  • Chest enlarges 2 cm
  • Tidal volume increases 20-30%
  • Oxygen consumption increases 15-20%
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10
Q

First stage

Labor and delivery

A

starts from time of first true, regular contraction and ends with dilation of cervix (10cm)

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11
Q

Second stage

Labor and delivery

A

Starts with full dilation of cervix (10cm) and ends with birth of baby

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12
Q

3rd stage

Labor and delivery

A

Begins once the baby is born until after the placenta is delivered

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13
Q

Braxton Hix contractions

What are they

A
  • False labor contractions
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14
Q

How far away from the baby do you cut the umbilical cord?

A

6-9 inches

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15
Q

APGAR scoring

When do you start this assessment?

A

1-5 minutes after birth

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16
Q

APGAR scoring

What does it stand for

A
  • A - Appearance
  • P - Pulse
  • G - Grimace
  • A - activity
  • R - Respirations
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17
Q

APGAR scoring

What is the range for a normal score?

A

7-10

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18
Q

How do you care for a new born?

non critical

(4)

A
  • ABCs
  • Prevent heat loss
  • Dry the neonate
  • keep baby skin to skin contact with mother
19
Q

Nuchal cord

Define

What do you do about this situation?

A
  • The umbilical cord is wrapped around the babies neck
  • If it feel loose then free the child by pulling cord over its head
  • If its tight stop the delivery process, hold the cord away from the childs neck, and transport
20
Q

Prolapsed cord

Define

what do we do about this?

A
  • Umbilical cord comes out before the babies head does
  • Place a wet towel over the umbilical cord and transport
21
Q

Breeched presentation

Define

Can we still delivery a child like this?

A
  • child comes out butt first
  • Can still delivery with a breeched presentation
22
Q

Shoulder Dystocia

Define

Can we still delivery this child?

A
  • When one or both of the baby’s shoulders get stuck in the vaginal cavity and the sholder gets dislocated
  • Can still deliver
23
Q

Premature delivery

How many weeks into pregnancy is classified as premature

A
  • Child birth before reaching 24 weeks
24
Q

Post term delivery

define

Can we deliver this child

A
  • Oversized child
  • Cant deliver. take them to the hospital for c section
25
Q

Meconium

Define

A
  • Babys first poop
  • If seen during delivery suction airways (only time you will suction during birth)
26
Q

Uterine rupture

Define

A
  • Tearing of the uterus
27
Q

Placenta previa

Define

A
  • When the placenta covers the opening of the cervic
28
Q

Abruptio placenta

define

What week of pregnancy is it most common?

A
  • When the placenta separates before childbirth
  • most common around 25 weeks of pregnancy
  • Super rare
29
Q

Gravida

Define

A

number of pregnancies

30
Q

Para

Define

A

number of deliveries after 20 weeks of pregnancy

31
Q

How do you administer oxygen to a newborn?

how many lpm

A

Free flow method by hovering the mask over their face and blowing oxygen on them.

8-10 lpm

32
Q

Ventilation rate for a newborn that requires PPV

33
Q

What is the earliest a baby can be born and still have a chance at surviving?

A

24 weeks at the earliest

34
Q

Bloody show

Define

When does it become concerning

A
  • Could happen pre birth. Water breaks and they could have vaginal bleeding.
  • Shouldn’t be having this. Has to do with pre-delivery. Happens sometimes not all the time
  • Excessive bleeding for 10-30 minutes, and it’s now concerning
36
Q

How to measure contractions

A

Frequency - start of contraction to start of next
Duration - start of contraction to end of contraction

37
Q

Stages of labor

Names of the 3 stages

A

Dilation
Expulsion
Placental delivery

38
Q

Preductal spo2 for a neonate

A

1 min - 60-65
10 min - 85-90
Increase of 5 % every minute

39
Q

Postpartum hemorrhage

how much blood loss

A

More than 500 ml blood

40
Q

Uterine atony

A

Failure of uterus to regain muscle tone

41
Q

Imminent delivery

A

Crowning, contractions less than 2 mins apart lasting 60 seconds, urge to push, bulging perinium

42
Q

Neonatal resuscitation needs frequency

A
  1. Dry, warm, suction. Tactile stimuli
  2. O2
  3. BVM
  4. Chest compressions
43
Q

Signs of severely depressed infant

A

RR >60
HR >180 or <100
APGAR under 4

44
Q

Expected spo2 for baby

A

1 min 60-65
10 min 85 to 90
Increase by 5% each minute

EMT (42 decks)

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