OBGYN

Question 1

what is an ectopic pregnancy?

Answer 1

a pregnancy that develops outside of the uterus, typically in the fallopian tube

Question 2

describe the signs and symptoms of pelvic inflammatory disease.

Answer 2

abdominal pain, vaginal discharge, fevers and chills, burning when urinating, shuffle as you walk

Question 3

describe the embryo

Answer 3

the early stages of development, first 10 weeks

Question 4

describe a fetus

Answer 4

the developing and unborn infant inside the uterus, 10 weeks to birth

Question 5

what role does the uterus play in pregnancy?

Answer 5

the muscular organ that encloses and protects the developing fetus. Produces contractions!

Question 6

what is the placenta?

Answer 6

the tissue attached to the uterine wall that nourishes the fetus through the umbilical cord

Question 7

describe the umbilical cord

Answer 7

the structure that connects the pregnant woman to the fetus via the placenta

Question 8

what does the umbilical cord consist of?

Answer 8

two arteries and one vein

Question 9

what do the umbilical arteries carry?

Answer 9

Carry oxygen-poor blood from the fetus to the placenta

Question 10

what does the umbilical vein carry?

Answer 10

Carries oxygenated blood from the placenta to the fetus

Question 11

what is the amniotic sac?

Answer 11

the fluid-filled, bag-like membrane in which the fetus develops

Question 12

what increases in the cardiovascular system when pregnancy occurs?

Answer 12

heart rate and blood volume

Question 13

what is eclampsia?

Answer 13

a condition in the third trimester of pregnancy that gives hypertension and high levels of protein in the urine. At risk for seizures!

Question 14

what is preeclampsia?

Answer 14

occurring after 20 weeks of gestation, hypertension, high levels of protein in the urine, blurred vision, headaches, and peripheral edema.

Question 15

why do you lay pregnant women on their left side when in transport?

Answer 15

supine hypotensive syndrome! compression of the inferior vena cava

Question 16

if bleeding occurs during 6-8 weeks of gestation, what condition may cause this?

Answer 16

ectopic pregnancy

Question 17

if bleeding occurs after 20 weeks of gestation, what conditions may be ocurring?

Answer 17

abruptio placentae or placenta previa

Question 18

describe abruptio placentae

Answer 18

premature separation of the placenta from the wall of the uterus

Question 19

describe placenta previa

Answer 19

the placenta develops over and covers the cervix

Question 20

common causes of abruptio placentae?

Answer 20

hypertension and trauma

Question 21

another term for spontaneous abortion and gestation definition

Answer 21

miscarriage, less than 20 weeks

Question 22

what is meconium?

Answer 22

fetal stool, dark green amniotic fluid that indicates that the fetus may be in distress

Question 23

describe the 3 stages of delivery and when they occur

Answer 23

1. dilation of the cervix
2. delivery of the fetus
3. delivery of the placenta

Question 24

what is primigravida?

Answer 24

first pregnancy!

Question 25

what is multipgravida?

Answer 25

multiple pregnancies!

Question 26

when you are in true labor, the ____ and _____ of _____ ______ with time.

Answer 26

the frequency and intensity of contractions increase with time

Question 27

what is lightening?

Answer 27

the movement of the fetus down into the pelvis late in pregnancy

Question 28

where should you cut the cord?

Answer 28

roughly 6 inches from the newborn

Question 29

3 emergency situations:

Answer 29

-placenta not delivered after 30 minutes -500mL of bleeding occurs before the delivery of the placenta -significant bleeding occurs after the placenta is delivered

Question 30

what occurs in the golden minute after the baby is born?

Answer 30

airway positioning and suctioning, drying, warming, and tactile stimulation

Question 31

normal cardio and vascular function occurs within...

Answer 31

30 seconds

Question 32

compression to ventilation ratio of a newborn?

Answer 32

3:1

Question 33

when ventilating a newborn, what do you do with the O2? rate?

Answer 33

do not attach it to oxygen! 40-60 breaths a minute

Question 34

if poor oxygen levels after 5 minutes and cyanosis is present...

Answer 34

place nonrebreather at 5 L/min and hold in front of their face.

Question 35

describe a breech delivery

Answer 35

buttocks is delievered first

Question 36

what to do for a breech delivery?

Answer 36

insert fingers into vagina to protect baby's airway

Question 37

what do you do if there is a limb presentation?

Answer 37

cannot deliver, rapid transport, elevate pelvis

Question 38

what is a prolapse of the umbilical cord?

Answer 38

umbilical cord comes out of vagina first

Question 39

what to do for a prolapsed cord?

Answer 39

elevate foot end and place in supine

Question 40

if the baby is born with spina bifida, you should...

Answer 40

cover with occlusive dressing

Question 41

what is spina bifida?

Answer 41

a development defect in which a portion of the spinal cord or meninges may protrude outside of the vertebrae or outside of the body

Question 42

what defines a premature baby?

Answer 42

before 36 weeks gestation or less than 5 pounds