Obstetrical

Question 1

What should contractions be monitored for?

Answer 1

Length of contraction, intensity, and time elapsed between contractions.

Question 2

What does HELLP syndrome stand for?

Answer 2

Hemolysis, Elevated Liver function tests, Low Platelets

Question 3

What lab value is of importance on delivery of the neonate?

Answer 3

Blood glucose

Question 4

When evaluating fetal heart rate monitoring, what should the critical care paramedic evaluate for?

Answer 4

Baseline fetal heart rate, changes in fetal heart rate, variability in the baseline, changes in the trending pattern.

Question 5

What are maternal complications of gestational diabetes mellitus?

Answer 5

Preeclampsia, preterm labour, pyelonephritis, need for cesarean section.

Question 6

Reoccurrence or prolonged seizure activity in the eclamptic patient should be treated with what dose of magnesium sulfate?

Answer 6

2-4 g IV/IM

Question 7

Ominous signs of fetal distress include what?

Answer 7

Fetal bradycardia, recurrent variable decelerations, absence of variability in fetal heart rate.

Question 8

An intrauterine pressure-monitoring catheter utilized to detect and record uterine contractions is knows as what?

Answer 8

Tocodynamometer

Question 9

What is a D & C?

Answer 9

Dilation of the cervix and curettage of the endometrial tissue used to treat abnormal vaginal bleeding or for retained products of conception.

Question 10

In a typical vaginal delivery, the fetus presents in what position?

Answer 10

Vertex position

Question 11

Preterm labor is determined by what criteria?

Answer 11

Frequent uterine contractions and cervical dilation or effacement between the 20th and 37th weeks of gestation.

Question 12

What are the hallmark signs of abruptio placentae?

Answer 12

Abdominal pain, contractions, dark vaginal bleeding

Question 13

What are the classic signs of placenta Previn?

Answer 13

Painless, bring red vaginal bleeding

Question 14

What is the biggest risk factor with preterm labor?

Answer 14

Premature rupture or membranes

Question 15

What intrauterine resuscitation measures can be taken during fetal distress?

Answer 15

High-flow 100% oxygen administration, left lateral recumbent positioning, IV fluid blouses for hypotension.

Question 16

Nitrazine paper will turn what colour in the presence of amniotic fluid?

Answer 16

Blue

Question 17

Name tocolytic agents used in preterm labour.

Answer 17

Terbutaline, magnesium sulfate, calcium channel blockers, beta-adrenergic agonists

Question 18

How is an umbilical cord prolapse managed?

Answer 18

Insertion of two fingers into the vagina to prevent the presenting portion of the fetus from occluding the cord. The patient may also be placed in the knee-chest position.

Question 19

What serum laboratory test is used to confirm pregnancy?

Answer 19

Beta human chorionic gonadotropin (b-HCG)

Question 20

Is amniotic fluid acidic, alkalotic, or neutral?

Answer 20

Alkalotic

Question 21

During a final assessment prior to transferring a patient in labour to another facility, you observe crowning. What changes are made regarding the transfer?

Answer 21

Hold the transfer and prepare for delivery.

Question 22

What does the mnemonic G/P T-P-A-L stand for when evaluating an obstetric patient?

Answer 22

Gravida, Para, Full-Term Infants, Preterm Infants, Abortions, Living Children

Question 23

List findings indicative of severe preeclampsia.

Answer 23

SBP > 160, DBP > 110, proteinuria, oliguria, pulmonary edema, RUQ pain, elevated LFTs

Question 24

A pregnant female presents with altered mental status, tachycardia, and pale, diaphoretic skin. What do you suspect is the cause?

Answer 24

Hypoglycemia, gestational diabetes mellitus

Question 25

What is the appropriate administration of oxytocin in postpartum hemorrhage?

Answer 25

20-40 units IV in 1000 ml at 100 ml/h