Randy's Lecture Mod 6 Exam Flashcards
A 24 y/o patient, the fundus of the uterus is at the level of the umbilicus
how far along is this person?
20-22 weeks pregnant.
Fundus at umbilicus corresponds to weeks of pregnancy.
If you find a leg protruding from the vagina what is the treatment?
Rapid Transport
Paramedics should provide immediate transport to the hospital for possible breech birth
needs c-section
You’re assisting with a vaginal delivery mouth and nose have been suctioned and what do you need to do to deliver the upper shoulder
Guide head and shoulder down
Support the baby’s head and neck, apply gentle traction to the baby’s body, and rotate the baby to free the shoulder.
McRoberts maneuver knees to chest
suprapubic pressure, which involves applying pressure to the mother’s abdomen just above the pubic bone
You’re evaluating a newborn after birth moving all their extremities has a strong respiratory effort what is the APGAR score?
8
A condition that is a leading cause of infertility results when the lining of the inside of the uterus outside the uterus
EndometriOsis
It occurs when the tissue similar to the lining of the uterus grows OUTSIDE the uterus, causing pain and infertility.
What is the difference between
ovarian cyst and endometriOSIS and endometRITIS
Ovarian cyst - fluid-filled sac in ovary.
Endometriosis - tissue outside uterus.
Endometritis - inflammation of the inner lining of the uterus (bacterial infection)
28-year-old patient combining of sudden onset of severe abdominal pain relates to her shoulder
what could this be?
Ectopic Pregnancy
Note: a uterine rupture likely to NOT have severe ab pain and vaginal bleeding
What do you do for a Uterine inversion?
What causes it?
Manage SHOCK, transport patient immediately, keep uterus moist.
excessive traction on the umbilical cord, fundal pressure
IV, O2, Fluids, keep warm, monitor
What two conditions on which treatment includes a pre-hospital provider placing a gloved hand into a vagina?
prolapsed cord and breech
What is the function of the placenta?
Oxygen & Nutrients to the fetus
Remove waste
Produce hormones
Barrier against infections
What interventions come first in neonatal resuscitation
VENTILATIONS
providing warmth, suctioning the mouth and nose, and drying the infant thoroughly.
and providing positive pressure ventilation (BVM) if the infant is not breathing spontaneously (without oxygen first)
Products of conception are expelled but some remain in the uterus
what is this called?
Incomplete abortion
Fetal circulation
Blood to newborn lungs
The fetus receives oxygen and nutrients from the mother’s bloodstream via the placenta and returns deoxygenated blood to the placenta for elimination of waste products. Fetal circulation is unique in that oxygenated blood bypasses the lungs and enters the fetal heart via the inferior vena cava, while the right ventricle pumps deoxygenated blood to the placenta via the ductus arteriosus and ductus venosus.
What is the correct positive pressure rate for apneic newborn
40-60 breaths per min
1 breath every 1-2 seconds
How do you treat a prolapsed cord?
Position the mother with her ELEVATED HIPS
relieve pressure on the cord by pushing presenting part up,
and administer high-flow oxygen.
How do you treat a nucal cord?
If tight and causing fetal distress, clamp and cut the cord immediately.
If loose continue.
What are the signs of placenta previa
PAINLESS vaginal bleeding in the third trimester,
soft and non-tender uterus, and
ABSENCE of contractions.
Mittelschmerz refers to what
Abdominal pain occurring during the menstrual cycle
Caused by the release of an egg from the ovary.
30-year-old with g - 1 p - 0 bright red vaginal bleeding severe abdominal pain for an half hour tells you she’s 35 weeks pregnant (cocaine use)
what is the possible condition
ABRUPTIO placenta.
because of the bright red blood
ab pain
and 35 weeks pregnant
(third trimester)
What situations is a newborn most likely to suffer damage to the brachial nerve plexus
During a difficult delivery
SHOULDER DISTOSIA
Large baby
Prolonged labor
Maternal obesity