Week 1- Uncomplicated Deliveries Flashcards

1
Q

How long does a normal pregnancy last?

A

40 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are child bearing years?

A

14-50 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the age that resuscitation efforts should occur?

A

20 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the average amount of weight gain during pregnancy?

A

25-35 lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many stages of childbirth are there?

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How long is the germinal stage?

A

0-2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long is the embryonic stage?

A

3-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How long is the fetal stage?

A

week 9- till birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What body systems are affected by childbirth?

A

Circulatory
Respiratory
Genital
GI
Metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In the circulatory system what are the two major things that are being increased during pregnancy?

A

increased blood volume
and increased cardiac output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is supine hypotension syndrome?

A

when there is compression of the inferior vena cava by the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What do you do for CPR for a pregnant woman?

A

have a second paramedic manually displace the abdo to the left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens in the resp system to a pregnant lady?

A

diaphragm moves up into the chest

stuffy nose, running and epistaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the top part of the uterus called?

A

FUNDUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the fundal height measured in?

A

centimetres

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The increasing size puts weight on WHAT organ? Causing frequent ___?

A

bladder, urination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Elevation of WHAT hormone causes nausea and vomiting in the first 6-14 weeks?

A

PROGESTERONE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What happens to a woman’s metabolism during pregnancy?

A

ELEVATESSSS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is gravida #?

A

how many times PREGNANT (this includes miscarriages/abortions >20 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is para #?

A

of times pt has given birth to a viable child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the amniotic sac?

A

the fluid filled bag like membrane where the fetus grows

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is abortion?

A

expulsion of the fetus from any cause before the 20th week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ectopic pregnancy, what is that?

A

any egg that attaches outside the uterus, usually fallopian tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is a primipara?

A

the pt has had one birth/delivery

25
What is a multipara?
The pt has had 2 or more deliveries
26
What are some questions to ask women who are pregnant?
LPM? How many weeks are you? Prenatal cares?? (appts) Have any previous pregnancies? (Grav #) Any contractions?? (time them) Complications in previous pregnancies? Medical hx? Complications with current pregnancy? Any abnormal discharge? Water broke?? Clear or discoloured? Odour? Previous C-section? Bloody show? Presenting parts? How many kids are at home? Meds? Prenatal vitamins? Positioning of baby? Multiple babies in the womb? Miscarriage? Fetal movement? Labour time last time?
27
How do you time contractions?
frequency and duration
28
What is frequency of contractions?
measured as in the interval between the time of one contraction and the start of the next
29
What is and how do you time the duration of the contraction?
timed from when the contraction starts to when it ends
30
What are Braxton Hicks contractions?
false labour pains contractions of the uterus that typically are not felt until the second or third trimester of the pregnancy body's way of preparing for true labour but they do not indicate that labour has begun
31
What is stage 1 of pregnancy?
the longest stage, contractions start and ends with 10cm dilated
32
What are the two stages in STAGE ONE of labour?
early and active
33
What do the uterine contraction that gradually increase in:
frequency strength length
34
The fetus descends into _____ ?
Pelvis
35
The cervix softens and.....
shortens thins dilates
36
What is the max amount of dilation in cm?
10cm
37
How does the pt present in the beginning of labour? (early labour)
walking and talking through contractions
38
What are the frequency, length and strength of contractions during the early stages?
far apart and irregular 20-30 seconds long mild
39
During active labour.... what would pt presentation be?
difficulty walking, and talking through contractions distressed, vomitting, shaking, sudden rupture of membrane (water broke), overwhelming emotions
40
What are the frequency, length and strength of contractions during the active stages?
3-4 mins 45-60 secs strong!!!
41
What is stage 2 of labour?
starts when cervix is fully dilated pt feels like PUSHING end when baby is born
42
What are the frequency, length and strength of contractions during the the second stages (when pt is fully dilated)?
<2mins 60-90 secs STRONG
43
From a clinical perspective... when does labour start?
when dilation BEGINS
44
When does a paramedic LOOK?
near term LOC is decreased /history is unavailable inconclusive or indicates that labour was on going to prior to decrease in LOC vaginal bleeding is HEAVY and the pt is hypotensive or in SHOCK Anything HIGH RISK
45
What is imminent birth as per the ALS?
crowning or other presenting parts are visible
46
what is PRIMIPS?
presenting part is visible during and between contractions maternal urge to push or bear down contractions are less than 2 mins apart
47
What is multips?
has had multiple kids!!
48
What is stage 3 of labour???
from the birth of baby to the delivery of the placenta usually occurs 5-30 mins after birth
49
What would a paramedic observe in the third stage of labour?
lengthening of the cord sudden gush or trickle of blood uterine contraction
50
What is the most dangerous stage of labour? and why?
placenta delivery this is the highest risk stage because of increased risk of bleeding
51
When the placenta is delivered what should we be looking for?
inspect for wholeness place in a plastic bag from the OBS kit label it with the mothers name and time of delivery transport it with the maternal or neonatal pt
52
Should the delivery of the placenta delay transport?
NOOOOOOOOO
53
What are the steps of preparation in a normal delivery?
maintain pt privacy prepare delivery station open up the OB kit update dispatch and ask for second crew get pt on a firm surface if they don't want to move, deliver in any position prepare neonatal resusisiton station make sure environment is warm have towels and blankets use sterile gloves
54
If a midwife is on the scene...
let em take over!!!!!
55
What are the 7 steps of normal delivery?
1. decent: fetus moves down toward the pelvis and becomes engaged] 2. flexion: fetal chin to chest 3. internal rotation: fetal occiput turns toward maternal pelvis 4. extension: birth with head facing down 5. restitution: baby turns head to the side 6. external rotation: fetus turns to deliver the shoulder 7. expulsion: birth of baby
56
How far should you clamp the cord and WHEN?
when it stops pulsating up to 2 min mark Clamp the umbilical cord in two places using the OBS clamps: - Approx.15 cm from the neonate’s abdomen and approx. 5-7 cm from the first clamp. - Cut the umbilical cord between the clamps using the OBS scissors.
57
What is the pneumonic for monitoring a newborn?
APGAR
58
APGAR... name the letters:
Appearance Pulse Grimace Activity Respiration
59
What medication do we give in our emergency childbirth directive?
OXYTOCIN