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Paramedic UK > Maternity > Flashcards

Maternity Flashcards

1
Q

Why are babies unable to thermoregulate?

A

Some of the reasons why babies are prone to poor thermoregulation at birth include:

Transition from a constant Intrauterine temperature to a variable external temperature;

A relatively high metabolic rate;

Large surface to body mass ratio;

A large head relative to the body accounting for up to 25% heat loss;

Lack of subcutaneous fat resulting in poor insulation;

Permeable skin, especially with prematurity;

Immature hypothalamus, central nervous system and vasomotor control;

Inability to conserve heat through shivering;

Reduced energy stores;

Poor muscle tone and inability to change body position; and

Inefficient sweat glands.

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2
Q

What is within the service maternity bag/pack?

A

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3
Q

Why do me place slight pressure/support on babies head as its being born?

A

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4
Q

What is the Moro Reflex?

A

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5
Q

Why is it handy to leave a generous amount of umbilical cord when clamping?

A

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6
Q

Why does emptying the females bladder help the birth of the placenta?

A

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7
Q

What is cord prolapse?

A

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8
Q

Why is it important to place mother on all fours position in cord prolapse?

A

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9
Q

What is a transverse lie?

A

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10
Q

What is hypoxic ischemic encephalopathy or birth asphyxia?

A

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11
Q

What are the 2 consequences of cord prolapse?

A

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12
Q

What position does mother need to be in when transporting a cord prolapse birth to hospital?

A

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13
Q

Where is the most appropriate hospital / department to take a patient with cord prolapse?

A

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14
Q

What is a Postpartum hemorrhage?

A

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15
Q

What are the three types of PPH?

A

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16
Q

What are the causes of haemorrhage, postpartum? (4T’s)

A

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17
Q

What is uterine massage and it’s benefits?

A

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18
Q

What is a perineal tear?

A

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19
Q

What is the most appropriate cannula size for IV access in postpartum haemorrhage?

A

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20
Q

What position is best for encouraging the birth of the placenta and why?

A

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21
Q

What are the signs of impending placenta birth?

A

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22
Q

How long after baby is born does the placenta birth?

A

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23
Q

How much ml does a standard teatowl and bath towl normally hold / obtain?

A

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24
Q

How much ml does ambulance service inco pad hold?

A

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25
Q

What is Shoulder dystocia?

A

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26
Q

Where does the shoulder get stuck at in shoulder dystocia?

A

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27
Q

In management for shoulder dystocia, what do we do pre-hospitally?

A

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28
Q

What is the McRoberts maneuver?

A

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29
Q

Why do we apply gentle downward traction whilst mother in McRoberts maneuver position?

A

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30
Q

What is suprapubic pressure?

A

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31
Q

How long do we push down consistently for when applying suprapubic pressure?

A

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32
Q

What is removal of the posterior arm?

A

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33
Q

What is benefical with placing a dressing gown on mother when walking out to ambulance if not given birth yet? (Baby catcher)

A

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34
Q

What is a breech birth?

A

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35
Q

What are the three types of breech birth?

A

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36
Q

Why do we have a hands off approach in breech births?

A

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37
Q

What does a pale/white baby highlight in childbirth?

A

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38
Q

What are nuchal arms and why is this concerning?

A

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39
Q

What is the important position baby needs to be in for breech birth? (B to T)

A

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40
Q

Where do your fingers need to be when assisting delivery of breech birth child?

A

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41
Q

What is Pre-eclampsia & Eclampsia?

A

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42
Q

What are the three main symptoms/signs of pre-eclampsia?

A

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43
Q

What is a Placental abruption?

A

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44
Q

What is a Intrauterine fetal death?

A

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45
Q

What is Disseminated intravascular coagulation?

A

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46
Q

What is the single, most effective medication we can administer to stop eclampsia? (only CCP’s carry this)

A

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47
Q

Why is it so important to dry baby with a seperate towel and replace with a clean fresh towel when wrapping?

A

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48
Q

Initial spontaneous respirations will occur between what time frame normally?

A

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49
Q

After drying and stimulatation, what is the next important management phase to perform to encourage respirations in newborns?

A

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50
Q

What is the correct neutral position for newborn head in newborn resuscitation?

A

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51
Q

How many initial postiive pressure ventilations / inflation breaths do we give in resuscitation and the duration of ventilation time in seconds when squeeing BVM?

A

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52
Q

What clinical observation are we monitoring to see change and a positive effect of correct ventilations?

A

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53
Q

What is Meconium?

A

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54
Q

What things could cause a airway obstruction in newborns and therefore causes inadequte chest rise?

A

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55
Q

Before starting chest compressions in the algorithm, what do we do first? (x30 of what?)

A

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56
Q

What is the ratio of compressions and ventilations in newborn resuscitation?

A

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57
Q

What can we do with the ambulance in preperation for conveyance of newborn emergency?

A

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58
Q

What is the Two-thumb-encircling technique?

A

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59
Q

What does the HR need to be to cease compressions and continue with JUST ventilations?

A

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60
Q

What do we do prehospitally for a cord prolapse?

A

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61
Q

What is BPAS?

A

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62
Q

How many weeks is the cut off for not performing neonatal resuscitation?

A

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63
Q

What weeks gestation do we begin full NLS?

A

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64
Q

What is Antepartum haemorrhage?

A

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65
Q

What is Gravida & Parity?

A

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66
Q

Do we use O2 in neontal / NLS with BVM?

A

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67
Q

How many stages of labour are there?

A

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Paramedic UK (10 decks)

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