7 Flashcards
(7 cards)
Vaginal Bleeding
7010
TREATMENT
- Place patient in position of ____
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Apply ___ ___ to vaginal area for significant bleeding
- Determine last menstrual period (LMP)
• If pregnant and greater than ___ weeks
- Place patient in recovery position (__ side)
COMFORT
TRAUMA PADS
20
RECOVERY
LEFT
Pre-Eclampsia/Eclampsia 7020 TREATMENT • Airway/breathing management - Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
- Determine Blood Glucose Level
- Assess temperature
- Place patient on left side if greater than ___ weeks pregnant
- Pre-eclampsia
- Disorder of pregnancy after ___ weeks characterized by the onset of fluid retention and ___ blood pressure
- Physical exam may reveal blood pressure greater than ___/___ mmHg, tachycardia, ___, pulmonary edema, ____ and generalized edema
• Eclampsia/Severe Pre-eclampsia - Further complication of the pre-eclampsia patient
- Physical exam may reveal seizure, altered LOC, and blood pressure greater than __/___ mmHg
- Can occur postpartum (up to ___ weeks after delivery)
- This condition is life-threatening to the mother and baby if not treated promptly
20
20
RETENTION . HIGH
140/90 . TACHYPNEA CONFUSION
160/110
6
Imminent Delivery
7030
TREATMENT
- Provide rapid transport
- Airway/breathing management
- Administer O2 via proper adjunct to maintain oxygen saturation of 95% or greater
• Determine Blood Glucose Level
• Delivery – without complications
- Apply gentle perineal pressure to allow a slow, controlled delivery of the head
- Observe for ____ staining; _____ imperative
- As soon as the head is delivered, support with hand and suction the _____ first then the nostrils
- Gently guide the head ____ to allow delivery of the ___ shoulder. Do not pull on the newborn to facilitate delivery
- Gently guide the head ___ and allow delivery of the ___ shoulder
- Once the shoulders are delivered, the newborn’s ___ and ___ will follow rapidly. Be prepared to grasp and support the newborn as it emerges
- Once the newborn is delivered, maintain body position at the same level as the vagina to prevent blood drainage from the umbilical cord
- Wipe any blood or mucus from the newborn’s nose and mouth with a ___ gauze
- Use a ___ syringe to suction the mouth and nostrils again
- Dry the newborn and wrap in ___ blanket
- Record the ___ of birth
- Apply 2 clamps (_ to _ inches apart), __ to _ inches from abdomen of the neonate
- __ cord between clamps
- Closely monitor the cut umbilical cord for bleeding
• Maintain body ____ of neonate post delivery
• Assess and record APGAR at ___ minute and ___ minutes post delivery
• Placenta must be brought to the hospital for evaluation
• Postpartum
• Assess for postpartum ____
• Gently massage uterus until firm
- Transport to the hospital where patient has received their ___ care if possible
- For the complications listed below, transport to the nearest Emergency Department with L&D capabilities
PERINEAL .
MECONIUM SUCTIONING
ORPHARYNX
DOWNWARD . UPPER
UPWARD . LOWER
TRUCK LEGS
STERILE
BULB
DRY
TIME
2 . 3 . 7 . 10
CUT
TEMPERATURE
ONE . FIVE
HEMORRHAGE
PRENATAL
• Nuchal Cord
- Feel for the cord around the ___ as soon as the head is delivered
- Gently remove the cord from around the neck
- If unable to remove, ___ and cut the cord
- Use extreme caution when cutting the cord
NECK
CLAMP
Breech Delivery
If delivery is not immediate:
- Place the mother in the knee-chest position
If delivery is immediate:
- Allow the buttocks or feet to deliver on their own and support the ____
- Check for the umbilical cord around the neonate’s ___ and allow the head to deliver
- If the head does not deliver within __minutes, use a gloved hand to make an airway for the neonate, using the fingers to make ___
• Limb or Brow Presentation
- Place the mother in the ___-__ position
KNEE-CHEST
TRUNK
NECK
3
AIRSPACE
KNEE-CHEST
• Prolapsed Cord
- Assessment should focus on the presence of ___ in the umbilical cord and ___ of the pressure obstructing the blood flow within the cord
- Place the mother in the knee-chest position or ____ with __ elevated
- Relieve pressure from the ____ cord if no pulses are detected in the cord
- Use gloved hand to gently but firmly push the neonate’s head ___ into the vagina; avoid pushing on the ___
- Stop pushing upon the ___ of pulses in the cord
- Do not push the ___ back into the vagina, but keep moist with __ towels
• Abruptio Placenta or Placenta Previa
- Treat for ___ if indicated. See Guideline __
PULSES
RELIEF
SUPINE . HIPS
PROLAPSED
BACK FONTANELS RETURN CORD SOAKED
SHOCK 5100
Newborn Stabilization/Resuscitation 7040
TREATMENT
• If complications are present with mother or child, request a ____ rescue if necessary
• During delivery, suction ___ then nostrils. Suction should be done after delivery of the ___ but before delivery of the body
• Thoroughly dry the newborn with towels or blankets. Wrap newborn in a dry blanket
• Administer ____ stimulation, if required, by tapping ____ of feet
• Assess and record APGAR at __ minute and ___ minutes post delivery
• Position the infant in the ___ position with the neck in a ___ position. A __” blanket roll under the ___ will help maintain head position, if aggressive airway management is needed
• Re-assess newborn every __ seconds
• Determine BGL by __ stick
• Airway/breathing management
- Assess respiratory rate and effort
• ___ isolated to the extremities (acrocyanosis)
- Saturation may remain less than normal for up to __ minutes after birth
- Administer ___-__ O2
• Heart rate less than __ with labored breathing, apnea, persistent central cyanosis and/or no muscle tone
- Provide ___% O2 at __ to __ breaths/minute via infant ___
- If symptoms persist, consider intubation of patient
• HR less than 60
- Administer chest compressions at a rate of ___ per minute
- Provide __% O2 at __ to ___ breaths/minute via infant BVM
SECOND
MOUTH
HEAD
TACTILE
SOLES
ONE . FIVE
SUPINE
NEUTRAL
1 . SHOULDERS
30
HEEL
CYANOSIS
10
BLOW-BY
100
100 . 40 . 60 . BVM
120
100 40 . 60
