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Paramedic Class > Labor & Neonates > Flashcards

Flashcards in Labor & Neonates Deck (16):
1

puerperium

the time period surrounding birth of the fetus

2

effacement

shortening or thinning of a tissue, as in the the thinning of the cervix / begins several days prior to active labor ensues

3

dilation

the progressive stretching the of the cervical opening / it dilates from its closed position to 10 cm and considered to be complete dilation /

4

labor stage one

dilation stage; begins with the onset of true labor contractions and ends with complete dilation and effacement of the cervix / could last 8 to 10 hours for nullipara and 5 to 7 hours for the multipara

5

labor stage two

expulsion stage; begins with the complete dilation of the cervix and end with the delivery of the fetus / lasts 50 to 60 minutes for the nullipara and half that for the multipara

6

vertex position

infant is headfirst, face down (common presentation at delivery)

7

breech presentation

situation in which either the buttocks or both feet present first

8

labor stage three

placental stage; third and final stage of labor, begins immediately after the birth of the infant and ends with the delivery of the placenta / generally delivers within 5 to 20 minutes

9

lochia

the puerperal discharge of blood, mucus, and tissue from the uterus

10

lochia alba

the 3rd stage of the postpartum healing process, when the vaginal discharge is no longer tinged with blood / this stage may last 5 to 6 weeks postpartum / an offensive odor indicates contamination by saprophytic organisms

11

acrocyanosis

bluish or purple coloring of the hands and feet caused by slow circulation

12

prolapsed cord

occurs when the umbilical cord precedes the fetal presenting part / with a gloved hand insert two finger into the vagina to raise the presenting part of the fetus off the cord and gently check the cord for pulsations / DO NOT ATTEMPT DELIVERY. DO NOT PULL THE CORD. DO NOT ATTEMPT TO PUSH THE CORD BACK IN

13

neonate respiratory rate

30 to 60 breaths per minute

14

neonate heart rate

100 to 180 beats per minute / 140 to 160 is optimal

15

APGAR scoring system

a means of evaluating the status of a newborn’s vital functions at 1 minute and 5 minutes after delivery

16

APGAR parameters

Appearance (skin color) / Pulse rate / Grimace (irritability) / Activity (muscle tone) / Respiratory effort