EMT > OBGYN > Flashcards

OBGYN Flashcards

(44 cards)

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1
Q

Full term

How long is it

A

40 weeks which is 9 months

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2
Q

Pre-term

A

<35 -37 weeks

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3
Q

How many trimesters are there?

A

3

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4
Q

first trimester

A

1-3 months

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5
Q

Second trimester

A

3-6 months

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6
Q

Third trimester

A

6 month-term

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7
Q

How do you position pregnant patients

And what do you never do with positioning

A

Lay them on their side
Never lay the patient supine

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8
Q

Blood pressure changes for each trimester

A
  • First - decreases 5-10 mmHg
  • Second - time of lowest BP
  • Third- returns to pre pregnancy BP
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9
Q

Physiological changes to the respiratory drive

(4)

A
  • Structural changes - uterus shifts diaphram upward, decreasing the length of the lungs
  • Chest enlarges 2 cm
  • Tidal volume increases 20-30%
  • Oxygen consumption increases 15-20%
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10
Q

First stage

Labor and delivery

A

starts from time of first true, regular contraction and ends with dilation of cervix (10cm)

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11
Q

Second stage

Labor and delivery

A

Starts with full dilation of cervix (10cm) and ends with birth of baby

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12
Q

3rd stage

Labor and delivery

A

Begins once the baby is born until after the placenta is delivered

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13
Q

Braxton Hix contractions

What are they

A
  • False labor contractions
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14
Q

How far away from the baby do you cut the umbilical cord?

A

6-9 inches

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15
Q

APGAR scoring

When do you start this assessment?

A

1-5 minutes after birth

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16
Q

APGAR scoring

What does it stand for

A
  • A - Appearance
  • P - Pulse
  • G - Grimace
  • A - activity
  • R - Respirations
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17
Q

APGAR scoring

What is the range for a normal score?

A

7-10

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18
Q

How do you care for a new born?

non critical

(4)

Study These Flashcards
A
  • ABCs
  • Prevent heat loss
  • Dry the neonate
  • keep baby skin to skin contact with mother
19
Q

Nuchal cord

Define

What do you do about this situation?

Study These Flashcards
A
  • The umbilical cord is wrapped around the babies neck
  • If it feel loose then free the child by pulling cord over its head
  • If its tight stop the delivery process, hold the cord away from the childs neck, and transport
20
Q

Prolapsed cord

Define

what do we do about this?

Study These Flashcards
A
  • Umbilical cord comes out before the babies head does
  • Place a wet towel over the umbilical cord and transport
21
Q

Breeched presentation

Define

Can we still delivery a child like this?

Study These Flashcards
A
  • child comes out butt first
  • Can still delivery with a breeched presentation
22
Q

Shoulder Dystocia

Define

Can we still delivery this child?

Study These Flashcards
A
  • When one or both of the baby’s shoulders get stuck in the vaginal cavity and the sholder gets dislocated
  • Can still deliver
23
Q

Premature delivery

How many weeks into pregnancy is classified as premature

Study These Flashcards
A
  • Child birth before reaching 24 weeks
24
Q

Post term delivery

define

Can we deliver this child

Study These Flashcards
A
  • Oversized child
  • Cant deliver. take them to the hospital for c section
25
Meconium | Define
* Babys first poop * If seen during delivery suction airways (only time you will suction during birth)
26
Uterine rupture | Define
* Tearing of the uterus
27
Placenta previa | Define
* When the placenta covers the opening of the cervic
28
Abruptio placenta | define ## Footnote What week of pregnancy is it most common?
* When the placenta separates before childbirth * most common around 25 weeks of pregnancy * Super rare
29
Gravida | Define
number of pregnancies
30
Para | Define
number of deliveries after 20 weeks of pregnancy
31
How do you administer oxygen to a newborn? | how many lpm
Free flow method by hovering the mask over their face and blowing oxygen on them. | 8-10 lpm
32
Ventilation rate for a newborn that requires PPV
40-60 vpm
33
What is the earliest a baby can be born and still have a chance at surviving?
24 weeks at the earliest
34
Bloody show | Define ## Footnote When does it become concerning
* Could happen pre birth. Water breaks and they could have vaginal bleeding. * Shouldn’t be having this. Has to do with pre-delivery. Happens sometimes not all the time * Excessive bleeding for 10-30 minutes, and it's now concerning
35
36
How to measure contractions
Frequency - start of contraction to start of next Duration - start of contraction to end of contraction
37
Stages of labor | Names of the 3 stages
Dilation Expulsion Placental delivery
38
Preductal spo2 for a neonate
1 min - 60-65 10 min - 85-90 Increase of 5 % every minute
39
Postpartum hemorrhage | how much blood loss
More than 500 ml blood
40
Uterine atony
Failure of uterus to regain muscle tone
41
Imminent delivery
Crowning, contractions less than 2 mins apart lasting 60 seconds, urge to push, bulging perinium
42
Neonatal resuscitation needs frequency
1. Dry, warm, suction. Tactile stimuli 2. O2 3. BVM 4. Chest compressions
43
Signs of severely depressed infant
RR >60 HR >180 or <100 APGAR under 4
44
Expected spo2 for baby
1 min 60-65 10 min 85 to 90 Increase by 5% each minute

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