OBGYN emergencies Flashcards
If multiple, or abnormal birth, consider
second transport unit
If in third trimester, transport on __ side (pillow under right hip, or, if on backboard,
tilt right side of board up __inches) to keep uterine pressure off inferior vena cava unless
delivery is imminent
Left, 6
Notify receiving hospital of patients with a sustained elevation in BP ≥ __ mmHg systolic
and/or ≥ __mmHg diastolic are present for at least 15 minutes or more
140, 100
Do not suction infant’s nose and mouth unless ___ and the infant
is depressed; or there is a need to clear the airway
there is meconium present
At 1 to 3 minutes after delivery, clamp and cut the umbilical cord about ___ inches from infant. If resuscitation is needed, cord may be clamped and cut after 1 minute.
6 inches
If mother has significant postpartum hemorrhage (> ___mL), continue uterine massage,
treat for shock
500
Breech Presentation (buttocks first):If the head is not delivered within 3 minutes, suffocation can occur. What do you do?
i. Place your gloved hand in the vagina, with your palm toward the baby’s face.
ii. Form a “V” with your fingers on either side of the baby’s nose and push the vaginal
wall away from the baby’s face to create airspace for breathing
Prolapsed cord: what do you do with cord or NOT do?
DO NOT pull or over-handle cord in order to prevent cord compression
and spasm
Prolapsed cord what position do you place pt
Place the mother in left lateral Trendelenburg position. tip bed 20”
Limp presentation?
immediately transport
occurs in the third trimester of pregnancy when the placenta
prematurely separates from the uterine wall leading to intrauterine bleeding.
Abruptio placenta
occurs when the placenta covers the cervical opening and can result in
vaginal bleeding and prevents delivery of the infant through the vagina. The infant needs
to be delivered via C-section.
Placenta previa
