unit 9

Question 1

what kind of muscle surrounds the uterus

Answer 1

smooth muscle

Question 2

what is the amniotic sac

Answer 2

fluid filled sac containing the baby. 1/2-1 L of fluid

Question 3

what is the placenta

Answer 3

organ forming during pregnancy on inner lining of the uterus. attached to the baby by the umbilical cord. connects nutrients and waste between the mother and child

Question 4

what is the first stage of labor

Answer 4

contractions begin, the amniotic sac ruptures while the cervix thins and dilates. the mucus plug and a small amount of blood may be passed (called the bloody show)

Question 5

how do you time contractions

Answer 5

start when one begins and stop when the next one starts

Question 6

what happens in the second stage of labor

Answer 6

crowning. this stage requires you to deliver the baby where you are. check time. support the head as it comes out, guide the baby slightly towards the rectum (down) to deliver the anterior shoulder and then slightly towards the pubic symphysis (up) to deliver the posterior shoulder.

Question 7

what happens in the third stage of labor

Answer 7

delivery of the placenta, which may take up to 30 minutes. if you cant cut the cord, try to keep the baby and placenta level as gas exchange is still occurring

Question 8

what should you do if contractions are greater than five minutes apart

Answer 8

transport to hospital

Question 9

what should you do if contractions are less than 2 minutes apart

Answer 9

prepare to deliver on scene

Question 10

what should you do if contractions are between two and five minutes apart

Answer 10

ask questions to determine your course of action, consider availability of transportation and location. is this their first child? has their water broke? do they feel the urge to push?

Question 11

what baselines should you check as you are preparing the mother to give birth at the scene

Answer 11

LOC, normal vitals (rechecking 15 minutes even after the baby is born unless mother becomes unstable, then 5), check CAB.

Question 12

what should you ask the mother to do after the head has been delivered

Answer 12

take short, shallow breaths to attempt to slow down delivery of shoulders so you can wipe the baby’s face/bulb syringe the mouth and nose. check the neck for the umbilical cord.

Question 13

what do you do if the cord is wrapped around the baby’s neck

Answer 13

slip your fingers under it and slip it over the head

Question 14

how should you care for the baby immediately after delivery

Answer 14

hold the baby slightly head down to help with fluid drainage, wipe or suction the face. if the baby is not breathing, flick the feet. wrap the baby and cover its head for warmth, place it on the mothers chest for warmth as well. note time of delivery

Question 15

what do you check the mother for after delivery

Answer 15

assess for vaginal bleeding every 3-5 minutes. if bleeding externally, place pressure on wound. if bleeding internally, encourage the mother to try and breastfeed the child to stimulate uterine contraction. you may also give a uterine massage to stimulate contraction by pushing fist into her stomach. this will be uncomfortable for her.

Question 16

what should you do if the baby is not breathing

Answer 16

place the child in sniffing position and give two rescue breaths. place your mouth over the baby’s nose and mouth. check brachial pulse and if it present continue rescue breathing. if there is no pulse, give CPR.

Question 17

what is an ectopic pregnancy and what are the risks associated with one. what are the symptoms

Answer 17

a pregnancy that occurs outside of the uterus. could cause the tube to rupture and internal bleeding. symptoms are lower abdominal and pelvic pain. internal bleeding could cause shock, which presents as high heart rate and low BP, paleness, and decreasing LOC

Question 18

how do you treat a breech delivery

Answer 18

attempt to delay delivery by placing the mother on her life side with her knees tucked to her chest. discourage pushing and transport to hospital as soon as possible.

Question 19

what do you do if the head is stuck in the body after a breech delivery

Answer 19

if the body has been out for 3 minutes and the head has not, insert your hand into the vagina and create a pocket of air around the baby’s face.

Question 20

what is a miscarriage, what are the symptoms

Answer 20

the loss of a fetus that was less than 20 weeks gestation. symptoms are cramping, bleeding/clots, sudden absence of pregnancy symptoms

Question 21

what is considered a premature baby, what must you consider when delivering one

Answer 21

babies that are less 36 gestation weeks or less than 5 pounds. smaller babies have less fat and must be kept warm, the lungs might not be fully developed so the child may go into respiratory distress