3359953120 | A woman's external genitalia consists of three structures, the ______, the _______, and the ______ ______ | Labia, perineum, and mons pubis | 0 | |
3359953121 | The ______ is the soft tissue that protects the entrance to the vagina, and is prone to significant bleeding with trauma | Labia | 1 | |
3359953122 | The _______ is the surface area between the vagina and anus, and is prone to tearing during childbirth | Perineum | 2 | |
3359953123 | The _____ _____ is the soft tissue that covers the pubic symphysis, area where hair grows during puberty | Mons pubis | 3 | |
3359953124 | A woman's internal genitalia consists of the ______, the _______, the _______ ______, and the _______ | Vagina, ovaries, fallopian tubes, and uterus | 4 | |
3359953125 | The _______ is the birth canal, connecting the uterus to the outside world and stretches to accommodate the passage of the fetus during delivery | Vagina | 5 | |
3359953126 | The _______ are the female reproductive organ that produces ova, as well as many of the hormones necessary for reproduction | Ovaries | 6 | |
3359953127 | The _______ _______ are narrow tubes that connects the ovaries to the uterus | Fallopian tubes | 7 | |
3359953128 | _______ _______ occurs when the ovum implants in the fallopian tubes | Ectopic pregnancy | 8 | |
3359953129 | The ________ is the muscular abdominal organ where the fetus develops, the womb | Uterus | 9 | |
3359953130 | The top, or ______, of the uterus can be found as high as the ______ _______ in a late-term pregnant woman | Fundus, xiphoid process | 10 | |
3359953131 | The _______ is the neck of the uterus at the entrance to the birth canal, separating the uterus and vagina | Cervix | 11 | |
3359953132 | In a nonpregnant female, the _______ is constricted to close off the uterus | Cervix | 12 | |
3359953133 | _______ is the phase of the female reproductive cycle in which an ovum is released from the ovary | Ovulation | 13 | |
3359953134 | The fallopian tubes move the eggs by ______ (waves of muscular contraction) toward the uterus | Peristalsis | 14 | |
3359953135 | The process of menstruation is characterized by vaginal bleeding, typically totaling ___ mL, for roughly three to five days | 50 mL | 15 | |
3359953136 | An ______ is the baby from fertilization to 8 weeks of development | Embryo | 16 | |
3359953137 | A ________ is the baby from 8 weeks of development to birth | Fetus | 17 | |
3359953138 | A typical pregnancy last about ___ weeks | 40 weeks | 18 | |
3359953139 | ______ is the most significant change that pregnancy brings to the reproductive system | Size | 19 | |
3359953140 | The ________ is the organ of pregnancy where the exchange of oxygen, nutrients, and wastes (drugs, nicotine, alcohol) occur between a mother and fetus | Placenta | 20 | |
3359953141 | The mother's blood (does/does not) flow through the fetus | Does not | 21 | |
3359953142 | The ______ ______ is the fetal structure containing the blood vessels that carry blood to and from the placenta | Umbilical cord | 22 | |
3359953143 | The ______ ______ is the "bag of waters" that surrounds the developing fetus, allowing the fetus to float during development, acts as a cushion between the fetus and minor injury, and helps maintain a constant fetal body temperature | Amniotic sac | 23 | |
3359953144 | The cardiovascular system responds to pregnancy by increasing _____ _____, ______ ______, and ____ _____. | blood volume, cardiac output, and heart rate | 24 | |
3359953145 | Although the blood volume changes, the amount of red blood cells remain the same, causing a dilution of the blood (_______), and it's oxygen-carrying capability is actually ______ | Anemia, decreased | 25 | |
3359953146 | The B/P of a pregnant female is typically slightly _______ | Decreased | 26 | |
3359953147 | In the later stages of pregnancy, the fetus can also put pressure on the woman's _______ and decrease the volume of air in her lungs | Diaphragm | 27 | |
3359953148 | A growing fetus puts pressure on the stomach and intestines and can slow _______ | Digestion | 28 | |
3359953149 | ______ and _______ are very common in pregnancy | Nausea and vomiting | 29 | |
3359953150 | Hormones released with pregnancy can make the ligaments of a pregnant woman's musculoskeletal system more _______, and therefore, more vulnerable to injury | Elastic | 30 | |
3359953151 | Diseases such as ______ and _______ can be made worse during pregnancy | Asthma and diabetes | 31 | |
3359953152 | _______ ________ ________ is dizziness and a drop in B/P caused when the mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid (22 lbs) compress the inferior vena cava, reducing return of blood to the heart and cardiac output | Supine hypotensive syndrome | 32 | |
3359953153 | Place a patient with supine hypotensive syndrome on her ______ side to prevent compression of the inferior vena cava | Left | 33 | |
3359953154 | Contraction ______, or duration is the time from the beginning of a contraction to when the uterus relaxes (from start to end) | Time | 34 | |
3359953155 | Contraction ______, or frequency is the time from the start of one contraction to the beginning of the next | Interval | 35 | |
3359953156 | _______ is the entire process of delivery, consisting of three stages | Labor | 36 | |
3359953157 | The first stage of labor starts with ______ ______ and ends when the cervix is fully _______ | Regular contractions, dilated | 37 | |
3359953158 | The second stage of labor is the time from when the baby enters the _____ _____ until it is born | Birth canal | 38 | |
3359953159 | The third stage of labor begins after the baby is born and lasts until the ________ is delivered | Afterbirth | 39 | |
3359953160 | _________ is the placenta, membranes of the amniotic sac, part of the umbilical cord, and some tissues of the lining of the uterus that are delivered after the birth of the baby | Afterbirth | 40 | |
3359953161 | The first stage of labor is also called the ______ period | Dilation | 41 | |
3359953162 | ______-______ contractions are irregular prelabor contractions of the uterus | Braxton-Hicks | 42 | |
3359953163 | ________ is the sensation of the fetus moving from high in the abdomen to low in the birth canal, and can be an indicator that labor is imminent | Lightening | 43 | |
3359953164 | Most women report the start of labor pains as an ache in the ______ ______ | Lower back | 44 | |
3359953165 | When contractions last between ___-___ secs and are ___-___ mins apart, delivery of the baby may be imminent | 30-60, 2-3 | 45 | |
3359953166 | Women giving birth for the first time remain in the first stage of labor for an average of ___ hours | 16 hours | 46 | |
3359953167 | ______ ______ is amniotic fluid that is greenish or brownish-yellow rather than clear as a result of fetal defecation, an indicator of possible maternal or fetal distress during labor | Meconium staining | 47 | |
3359953168 | The third stage of labor usually lasts ____ to ____ mins and ends as the placenta is delivered | Ten to twenty | 48 | |
3359953169 | ________ is when part of the baby is visible through the vaginal opening | Crowning | 49 | |
3359953170 | ________ presentation is when the baby appears headfirst during birth. Normal presentation | Cephalic | 50 | |
3359953171 | ________ birth is when the baby presents its buttocks or feet first | Breech | 51 | |
3359953172 | If the mother is having labor pains from contractions that are about ___ mins apart, birth may be very near | 2 mins | 52 | |
3359953173 | If an expected delivery does not occur within ___mins, contact medical control and request to initiate transport | 10 mins | 53 | |
3359953174 | If delivery is to take place in an automobile, position the mother flat on the seat. Arrange her legs so she has one foot resting on the ______ and the other foot resting on the ______ | Seat, floor | 54 | |
3359953175 | Keep extra clamps in the OB kit in case there are ______ _______ | Multiple births | 55 | |
3359953176 | A pregnant patient should be discouraged from breathing rapidly and deeply enough to bring on _________ | Hyperventilation | 56 | |
3359953177 | Never _____ on the baby during delivery | Pull | 57 | |
3359953178 | If the amniotic sac has not broken by the time the baby's head is delivered, use your finger to puncture the _______ | Membrane | 58 | |
3359953179 | If _______ is present, prepare to suction the infant immediately | Meconium | 59 | |
3359953180 | If the umbilical cord is wrapped around the baby's neck, try to place two fingers under the cord, and bring the cord forward, over the baby's upper ______ and ______ | Shoulder and head | 60 | |
3359953181 | If you cannot loosen or slip the cord over the baby's head, clamp the cord in ____ places, and cut the cord between the clamps | Two | 61 | |
3359953182 | Once the baby's feet are delivered, lay the baby on his ______ with his head slightly lower than his body | Side | 62 | |
3359953183 | Keep the baby at the same level as the mother's _______ until the umbilical cord stops pulsating | Vagina | 63 | |
3359953184 | Most _______ babies will not require suctioning | Active | 64 | |
3359953185 | When suctioning, suction the ______ first, then the nose | Mouth | 65 | |
3359953186 | Insert the tip of the bulb syringe __ to __" into the babies mouth | 1 to 1 1/2" | 66 | |
3359953187 | Insert the tip of the bulb syringe no more than __" into the nostril | 1/2" | 67 | |
3359953188 | A _______ is a newly born infant or an infant less than one month old | Neonate | 68 | |
3359953189 | A normal neonate should have a pulse greater than ___ BPM, be breathing easily, be crying, moving his extremities, and show cyanosis only on his hands and feet | 100 BPM | 69 | |
3359953190 | APGAR: A - P - G - A - R - | APGAR: A - Appearance P - Pulse G - Grimace A - Activity R - Respiratory Effort | 70 | |
3359953191 | Each component of APGAR is from 0-2 points, for a perfect score of ___ | 10 | 71 | |
3359953192 | The APGAR score is traditionally taken __ minute after birth, and again __ mins after birth | 1 min, 5 mins | 72 | |
3359953193 | The most important aspect of caring for a neonate is keeping the baby _____ | Warm (Cover the babies head) | 73 | |
3359953194 | ________ means an excess of red blood cells | Polycythemia | 74 | |
3359953195 | The umbilical cord should be cut no earlier than __ min after birth | 1 min | 75 | |
3359953196 | Do not tie, clamp, or cut the cord of a baby who is not _______ on his own unless it is required to save infant | Breathing | 76 | |
3359953197 | It is best to leave the protective coating (_______) on the infant until he reaches a medical facility | Vernix | 77 | |
3359953198 | Apply one clamp ___" from the baby | 10" | 78 | |
3359953199 | Apply the second clamp ___" from the baby | 7" | 79 | |
3359953200 | If the baby is still attached to the placenta when the organ is delivered, wrap it in a towel and transport it at the same level or slightly _______ than the infant | Higher | 80 | |
3359953201 | If a baby is breathing adequately, has a pulse over 100, but has central cyanosis, administer ______-_____ ______ | Blow-by oxygen | 81 | |
3359953202 | If a neonate does not breathe on his own after drying and warming for ___ secs, begin resuscitation measures | 30 secs | 82 | |
3359953203 | Inverted Pyramid: ______, _______, Positioning, Suction, Stimulation ________ ______ ______ _______ | Inverted Pyramid Warming, Drying, Positioning, Suction, Stimulation Oxygen BVM Chest Compressions | 83 | |
3359953204 | If providing artificial ventilations, check infant's respiratory status in ___ secs | 30 secs | 84 | |
3359953205 | If the infants H/R is less than 100, administer _______ ________ | Artificial Ventilations | 85 | |
3359953206 | If the infants H/R is less than 60, administer _______ ________ | Chest compressions | 86 | |
3359953207 | Chest compressions in a neonate should be delivered at a rate of ____/min | 120/min | 87 | |
3359953208 | The ratio for neonate resuscitation is __:__ | 3:1 | 88 | |
3359953209 | Transportation to the hospital can be delayed up to ___ mins while awaiting delivery of the placenta | 20 mins | 89 | |
3359953210 | ________ the uterus will help it contract after delivery of the placenta | Massaging | 90 | |
3359953211 | ______ _______ is when the baby's buttocks or both legs appear first in childbirth, and is the most common abnormal delivery | Breech presentation | 91 | |
3359953212 | A ______ _______ is when an infants limb protrudes from the vagina before the appearance of any other body part | Limb presentation | 92 | |
3359953213 | A ______ ______ ______ is when the umbilical cord presents first and is squeezed between the vaginal wall and the baby's head, cutting off oxygen supply to the baby | Prolapsed umbilical cord | 93 | |
3359953214 | To keep pressure off of the umbilical cord, insert your gloved hand into the mother's vagina and gently push up on the baby's ______ or buttocks | Head | 94 | |
3359953215 | A _______ ______ is when more than one baby is born during a single delivery | Multiple birth | 95 | |
3359953216 | If the abdomen appears unusually ______ in a patient with no pre-birth care, consider the possibility of multiple births | Large | 96 | |
3359953217 | A premature infant is any newborn weighing less than ____ lbs or born before the ____ week of pregnancy | 5 1/2, 37th | 97 | |
3359953218 | The desired temperature for a premature infant is ___-___ degrees | 90-100 | 98 | |
3359953219 | _______ _______ is a condition in which the placenta is formed in an unusual location (low in the uterus and close to or over the cervical opening) that will not allow for normal delivery of the fetus, a cause of excessive prebirth bleeding. No or minimal pain | Placenta previa | 99 | |
3359953220 | ______ _______ is a condition in which the placenta separates from the uterine wall, a cause of prebirth bleeding and a "tearing" pain | Abruptio placentae | 100 | |
3359953221 | An _______ _______ is when implantation of the fertilized egg is not in the body of the uterus, occurring instead in the fallopian tubes, cervix, or abdominopelvic cavity | Ectopic pregnancy | 101 | |
3359953222 | ________ is a severe complication of pregnancy that produces seizures and coma | Eclampsia | 102 | |
3359953223 | ________ is a complication of pregnancy in which the woman retains large amounts of fluid (hands, feet, and/or face) and has hypertension. She may also experience seizures and/or coma during birth, which is very dangerous to the infant | Preeclampsia | 103 | |
3359953224 | An ________ is spontaneous (miscarriage) or induced termination of pregnancy | Abortion | 104 | |
3359953225 | A ________ ________ is when the fetus and placenta deliver before the ______ week of pregnancy | Spontaneous abortion, 20th | 105 | |
3359953226 | An ______ ______ is an expulsion of a fetus as a result of deliberate actions taken to stop the pregnancy | Induced abortion | 106 | |
3359953227 | The most common cause of blunt trauma is _______ _______, and the greatest threat they cause is hemorrhage | Automobile collisions | 107 | |
3359953228 | A pregnant female has a pulse that is __-__ BPM faster than a nonpregnant female | 10-15 | 108 | |
3359953229 | A woman in late pregnancy may have a blood volume up to ___ percent higher than a nonpregnant female | 48 percent | 109 | |
3359953230 | ______ is the most likely cause of prehospital death from injury to the uterus | Shock | 110 | |
3359953231 | ________ means born dead | Stillborn | 111 | |
3359953232 | ______ means the amount of pregnancies a woman has had | Gravida | 112 | |
3359953233 | ______ means the amount of successful pregnancies a woman has had | Para | 113 | |
3359953234 | Transport a patient with an abnormal pregnancy with hips _______ or on _____ _____ with butt in the air | Elevated, all fours | 114 | |
3359953235 | If a woman is estimated to be more than ___ weeks pregnant, the AHA recommends manually displacing the uterus during CPR by pulling the pregnant abdomen toward the patient's left side | 20 weeks | 115 | |
3359953236 | When performing chest compressions on a pregnant woman, position your hands __-__ inches higher on the sternum | 1-2 inches | 116 | |
3359953237 | The most serious complication of vaginal bleeding is _______ shock | Hypovolemic | 117 | |
3367460069 | The EMT's role at a birth is generally to provide _____ and to ____ the mother in the delivery of her baby | reassurance, assist | 118 | |
3367460902 | During normal delivery, the EMT should evaluate the mother to determine if there should be ______ _____ to a medical facility or if ____ ___ ____ and will take place at the scene | immediate transport, birth is imminent | 119 | |
3367461921 | If birth is to take place at the scene prepare for the ____ | worst | 120 | |
3367462124 | Always be prepared for _____ ______ | neonatal resuscitation | 121 | |
3367462675 | Complications of delivery represent a _____ _______. | true emergency | 122 | |
3367463718 | Any of the following findings -Breech presentation, prolapsed umbilical cord, limb presentation, premature birth, meconium staining- indicate the need for ____ ____ | rapid transport | 123 | |
3367468717 | 124 |
Emergency Care 13th Ed. Chapter 32 - Obstetric and Gynecological Emergencies Flashcards
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