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Emergency Care 13th Ed. Chapter 32 - Obstetric and Gynecological Emergencies Flashcards

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3359953120A woman's external genitalia consists of three structures, the ______, the _______, and the ______ ______Labia, perineum, and mons pubis0
3359953121The ______ is the soft tissue that protects the entrance to the vagina, and is prone to significant bleeding with traumaLabia1
3359953122The _______ is the surface area between the vagina and anus, and is prone to tearing during childbirthPerineum2
3359953123The _____ _____ is the soft tissue that covers the pubic symphysis, area where hair grows during pubertyMons pubis3
3359953124A woman's internal genitalia consists of the ______, the _______, the _______ ______, and the _______Vagina, ovaries, fallopian tubes, and uterus4
3359953125The _______ is the birth canal, connecting the uterus to the outside world and stretches to accommodate the passage of the fetus during deliveryVagina5
3359953126The _______ are the female reproductive organ that produces ova, as well as many of the hormones necessary for reproductionOvaries6
3359953127The _______ _______ are narrow tubes that connects the ovaries to the uterusFallopian tubes7
3359953128_______ _______ occurs when the ovum implants in the fallopian tubesEctopic pregnancy8
3359953129The ________ is the muscular abdominal organ where the fetus develops, the wombUterus9
3359953130The top, or ______, of the uterus can be found as high as the ______ _______ in a late-term pregnant womanFundus, xiphoid process10
3359953131The _______ is the neck of the uterus at the entrance to the birth canal, separating the uterus and vaginaCervix11
3359953132In a nonpregnant female, the _______ is constricted to close off the uterusCervix12
3359953133_______ is the phase of the female reproductive cycle in which an ovum is released from the ovaryOvulation13
3359953134The fallopian tubes move the eggs by ______ (waves of muscular contraction) toward the uterusPeristalsis14
3359953135The process of menstruation is characterized by vaginal bleeding, typically totaling ___ mL, for roughly three to five days50 mL15
3359953136An ______ is the baby from fertilization to 8 weeks of developmentEmbryo16
3359953137A ________ is the baby from 8 weeks of development to birthFetus17
3359953138A typical pregnancy last about ___ weeks40 weeks18
3359953139______ is the most significant change that pregnancy brings to the reproductive systemSize19
3359953140The ________ is the organ of pregnancy where the exchange of oxygen, nutrients, and wastes (drugs, nicotine, alcohol) occur between a mother and fetusPlacenta20
3359953141The mother's blood (does/does not) flow through the fetusDoes not21
3359953142The ______ ______ is the fetal structure containing the blood vessels that carry blood to and from the placentaUmbilical cord22
3359953143The ______ ______ 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 temperatureAmniotic sac23
3359953144The cardiovascular system responds to pregnancy by increasing _____ _____, ______ ______, and ____ _____.blood volume, cardiac output, and heart rate24
3359953145Although 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, decreased25
3359953146The B/P of a pregnant female is typically slightly _______Decreased26
3359953147In the later stages of pregnancy, the fetus can also put pressure on the woman's _______ and decrease the volume of air in her lungsDiaphragm27
3359953148A growing fetus puts pressure on the stomach and intestines and can slow _______Digestion28
3359953149______ and _______ are very common in pregnancyNausea and vomiting29
3359953150Hormones released with pregnancy can make the ligaments of a pregnant woman's musculoskeletal system more _______, and therefore, more vulnerable to injuryElastic30
3359953151Diseases such as ______ and _______ can be made worse during pregnancyAsthma and diabetes31
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 outputSupine hypotensive syndrome32
3359953153Place a patient with supine hypotensive syndrome on her ______ side to prevent compression of the inferior vena cavaLeft33
3359953154Contraction ______, or duration is the time from the beginning of a contraction to when the uterus relaxes (from start to end)Time34
3359953155Contraction ______, or frequency is the time from the start of one contraction to the beginning of the nextInterval35
3359953156_______ is the entire process of delivery, consisting of three stagesLabor36
3359953157The first stage of labor starts with ______ ______ and ends when the cervix is fully _______Regular contractions, dilated37
3359953158The second stage of labor is the time from when the baby enters the _____ _____ until it is bornBirth canal38
3359953159The third stage of labor begins after the baby is born and lasts until the ________ is deliveredAfterbirth39
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 babyAfterbirth40
3359953161The first stage of labor is also called the ______ periodDilation41
3359953162______-______ contractions are irregular prelabor contractions of the uterusBraxton-Hicks42
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 imminentLightening43
3359953164Most women report the start of labor pains as an ache in the ______ ______Lower back44
3359953165When contractions last between ___-___ secs and are ___-___ mins apart, delivery of the baby may be imminent30-60, 2-345
3359953166Women giving birth for the first time remain in the first stage of labor for an average of ___ hours16 hours46
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 laborMeconium staining47
3359953168The third stage of labor usually lasts ____ to ____ mins and ends as the placenta is deliveredTen to twenty48
3359953169________ is when part of the baby is visible through the vaginal openingCrowning49
3359953170________ presentation is when the baby appears headfirst during birth. Normal presentationCephalic50
3359953171________ birth is when the baby presents its buttocks or feet firstBreech51
3359953172If the mother is having labor pains from contractions that are about ___ mins apart, birth may be very near2 mins52
3359953173If an expected delivery does not occur within ___mins, contact medical control and request to initiate transport10 mins53
3359953174If 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, floor54
3359953175Keep extra clamps in the OB kit in case there are ______ _______Multiple births55
3359953176A pregnant patient should be discouraged from breathing rapidly and deeply enough to bring on _________Hyperventilation56
3359953177Never _____ on the baby during deliveryPull57
3359953178If the amniotic sac has not broken by the time the baby's head is delivered, use your finger to puncture the _______Membrane58
3359953179If _______ is present, prepare to suction the infant immediatelyMeconium59
3359953180If 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 head60
3359953181If you cannot loosen or slip the cord over the baby's head, clamp the cord in ____ places, and cut the cord between the clampsTwo61
3359953182Once the baby's feet are delivered, lay the baby on his ______ with his head slightly lower than his bodySide62
3359953183Keep the baby at the same level as the mother's _______ until the umbilical cord stops pulsatingVagina63
3359953184Most _______ babies will not require suctioningActive64
3359953185When suctioning, suction the ______ first, then the noseMouth65
3359953186Insert the tip of the bulb syringe __ to __" into the babies mouth1 to 1 1/2"66
3359953187Insert the tip of the bulb syringe no more than __" into the nostril1/2"67
3359953188A _______ is a newly born infant or an infant less than one month oldNeonate68
3359953189A 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 feet100 BPM69
3359953190APGAR: A - P - G - A - R -APGAR: A - Appearance P - Pulse G - Grimace A - Activity R - Respiratory Effort70
3359953191Each component of APGAR is from 0-2 points, for a perfect score of ___1071
3359953192The APGAR score is traditionally taken __ minute after birth, and again __ mins after birth1 min, 5 mins72
3359953193The 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 cellsPolycythemia74
3359953195The umbilical cord should be cut no earlier than __ min after birth1 min75
3359953196Do not tie, clamp, or cut the cord of a baby who is not _______ on his own unless it is required to save infantBreathing76
3359953197It is best to leave the protective coating (_______) on the infant until he reaches a medical facilityVernix77
3359953198Apply one clamp ___" from the baby10"78
3359953199Apply the second clamp ___" from the baby7"79
3359953200If 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 infantHigher80
3359953201If a baby is breathing adequately, has a pulse over 100, but has central cyanosis, administer ______-_____ ______Blow-by oxygen81
3359953202If a neonate does not breathe on his own after drying and warming for ___ secs, begin resuscitation measures30 secs82
3359953203Inverted Pyramid: ______, _______, Positioning, Suction, Stimulation ________ ______ ______ _______Inverted Pyramid Warming, Drying, Positioning, Suction, Stimulation Oxygen BVM Chest Compressions83
3359953204If providing artificial ventilations, check infant's respiratory status in ___ secs30 secs84
3359953205If the infants H/R is less than 100, administer _______ ________Artificial Ventilations85
3359953206If the infants H/R is less than 60, administer _______ ________Chest compressions86
3359953207Chest compressions in a neonate should be delivered at a rate of ____/min120/min87
3359953208The ratio for neonate resuscitation is __:__3:188
3359953209Transportation to the hospital can be delayed up to ___ mins while awaiting delivery of the placenta20 mins89
3359953210________ the uterus will help it contract after delivery of the placentaMassaging90
3359953211______ _______ is when the baby's buttocks or both legs appear first in childbirth, and is the most common abnormal deliveryBreech presentation91
3359953212A ______ _______ is when an infants limb protrudes from the vagina before the appearance of any other body partLimb presentation92
3359953213A ______ ______ ______ 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 babyProlapsed umbilical cord93
3359953214To 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 buttocksHead94
3359953215A _______ ______ is when more than one baby is born during a single deliveryMultiple birth95
3359953216If the abdomen appears unusually ______ in a patient with no pre-birth care, consider the possibility of multiple birthsLarge96
3359953217A premature infant is any newborn weighing less than ____ lbs or born before the ____ week of pregnancy5 1/2, 37th97
3359953218The desired temperature for a premature infant is ___-___ degrees90-10098
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 painPlacenta previa99
3359953220______ _______ is a condition in which the placenta separates from the uterine wall, a cause of prebirth bleeding and a "tearing" painAbruptio placentae100
3359953221An _______ _______ is when implantation of the fertilized egg is not in the body of the uterus, occurring instead in the fallopian tubes, cervix, or abdominopelvic cavityEctopic pregnancy101
3359953222________ is a severe complication of pregnancy that produces seizures and comaEclampsia102
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 infantPreeclampsia103
3359953224An ________ is spontaneous (miscarriage) or induced termination of pregnancyAbortion104
3359953225A ________ ________ is when the fetus and placenta deliver before the ______ week of pregnancySpontaneous abortion, 20th105
3359953226An ______ ______ is an expulsion of a fetus as a result of deliberate actions taken to stop the pregnancyInduced abortion106
3359953227The most common cause of blunt trauma is _______ _______, and the greatest threat they cause is hemorrhageAutomobile collisions107
3359953228A pregnant female has a pulse that is __-__ BPM faster than a nonpregnant female10-15108
3359953229A woman in late pregnancy may have a blood volume up to ___ percent higher than a nonpregnant female48 percent109
3359953230______ is the most likely cause of prehospital death from injury to the uterusShock110
3359953231________ means born deadStillborn111
3359953232______ means the amount of pregnancies a woman has hadGravida112
3359953233______ means the amount of successful pregnancies a woman has hadPara113
3359953234Transport a patient with an abnormal pregnancy with hips _______ or on _____ _____ with butt in the airElevated, all fours114
3359953235If 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 side20 weeks115
3359953236When performing chest compressions on a pregnant woman, position your hands __-__ inches higher on the sternum1-2 inches116
3359953237The most serious complication of vaginal bleeding is _______ shockHypovolemic117
3367460069The EMT's role at a birth is generally to provide _____ and to ____ the mother in the delivery of her babyreassurance, assist118
3367460902During 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 sceneimmediate transport, birth is imminent119
3367461921If birth is to take place at the scene prepare for the ____worst120
3367462124Always be prepared for _____ ______neonatal resuscitation121
3367462675Complications of delivery represent a _____ _______.true emergency122
3367463718Any of the following findings -Breech presentation, prolapsed umbilical cord, limb presentation, premature birth, meconium staining- indicate the need for ____ ____rapid transport123
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