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Emergency care 13th Edition Chapter 32 Flashcards

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3350801800External GenitaliaLibia Perineum Mon Pubis0
3350820506Labiaconsist of soft tissues that protect the entrance to the birth canal.1
3350828770VaginaBirth canal smooth muscle2
3350831805OvariesSmall round organs that are located on either side of most women's lowere abdominal quadrants ; produces ova3
3350836086Fallopian TubesAKA: Oviducts , are where fertilization usually occurs4
3350841183Etopic Pregnancywhen ovum implants in the Fallopian tubes acute abdominal pain referred to shoulder vaginal bleeding rapid and weak pulse low blood pressure absent menstrual period5
3350847581Uteruswhere the fetus develops; The womb ,can stretch and grow as fetus gets larger6
3350854412CervixThe neck of the uterus, the entrance of the birth canal7
3350913123Menstruationstimulated by estrogen and progesterone Ovaries release ovum Uterus walls thicken Fallopian Tubes move eggs (peristalsis) Uterine walls expelled; bleeding 3-5 days8
3350938810Ovaeggs for conception9
3350958975Changes in Reproduction System9 months of pregnancy Three 3- month trimesters10
3350972611PlacentaOrgan of pregnancy where exchange of O2, nutrients, and waste occurs between a mother and fetus11
3350978787Umbilical Cordcirculate blood expelled with delivery of baby, placenta12
3350976573Amniotic Sacfluid that allows fetus to float, cushions fetus, maintains constant fetal body temperature13
3351052828Physiologic Cardiovascular changes in pregnancyIncreased blood volume, cardiac output, and hate rate14
3351064743Physiologic Respiratory changes in pregnancyIncreased O2 demand and consumption15
3351070330Physiologic Gastrointestinal changes in pregnancyNausea and vomiting slow digestion16
3351087251Hormonesligaments made more elastic, thus more vurnerable to injury17
3351098216What affect the posture leading to back pain and balance issuesWeight18
3351151061placenta, infant, and amniotic fluid total20-24 lbs19
3351155832Supine Hypotensive syndromeWhen mom lays Supine Mass compresses inferior vena cava reducing return of blood to the heart and cardiac output cardiac output decreases dizziness and BP drops20
3351177030First Stagestarts with regular contractions and ends when cervix fully dilated21
3351182698Second StageBaby enters birth canal and is born Full dilation of cervix contractions increasingly frequent labor pain severe mother feels urge to push or move bowels *EMT SHOULD DECIDED TO TRANSPORT PT OR STAY AND ASSIST WITH DELIVERY*22
3351185789Third StageBegins after baby is born and ends when afterbirth is delivered After baby's birth, contractions resumes until placenta is delivered Usually last ten to twenty minutes23
3351200795LaborThe 3 stages of the delivery of a baby that begins with the contractions of the uterus and end with the expulsion of the plecenta24
3351215430Afterbirththe placenta, membranes of the amniotic sac, part of the umbilical cord, and some tissue from the lining of the uterus that are delivered after the birth of the baby.25
3351234944Braxton-Hicks Contractionsirregular prelabor contractions of the uterus.26
3351240465lighteningthe sensation of the fetus moving from high in abdomen to low in the birth canal27
3351327980Characteristics of labor painsContraction time, or duration ( how long) from start to end contraction interval, or frequency ( how far apart) from start to start of next one28
3351341354Timing Contractionfrom start of one to start of another29
3351351874delivery of the baby is imminentwhen contractions last 30 mins to 1 minute and are 2-3 minutes apart,30
3351357254Breaking of amniotic sacwhen fluid with meconium staining indicates that there may be fetal distress31
3351497299What is assessment focused onImminent delievery32
3351501873During Assessment....Name, age, expected due date first Pregnancy? Has Pt seen a doctor seen doctor about pregnancy when did labor pains start? does pt feel the urge to push or to move bowels? examine for crowning? feel for uterine contractions Take vital signs33
3351584356Meconium stainingamniotic fluid that is greenish or brownish-yellow rather than clear as a result of fetal defecation; an indication of possible maternal or fetal distress during labor.34
3351608976crowningwhen part of the baby is visible through the vaginal opening35
3351621247cephalic presentationwhen the baby appears headfirst during birth; normal presentation.36
3351680030Findings that indicate the need of neonatal resuscitationNo prior prenatal care Premature delivery labor induced by trauma Multiple births Hx of pregnancy problems labor induced by drug use meconium staining when water breaks37
3351753193Emt's do not deliver babiesMother deliver babies38
3351758201Preparing mother for DeliveryControl scene wear proper PPE Place mother on bed, floor or ambulance stretcher Remove the clothing obstructing vagina position assistant and OB kit. If possible make environment as warm as possible39
3351823465Off duty delivery suppliesclean sheet and towels heavy flat twine or new shoelaces towel and plastic bag ( for placenta) clean, unused rubber gloves and eye protection head covering for the baby40
3351870010Delivering the babyPosition for constant view of the vaginal opening be prepared for the pt to experience discomfort provide emotional support communicate with Pt through contractions Assist with normal delivery position gloved hands at vaginal opening when baby's head start to appear place one hand below baby's head as it delivers once head is delivered check to see if umbilical cord is wrapped around the baby's neck help deliver shouders assess the airway suction mouth 1st nose 2nd note exact time of birth41
3351942211neonatean infant less than one month old42
3351968866APGAR scoreA- Appearance P- Pulse G- Grimace A- Activity R- Respiratory43
3352093780where to put the clamps on umbilical1st clamp 10 inches from baby 2nd clamp 7 inches from baby cut between the clamps44
3352113059when to provide artificial ventilations to babyif heart rate less than 100 bpm45
3352117442when to provide chest compressions to babyif heart rate less that 60 bpm at 120 per min46
3352211135AbortionSpontaneous ( misscarriage) or induced termination of pregnancy47
3352215578What is central cyanosisBlue trunk of baby48
3352221007After birth Mother is at risk ofserious bleeding, infection, emboli49
3352232183How long does it take to deliver placentamay take 30 mins or more50
3352239424Abruptio placentaeA condition in which the placenta separates from the uterine wall; a cause of pre birth bleeding51
3352251908Breech presentationwhen baby's buttocks or both legs appear first during birth.52
3352259323Eclampsiaa severe complication of pregnancy that produces seizures and coma53
3352269786fetusthe baby from 8 weeks of development to birth.54
3352269787Reproductive organ that produces ovaOvaries55
3352286580OvulationThe phase of the female reproductive cycle in which an ovum is released from the ovary56
3352299118Limb Presentationcan not be delivered in prehospital care Rapid Transport57
3352305577Perineumthe surface between the vagina and the anus58
3352310746Placenta previaA condition in which the placenta is formed in an abnormal location that will not allow for a normal delivery of the fetus; a cause of excessive pre birth bleeding59
3352326564PreclampsiaA complication of pregnancy in which the woman retain large amounts of fluids and has hypertension she may also experience seizures and or coma during child birth dangerous to mother and fetus60
3352344488Premature infantAny newborn weighing less than 5 1/2 lbs or born before the 37th week of pregnancy61
3352352948prolapsed umbilical cordWhen the umbilical cord presents first and is squeezed between the vaginal wall and the baby's head62
3352360908Still bornborn dead63
3352385720Embryothe baby from fertilization to 8 weeks of development64
3352400757Excessive prebirth bleedingprofuse bleeding abdominal pain signs of shock65
3352401894gravitahow many time moms has been pregnant66
3352403639Parhow many times have to gave birth67
3352423223Seizures in pregnancyexisting preclampsia elevated BP Excessive weight gain excessive swelling to face, ankles, hands, and feet Altered mental status, headache, or other unusual neurological findings68
3352456531Trauma in PregnancyPregnant PT pulse 10 - 15 bpm faster than non-pregnant women Blood loss may be 30-35 percent before signs/symptoms appear ask Pt if she has received blow to the abdomen69
3352496180Vaginal BleedingTreat potential life- threatening check for associated abdominal pain monitor for hypovolemic shock70
3352504024Trauma To Genitaliawhen sizing up scene observe for MOI look for signs of severe blood loss and shock consider internal injuries71
3352512791Sexual AssaultTreat immediate life threats Do not disturb potential criminal evidence Examine genital only if severe bleeding is present Discourage bathing, voiding, or cleansing wounds fulfill mandated reporting requirements.72

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