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Questions and answers to common OBS/ NEONATE AND PED info for Paramedics

Gravida # of pregnancies
Para # of pregnancies to full term
Primi Gravida First Pregnancy
Primi Para Given births to first child
Multiparous given birth multiple times
Gestation fetal development time
Viability 20-24 weeks
Quickening first felt fetal movements
Premature labor before 37 weeks but after 20 weeks
post term labor after 42 weeks
Blood Volume in pg pt. increases by 45-48%
HR increases approx ____ in third trim 15bpm
BP decreases by _____ in 2nd trimester 5-15mmhg
RR does what increases
maternal oxygen consumption increases by 20%
GI emptying quick or slow? delayed
1st trimester last menstrual period to 12 weeks
Heart begins beating at_____ 4th week
Every organ formed at ____ weeks 8
2nd trimester 12-24 weeks
3rd trimester Last three months
Fat stores increase at ___ weeks 36
Umbilical cord 2 arteries 1 vein, 22 inches long at birth, does not kink and is surrounded by whartons jelly.
Amniotic Sac 500-1000 cc after 20 weeks, provides pressure, protection, temp control, wedge during birth, lubs path for deliv
LMP-3months +7days (first day of the menstrual cycle)
Signs of imminent delivery crowning, rupture of amniotic sac,need to bear down, contraction 1-2 mins apart lasting 45-60seconds,sensation to make a bowel movement
Causes of Pre-eclampsia diabetes, renal disease, increased weight gain, increased amniotic fluid, fluid intake
Signs and symptoms of pre eclampsia >30mmHG BP, edema on face and hands, decreased urine output, headach, N/v, blurred vision, pulmonary edema
Pre eclampsia hypertension affecting 7% of pregnancies
Presumptive sign of pg signs a woman experiences and reports, n/v, missed period, breast changes, (does not confirm)
Probable sign of pg objective signs taht others can see ex. nipples and areola darken, stretch marks, facial chloasma,
Positive sign of pg hearing fetal heart rate, (120-160), fetal movement, ultrasound, blood/urine tests , confimrs pg.
Preemie at high risk of cold stress dude to____ no fat stores, no musclemass for shivering, Large BSA for heat loss, heat sensors located on face, thermogenesis for heat production
20-25% of pregnancies terminate spontaneously could be due to infection, unfavourable intrauterine environment, cervical incompetence
Neonate 28 days of life or 1 month
Umbilical cord vein carries ____% of O2 to fetus 80%
Umbilical arteries (2) carry ___% deoxygenated blood from fetus 55%
Anter partum Risk Factors for neonates Multiple gestation, inadequate care, mothers age <16->35, hx of morbidity, drugs/meds, hypertension, diabetes
Intra Uterine risk factors Preemie, mec stain, rupture of membranes greater than 24hrs, narcotic use within 4hrs of delivery, prolapse cord, bleeding, prolonged labor
Umbilical Vein Connects directly to inf vena cava via the ____ ductus venousous
Blood in right atrium mixes with blood in left atrium through the ____ foramen ovale
Once blood reaches pulmonary artery, oxygenated blood enters ______ which connects pulmonary artery with aorta ductus arteriosus
Neonate RESP RATE 30-60
Neonate HR 100-180
Neonate Systolic BP 60-90mmHg
Neonate temp 36.7-37.8
Evaluate Neonate based on three things RESPIRATIONS, HR, COLOR,
Neonate tidal volume 7cc/kg
Bradycardia in neonate (possible causes) hypoxia, ICP increase,hypothyroidism, acidosis
Created by: Jordo99