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Obstetrics
Pediatrics
| Question | Answer |
|---|---|
| When the length contractions are getting closer together, what does that mean? | The mother is closer to giving birth. |
| If a patient has had previous pregnancies, what should you ask? | If they've had any past complications. If they were long deliveries. |
| If you see crowning, what does that mean? | Baby is coming right where you are, time to stop the ambulance or not transport the patient until they've given birth. |
| What are the stages of labour? | Initial, second stage and third stage. |
| What is the initial stage? | Initial contractions occur, water breaks, "bloody show" |
| What is the second stage? | crowning, birth of the newborn |
| What is the third stage? | Delivery of the placenta and stabilization of the mother and newborn |
| What should you ask yourself when you arrive and asses a mother in labour, with regards to time? | Is there time to reach the hospital? |
| What does less than 3 minute apart contractions mean? | Delivery is close |
| How should you prepare for the delivery? | Calm everyone, including yourself. Place patient on a firm surface that's padded, elevate the hips 5-10cm if possible with pillows, allow the patient to be comfortable, be clean and have plenty of clean towels ready. |
| What is APGAR? What does it stand for? | An initial method of scoring a newborn's overall health. Appearance, pulse, grimace, activity and respiration |
| When do you clamp the umbilical cord? | When the cord stops pulsating |
| What are the complications of pregnancy and childbirth? | Ectopic pregnancy, miscarriages, premature birth, prolapse of umbilical cord, breech birth, stillborn delivery, multiple births and excessive bleeding after delivery. |
| What can children's airways do easily? | Become occluded easily. |
| What is true about children in their vitals and body function? | Everything goes faster. Heart rate, resp rate, etc. |