Questions and answers to common OBS/ NEONATE AND PED info for Paramedics
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Gravida | # of pregnancies
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| Para | # of pregnancies to full term
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| Primi Gravida | First Pregnancy
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| Primi Para | Given births to first child
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| Multiparous | given birth multiple times
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| Gestation | fetal development time
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| Viability | 20-24 weeks
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| Quickening | first felt fetal movements
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| Premature | labor before 37 weeks but after 20 weeks
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| post term | labor after 42 weeks
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| Blood Volume in pg pt. increases by | 45-48%
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| HR increases approx ____ in third trim | 15bpm
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| BP decreases by _____ in 2nd trimester | 5-15mmhg
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| RR does what | increases
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| maternal oxygen consumption increases by | 20%
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| GI emptying quick or slow? | delayed
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| 1st trimester | last menstrual period to 12 weeks
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| Heart begins beating at_____ | 4th week
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| Every organ formed at ____ weeks | 8
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| 2nd trimester | 12-24 weeks
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| 3rd trimester | Last three months
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| Fat stores increase at ___ weeks | 36
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| Umbilical cord | 2 arteries 1 vein, 22 inches long at birth, does not kink and is surrounded by whartons jelly.
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| Amniotic Sac | 500-1000 cc after 20 weeks, provides pressure, protection, temp control, wedge during birth, lubs path for deliv
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| LMP-3months +7days (first day of the menstrual cycle) |
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| 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
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| Causes of Pre-eclampsia | diabetes, renal disease, increased weight gain, increased amniotic fluid, fluid intake
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| Signs and symptoms of pre eclampsia | >30mmHG BP, edema on face and hands, decreased urine output, headach, N/v, blurred vision, pulmonary edema
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| Pre eclampsia | hypertension affecting 7% of pregnancies
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| Presumptive sign of pg | signs a woman experiences and reports, n/v, missed period, breast changes, (does not confirm)
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| Probable sign of pg | objective signs taht others can see ex. nipples and areola darken, stretch marks, facial chloasma,
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| Positive sign of pg | hearing fetal heart rate, (120-160), fetal movement, ultrasound, blood/urine tests , confimrs pg.
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| 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
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| 20-25% of pregnancies terminate spontaneously | could be due to infection, unfavourable intrauterine environment, cervical incompetence
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| Neonate | 28 days of life or 1 month
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| Umbilical cord vein carries ____% of O2 to fetus | 80%
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| Umbilical arteries (2) carry ___% deoxygenated blood from fetus | 55%
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| Anter partum Risk Factors for neonates | Multiple gestation, inadequate care, mothers age <16->35, hx of morbidity, drugs/meds, hypertension, diabetes
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| Intra Uterine risk factors | Preemie, mec stain, rupture of membranes greater than 24hrs, narcotic use within 4hrs of delivery, prolapse cord, bleeding, prolonged labor
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| Umbilical Vein Connects directly to inf vena cava via the ____ | ductus venousous
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| Blood in right atrium mixes with blood in left atrium through the ____ | foramen ovale
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| Once blood reaches pulmonary artery, oxygenated blood enters ______ which connects pulmonary artery with aorta | ductus arteriosus
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| Neonate RESP RATE | 30-60
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| Neonate HR | 100-180
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| Neonate Systolic BP | 60-90mmHg
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| Neonate temp | 36.7-37.8
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| Evaluate Neonate based on three things | RESPIRATIONS, HR, COLOR,
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| Neonate tidal volume | 7cc/kg
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| Bradycardia in neonate (possible causes) | hypoxia, ICP increase,hypothyroidism, acidosis
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