Gynecological emergencies
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| What is a developing baby called? | Fetus
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| How far must the cervis dilate in order to allow labor to happen? | 4 inches or 10 cm
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| How long is the umbilical cord? | 1 inch wide, 22 inches long
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| What is the first stage of labor? | Regular contractions, thinning of cervix, ends when cervix is full dilated.
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| What is the second stage of labor? | When the baby enters the birth canal.
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| What is the third stage of labor? | Baby has been born, placenta expelled.
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| What is the first stage of labor also called? | Dilation period
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| How should all third trimester patients be transported? | Laying on their left side.
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| How do you time contractions? | From the beginning from one to the beginning to the next.
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| What do you suction first when the baby has been delivered? | Mouth
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| How far do you insert the tip of the bulb syring into the baby's mouth? | 1 to 1/2 inches
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| Once the baby is delivered how do you postion him? | Laying down with his head slightly lower than his body but still keeping with the same level as the mothers vagina.
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| A normal newborn should have a pulse greater then what? | 100/min
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| How soon should a newborn begin breathing? | Within 30 seconds
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| If the baby does not start to breath at what rate should you provide ventilations? | 40 to 60/min
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| How often should chest compressions on a newly born be delivered? | 120/min
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| What is the ratio of compressions to breaths in a newly born? | 3:1 - 90 compressions, 30 ventilations
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| What type of oxygen is best delivered to a newly born who's face and torso are cyanotic? | 15 liters per minute by blow by method
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| When is it okay to cut and clamp the cord in a normal birth? | Once the infant is breathing on his own
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| Where should the first clamp go on the cord? | 10 inches from baby
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| Where should the second clamp go on the cord? | 7 inches from baby
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| What is a breech presentation? | Buttocks or both legs first delivery
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| What type of paitent care do you give to a mother who's having a breeh presentation? | Rapid transport, high cincentration oxygen, place mother in head down postion with pelvis elevated.
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| What type of patient care is given to a mother who is having a prolapsed umbilical cord birth? | Mothers head down, buttocks raised, high flow oxygen via nonrebreather. Keep cord warm and check for pulse, insert gloved fingers to take pressure off cord. Transport.
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| What patient care is needed when there is a limb presentation? | Take any pressure off cord, rapid transport, high flow oxygen via nonrebreather, mother should be in head down postion with pelvis elevated.
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| What patient care is needed when twins are being delievered in a non hospital setting? | Clamp and tie cord of first baby before the second is born. Second baby could be born before or after placenta.
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| What is a premature infant? | A baby who weighs less than 5 1/2lbs or one who is born before the 37th week of pregnancy.
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| Explain patient for a premature infant. | Keep the baby warm, keep airway clear, give CPR and ventilations as needed, check cord for bleeding, keep baby away from infection, transport infant in a warm ambulance that's 90F to 100F.
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| What is meconium staining? | Wastes from the fetus which is a sign that it is in distress.
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| Expalin patient care for meconium staining. | Reduce risk of aspiration, suction mouth then nose, maintain open airway, provide ventilations or CPR as needed, transport.
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| What is placenta previa? | condition where placenta is formed in abnormal location.
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| What is abruptio placentae? | A condition in which the placenta sepearates from the uterine wall.
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| What is an ectopic pregnancy? | When the egg implants itself in an abnormal location such as the oviduct.
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| Explain patient care for an ectopic pregnancy. | Rapid transport, treat and care for shock, high flow oxygen via nonrebreather, do not give patient anything using the mouth.
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| When is a baby born early considered an abortion? | Born before 28th week of pregnancy.
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