EMT NREMT review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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| show | the baby as he develops in the womb
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| show | the nuscular abdominal organ where the fetus develops; womb
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| cervix | show 🗑
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| vagina | show 🗑
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| placenta | show 🗑
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| umbilical cord | show 🗑
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| amniotic sac | show 🗑
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| show | 4 inches or 10 cm
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| show | about 2 quarts
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| first trimester | show 🗑
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| show | fetus grows rapidly
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| crowning | show 🗑
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| cephalic presentation | show 🗑
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| breach presentation | show 🗑
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| show | entire process of deliver
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| first stage of labor | show 🗑
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| show | full dilation of cervix, baby enters birth canal until born, EMT,B decides to transport or prepare to assist with delivery
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| show | after baby is born until the afterbirth is delivered
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| dilation period of labor | show 🗑
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| afterbirth | show 🗑
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| effacement | show 🗑
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| show | start at every 30 minutes and then down to 3 minutes or less
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| meconium staining | show 🗑
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| bloody show | show 🗑
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| EMT,B and labor pain | show 🗑
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| EMT,B's primary role | show 🗑
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| sterile obsteric kit | show 🗑
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| show | series of questions, exam for crowning, vital signs
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| average time of labor for woman having first baby | show 🗑
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| show | also vena cava compression syndrome; mass compressing vena cava, major blood vessel, reducing return of blood to heart, reducing cardiac output , resulting in dizziness and drop of bp
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| vena cava compression syndrome | show 🗑
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| supine hypotensive syndrome treatment | show 🗑
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| 6 steps in preparing mother for delivery | show 🗑
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| Assisting with normal delivery | show 🗑
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| show | soft spots on baby's skull
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| When do you assess the newly born? | show 🗑
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| general initial evaluation of baby | show 🗑
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| show | greater than 100
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| show | vigorous crying good sign
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| show | evaluation protocol for newborns
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| APGAR | show 🗑
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| show | 0 , blue or pale all over, 1 , extremeties blue, trunk pink, 2 , pink all over
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| show | 0 , no pulse, 1 , pulse between 1 and 100, 2 , pulse greater than 100
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| APGAR Grimace (reaction to suctioning or flicking on the feet) | show 🗑
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| show | 0 , no movement, 1 , only slight activity (flex extremities), 2 , move around normal
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| show | 0 , none, 1 , slow, irregular breathing, weak cry, 2 , good breathing, strong cry
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| show | place baby on sterile sheet on padded surface, level with the vagina,
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| show | when the newborn doesn't breathe on his hown after suctioning, drying, and warming for 30 seconds
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| show | 40 to 60 per minute , rapid, small puffs , reassess in 30 seconds
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| show | initiate chest compressions at rate of 120 per minute , 90 compressions and 30 ventilations each minute
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| show | supplemental oxygen at 10,15 liters per minute with tubing placed close to infant's mouth
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| show | keep infant warm, use sterile clamps from OB kit, slowly tie square knot, one clamp 10 inches from baby, other about 7 inches out, cut between clamps
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| When do you not cut the cord? | show 🗑
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| When do you cut the cord? | show 🗑
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| show | 30 minutes
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| show | 20 minutes
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| How much blood loss is normal after delivering the baby and placenta? | show 🗑
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| show | sanitary napkin, lower legs and raise feet, massage the uterus to help it contract (circular motion), mother nurse baby which leads to contraction of uterus (not recommended by all docs)
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| perineum | show 🗑
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| How do you treat a torn perineum? | show 🗑
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| show | Take vital signs frequently, wipe hands and forehead with damp cloth, freshen sheets, keep warm.
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| show | Provide high concentration oxygen and rapid transport.
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| show | rapid transport, high concentration oxygen, mother head down with pelvis elevated, if baby delivers, support and prevent explosive delivery of head
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| prolapsed unbilical cord | show 🗑
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| show | elevate hips, oxygen, keep mother warm, keep baby's head away from cord, don't push cord back in, wrap cord in moist towel. Transport, continue pressure on baby's head.
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| What is often present with one or more limbs are presented? | show 🗑
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| How do you care for mother with limb presentation? | show 🗑
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| show | additional personnel and identify birth order, care for babies like singles, keep babies warm
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| show | baby weighs less than 5.5 pounds or is born before 37th week of pregnancy
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| What are signs of a possible premature birth? | show 🗑
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| show | Extra efforts to keep baby warm, keep airway clear with suction, provide ventilations or compressions if needed, watch cord for bleeding, flow oxygen by baby's face, avoid contamination, warm ambulance, transport to ER
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| Why is meconium such a risk to the baby? | show 🗑
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| How do you care for the baby if you see meconium staining? | show 🗑
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| show | placenta is formed in an abnormal location like low in uterus and close to or over the cervical opening, not allowing normal delivery, causes excessive prebirth bleeding , cervix dilates, the placenta tears
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| show | placenta separates from the uterine wall, causing prebirth bleeding, occurs in 3rd trimester
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| show | look for signs of profuse bleeding from vagina, mother may or may not experience pain, look for signs of shock, obtain vitals (rapid heartbeat may indicate significant blood loss.
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| show | High concentration oxygen, rapid transport, use sanitary napkins (save all for evaluation), save all tissue that passes
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| show | fallopian tube that carries eggs from ovary to uterus
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| show | implantation of the fertilized egg is in the ovidcut, cervix, or abdominopelvic cavity
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| What are signs of a ectopic pregnancy? | show 🗑
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| How do you care for a patient with ectopic pregnancy? | show 🗑
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| What is eclampsia? | show 🗑
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| show | complication during pregnancy where woman retains large amounts of fluid and has hypertension. She may also experience seizures or coma. very dangerous to baby.
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| show | elevated BP (increased with risk of abruptio placentae), excessive weight gain, extreme swelling of face, hands, ankles, feet; headache
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| How do you care for patient with seizures during pregnancy? | show 🗑
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| What determines miscarraige or spontanious abortion? | show 🗑
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| show | obtain vitals, oxygen, absorb bleeding and save all pads and tissues, transport, provide emotional support
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