OBGYN and Neonatal Resuscitation

What does the "P" in APGAR stand for? pulse pupils past history

Pulse

Gravida means?

pregnant, number of pregnancys

APGAR should be calculated at how many minutes after birth? 5 and 10 1 and 5 1 and 10

1 and 5

A miscarriage is any delivery of the fetus before ___ weeks. 10 weeks 36 weeks 40 weeks 20 weeks

20 weeks

Your patient is a term neonate that is experiencing a sinus infection. You know that a term neonate is a baby that is zero to how many days old? 14 7 28 21

28 A term neonate is any child who is 0 to 28 days old. We say newborn is day's old. No set number for newborn.

For postpartum bleeding to be considered postpartum hemorrhage, there must be how much blood loss? 500 mL 2,000 mL 1,500 mL 1,000 mL

500 mL 250 to 300 mL is normal with childbirth. 500mL is excessive and prepare for shock and transport.

When the baby is born and the heart rate is below ___beats/minute start CPR immediately. 60 100 80

60

If the heart rate is between ___ and ____ beats/minute give 30 to 60 seconds of oxygen then start CPR if not above ____beats/minutes. 150 and 120, 80 60 and 100, 100 60 and 80, 60

60 and 100, 100

The nurse turns to you and says that the female patient you brought in is primigravida. This term refers to which of the following definitions? A woman who is pregnant for the very first time A first-time deliver of a healthy baby A first-time abortion A woman who has been pregnant before, but has a history of abortions

A woman who is pregnant for the very first time

The second stage of labor is full dilation of the cervix to delivery of the placenta.

False Dilation of cervix to delivery of baby.

Full-term pregnancy must last at least 46 weeks.

False Full-term pregnancy is 40 weeks

When contractions are 3 to 4 minutes apart and last 45 seconds or longer birth is imminent.

False Less than 2 minutes and lasting more than 45 sec to 60 seconds.

The first stage of labor is true contractions to delivery of the baby.

False True contraction to full dilation of cervix.

Common signs and symptoms of endometritis include all of the following, except? Fever Pinpoint tenderness in the umbilicus Lower abdominal pain Bloody and foul smelling discharge

Fever Endometritis is the inflammation of the lining of the uterus

A 36-year-old woman has 4 kids, a history of 2 miscarriages, and is currently pregnant. She would fit which gravida/para score? Gravida 6, Para 4 Gravida 4, Para 4 Gravida 7, Para 4

Gravida 7, Para 4

You are dispatched to an imminent delivery. When you arrive, the patient is walking around the house and tells you her membranes just ruptured before she called 911. How should you proceed? Have her lie on the gurney and do a quick exam for excessive vaginal bleeding, transport immediately. Have her lie on the gurney in a position of comfort and transport. Have her lie down and prepare for imminent delivery. Place the patient on high-flow O2, transport immediately.

Have her lie on the gurney in a position of comfort and transport. Ruptured membranes is also known as the water breaking, or the rupture of the amniotic sac. Although it is an indication that labor has begun, it doesn't mean that delivery is imminent, especially if the patient is walking around. O2 isn't indicated unless there is some respiratory signs and symptoms associated with the birth.

An ectopic pregnancy is one that occurs? Outside the uterus Inside the bladder Inside the uterus Along the urethral lining

Outside the uterus An ectopic pregnancy is one that occurs outside the uterus, most commonly in the fallopian tubes.

You and your partner are assisting in a field delivery. The infant was in complete breech presentation and its entire body and torso have delivered. However, the infant's head is not delivering despite the mother pushing. What must you do to ensure that the infant has an airway while its head is still in the birth canal? Cut the umbilical cord immediately, making sure to clamp approximately six inches away from the infant's umbilicus Attempt to digitally intubate the infant, using suction as necessary and monitoring fetal heart tones Place two gloved fingers in the mother's vagina and put each finger on either side of the infant's nose, pushing the walls of the birth canal away from the infant's face Apply gentle traction on the infant's shoulders and begin to rotate the torso

Place two gloved fingers in the mother's vagina and put each finger on either side of the infant's nose, pushing the walls of the birth canal away from the infant's face If the head does not deliver soon after the torso, you must ensure an airway for the infant. Make sure you explain to the mother what you are doing and why you are doing it.

Your 19-year-old female patient is feeling the need to push and is 39 weeks pregnant. She tells you her last baby was born shortly after the start of contractions. She is gravida 2, para 1, and abortion 0. A delivery that occurs within 3 hours from the onset of labor is called? Pre-imminent delivery Precipitous delivery Fast delivery Immediate delivery

Precipitous delivery A precipitous delivery is one that occurs within 3 hours of the onset of labor. If your patient tells you she tends to deliver fast, be prepared to deliver the child in the field or the back of your ambulance.

You are called to the home of a 20-year-old pregnant female who is 37-weeks pregnant. Upon arrival, she tells you that she had a sudden visual obstruction while going up the steps to her apartment. She described it as "seeing wiggly lines off to the side" in her peripheral vision followed immediately by a migraine which has lasted for over 2 hours. She is mentally competent and has no other complaints besides the migraine at this time. Vitals: BP 142/92, HR 90, RR 18, SpO2 98%, and her skin is slightly warm and diaphoretic. What is the most likely cause of this patient's condition and what is the best course of action? Migraine, call medical control TIA, recommend rapid transport Preeclampsia, recommend rapid transport Placenta Previa, recommend rapid transport

Preeclampsia, recommend rapid transport The patient's blood pressure, skin condition, vision disturbances, and headache should all alert you to preeclampsia. Rapid recognition and transport are the best course of action.

Your 23-year-old female patient just delivered a baby. As you assess the neonate, you note that he is having trouble breathing. You discover his pulse to be 50 bpm, and cyanosis around the lips and fingers. What is your first intervention? Allow baby to begin feeding Start compressions Administer breaths via BVM Suction the airway

Start compressions In a neonate, that key number is 60. If their heart rate is below 60, start compressions immediately. If the heart rate is 60-100, assist the patient with ventilations via BVM.

Massaging the uterus and nursing are two ways to reduce bleeding after delivery of the baby.

True

The third stage of labor is delivery of the baby to delivery of the placenta.

True

When the fetus is coming out both feet first and is delivered up to its nipple line place a gloved hand into the vagina and form a "V" with your fingers to create an airway for the fetus.

True

You arrive on scene of a 4-year-old male in respiratory distress. Initial evaluation of the patient reveals the following: cyanosis around the lips, audible gasping, and a weak brachial pulse. Vitals: BP 52/24, P 78, R 8. What is going to be your immediate intervention? Begin chest compressions at a ratio of 15:2 (compressions to breath ratio) Nasal cannula @ 6 L/min NRB @ 15 L/min Ventilate with a BVM @ 15 L/min, one breath every 3-5 seconds If a pediatric patient's pulse is less than 100, but greater than 60, ventilate the patient with high-flow oxygen at a rate of 1 breath every 3-5 seconds. If the patient's pulse is less than 60, you immediately begin chest compressions at a rate of 15:2 (compressions to breath ratio).

Ventilate with a BVM @ 15 L/min, one breath every 3-5 seconds If a pediatric patient's pulse is less than 100, but greater than 60, ventilate the patient with high-flow oxygen at a rate of 1 breath every 3-5 seconds. If the patient's pulse is less than 60, you immediately begin chest compressions at a rate of 15:2 (compressions to breath ratio).

When a female has a seizure late in the pregnancy she is said to be experiencing? eclamptic placenta previa placenta abrupto pre-eclampsia

eclamptic

Any female of child bearing age with abdominal pain is what condition until proven otherwise? eclamptic placenta abrupto ectopic pre-eclampsia

ectopic

What do you do when the umbilical cord is around the baby's neck? wait for the delivery of the placenta tug on cord gently slip it over baby's head

gently slip it over baby's head

Para means?

number of live births

This medical condition is when the placenta is hemorrhaging and no external bleeding is visible. placenta previa placenta abrupto pre-eclampsia eclamptic

placenta abrupto

This medical condition is when the placenta is located close to the cervix. Non-painful bleeding. placenta previa placenta abrupto eclamptic pre-eclampsia

placenta previa

Pregnant pt with headache, seeing spots, swelling in hand and feet, high blood pressure are seen in? placenta abrupto pre-eclampsia placenta previa eclamptic

pre-eclampsia eclampsia is same but seizure activity present.