EMR chapter 23 and 24
delivery of the placenta takes_____minutes to deliver
10-30 minutes
A full-term pregnancy last approximately _____ days
280
A full term pregnancy last approximately
280days
Pediatric Assessment Triangle
Appearance, work of breathing and circulation to the skin.
In ______birth the babys feet or buttocks deliver first
Breech
The neck of the uterus which leads into a vagina is called the
Cervix
Signs that birth is imminent
Contractions 2-3 minutes apart or less; urge to push/ have bowel movement, water break, and crowning
During the ______ of labor the cervix becomes fully dilated
First stage
a disk shaped organ on the inner linning of the uterus provides nourishment to the fetus, absorbs wastes from the fetus ,absorbs wastes from the fetus + produces hormones
Placenta
use a ________________________ to suction mucus from the babys mouth then from the nose
Rubber bulb syringe
Fontanel
Soft spot in the skull where membranes cover the space between bones
what information should hand-off report to the paramedics include during a birth?
Time of birth vital signs consciousness airway
During a normal pregnancy, the baby develops inside the mothers
Uterus
The ------is the organ that contains the developing fetus
Uterus
If there is meconium staining of the amniotic fluid, consider requesting an
advanced life support unit to assist on scene
what is your primary concern when caring for new born baby?
airway
The fetus floats in a bag of water that contains______ fluids
amniotic
What is croup?
an acute respiratory condition characterized by barking type of cough or stridor
Inhalation of meconium can cause...
aspiration pneumonia
during labor what is the greatest danger for mother and baby
bleeding and shock
The term ______ refers to the appearance of the babys head at the opening of the birth canal.
crowing
if you observe ____ you should prepare for delivery where you are
crowning
potential causes if bulging fontanel and sunken
dehydration,increased pressure, and mengitis
Because of immature accessory muscles, infants and children use their _____ to breathe
diaphragm
The first stage of labor is characterized by
dilation of the cervix
The most common type of seizure in pediatric patients is the _______
epileptic
The final (third) stage of labor characterized by:
expulsion of the placenta
An infants head must maintain a ____position during airway assessment so that her airway remains open
extended
If contractions are more than _______ minutes apart, the mother usually has time to be transported
five
first pregnancy or more than fie pregnancies
have risk of complications
causes of seizures in a child
high fever hypoglycemia head injury epilepsy infection poisoning
poor general impression, altered mental status, airway problem, respiratory distress, pale or mottled skin, evidence of bleeding are signs of a
high priority patients
many causes of altered mental status in pediatric patients?
hypoglycemia poisoning infection head injury decreased oxygen levels
What type of interventions can you provide to minimize the chance of cardiac arrest?
identify and caring for the problem early
A childs head is_____ in proportion to the body than is an adults head
larger
To avoid supine hypotensive syndrome the expectant mother should lie on her ______Side
left
trauma is the number ___ cause of death people 1 to 18 years of age
one
Because delivery results in exposure to a great deal of blood and body fluids, you should be sure to take all necessary_______
precautions
the four types of abuse/neglect
psychological abuse, neglect,sexual abuse,physical abuse
what is your obligation if you suspect any type of child abuse ?
report
what is the most likely cause of cardiac arrest in the pediatric patient?
respiratory distress
During the ______ stage of labor the baby moves through the birth canal and is born
second
An infants head must maintain a _______position during airway assessment so that her airway remains open
smaller than
Because a childs body surface area compared to weight is ______an adults a child is more likely to suffer from hypothermia
smaller than
equipment in a delivery should be ----
sterile
three signs of SIDS(sudden infant death syndrome)
suffocating, vomiting, and choking
bloody show
the normal discharge of blood prior to delivery
What is sudden infant death syndrome
the sudden death of a apparently healthy baby during sleep
During the ______ stage of labor the placenta seperates from the uterine wall and then expelled from the uterus
third
If the mothers contractions are______ minutes apart, prepare to help deliver the baby where you are.
three
If mothers bleeding id excessive after delivery of the placenta you should_____
treat for shock
The birth of a baby may be imminent if the mothers contractions are about _______ minutes apart
two to three
The three DOS when caring for a child who has a fever
undress child cover child in soaked towels damp cool cloths on forehead
NEVER ATTEMPT any type of internal or _____exam
vaginal
what age has the risk of complications during pregnancy?
younger than 18 and older than 35