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27 Cards in this Set

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You should apply gentle pressure to the baby's _________ to allow the tissues to stretch and to prevent a precipitous birth (oner that occurs too fast).
head
Oxygen and other nutrients cross from the woman's circulation through the _________ and then along the __________ to support the fetus as it grows
placenta, umbilica cord
It is typical for a patient to tell you that her water broke. This ____________ help lubricate the birth canal and remove bacteria
amniotic fluid
There are ______ stages of labor: dilation of the cervix, delivery of the infant, and delivery of the placenta
Three
because of increased size of the uterus significantly increase the chance that a pregnant trauma patient will ______ and _______ if you are unable to clear the airway
vomit, aspirate
The frequency and intensity of ___________ in true labor increases with time. The __ to ___ seconds each
contractions, 30 to 60 seconds
Toward the end of the third trimester of pregnancy, the head of the fetus normally descends into the woman's _______ as the fetus positions for delivery
pelvis
The second stage of labor begins when the fetus begins to enter the birth canal and ends when the infant is _____
born
The ______ stage of labor begins with the birth of the infant and ends with the delivery of the placenta
third
To treat eclampsia, lie the patient on her side--preferably her left side- maintain an airway, and provide supplemental oxygen
30TH week of gestation: Preeclampsia (pregnancy induced hypertension)
eclampsia (seizure due to hyptersension)
Patient in the third trimester of pregnancy should always be transported on their _______ except during delivery
side (preferably left side)
If a pregnant oman is found with an altered level of consciousness, your assessment should include determining if she has a history of ______ and you should check the blood glucose level if local protocols permit
diabetes
If the pregnant woman is hypoxic, is in shock, or has hypovolemia, the ________ will be in distress. In most cases, the only chance to save the fetus is to adequately resuscitate the woman
fetus
In a pregnant trauma patient, you should suspect abruptio placenta when the MOI is blunt trauma to the abdomen and the patient's signs and symptoms are suggestive of shock. Significant vaginal bleeding is common with svere abdominal pain. In this situation:
quickly assess and transport the patient, support the airway, administer high-flow oxygen, place sanitary pads on the vagina, position the patient on her left side, and call for ALS backup
Pregnant women in the last two trimesters of pregnancy should be transported lying on the left side when possible
If spinal immobilization is indicated, secure the mother to the backboard and elevate the right side of the board with rolled towels or blankets to prevent supine hypotensive syndrome.
Green fluid is due to meconium (fetal stool). The presence of meconium can indicate newborn distress and it is possible for the fetus to _______ meconium during delivery
aspirate
Assess the length and frequency of contractions by asking the patient and by placing your hand on the _______
abdomen
Put a pillow or blankets beneath her hips to elevate them about _ to _. Support the patient's head, neck and upper back with p8illows and blankets
2 to 4 inches
If the emergency delivery is occurring at home, you should move hte patient to a sturdy, flat surface or the ______
floor
Remind the patient to take quick, short breaths during each ___________ but not to strain
contractions
after suctioning, keep the infant at the same level as the mother's _______ until the umbilical cord is cut
vagina
Place the clamps about__ to __ .apart Once they are firmly in place, carefully cut the cord beteen them with sterile scissors or a scalpel.
2 to 4
After delivery of the placenta and before transport, place a sterile pad or sanitary napkin over the vagina and straighten the mother's legs.
You can help to slow bleeding by gently massaging the mother's abdomen with firm, circular, kneading motion
The total 5 numbers is the Apgar score. A perfect score should be calculated at _ minute and _ minute after birth.to
1 and 5 minute.
Most newborn infants ill have a score of 7 or 8 one minute and a score of 8 to 10 four minutes later
In a_______ presentation, the buttocks are delivered first. Breech deliveries are usually slow, so you will often have time to transport the mother to the hospital
Breech
In rare cases, an infant's limb, usually a single arm or leg, present first. This is a life-threatening situation, and you must provide _______________ for hospital delivery
prompt transport
A __________ umbilical cord is a life threatening situation for the newborn and must be treated at the hospital
prolapsed umbilical cord