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74 Cards in this Set

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a surgical procedure in which the abdomen and uterus are incised and the baby is delivered transabdominally
Cesarean delivery
a gynecological procedure that refers to widening of the uterine cervix and scrapping away of tehendometrium of the uterus
dilation and curettage
the mucous membrane lining of the uterus which changes in thickness and structure with the menstrual cycle
endometrium
the surgical removal of the uterus
hysterectomy
the first menstruation and commencement of the cyclic menstrual function
menarche
the cessation of menses
menopause
the periodic discharge through the vagina of a blood secretion containing tissue debris from the shedding of the endometrium from the nonpregnant uterus
menstruatin
the release of an ovum or secondary oocyte from the vesicular follicle
ovulation
the forcible perpetration of an act of sexual contact on the body of another person, male or female, with out his or her consent
sexual assult
the surgical removal of the uterus
hysterectomy
gynecological emergencies
nontraumatic traumatic and sexual assault
Inflammation of the inner lining of the bladder
Cystitis
pain during menstruation experienced by many women
dysmenorrhea
infection of the crvix, uterus, fallopian tubes and ovaries and the supporting structures
Pelvic inflammatory disease (PID)
menstruation is the abnormal periodic discharge of blood, mucus, and cellular debris from the uterine mucosa. True or False
False
at what age does the menstrual cycle usually begin
13 years
estrogen stimulates the endometrium to grow and increase in thickness, preparing the uterus for implantation of a fertilized ovum. True or False
True
how many days after ovulation is the endometrium ready to receive the developing embryo if fertilization has occurred
7 days
a ruptured ovarian cyst is a gynecological emergency that always results in significant internal hemorrhage. True or False
False
Cystitis is found only in women. True or False
False
Cystitis always contains blood in the urine. True or False
False
Mittelschmerz is pain that occurs in the middle of the menstrual cycle around ovulation. True or False
True
Endometriosis is more common in women who were multiparas. True or False
False
An ectopic pregnancy is an uncommon occurrence and is not usually seen in the prehospital environment. True or False
False
Vaginal bleeding should be controlled with packed dressing. True or False
False
While somewhat similar in presentation, a good assessment can differentiate between pelvic inflammatory disease and appendicities. True or False
False
Functions of the placenta include transferr of gases, excretion of waste, and hormone production. True or False
True
The umbilical cordhas two arteries and one vein. True or False
True
During the first 8 weeks of pregnancy the developing ovum is known as
An embryo
The number of all current and past pregnancies
Gravida
the number of past pregnancies that have remained viable to delivery
Para
pregnancy can cause a woman's blood pressure to rise above 140/90 during the third trimester and is not generally a cause for concern. True or False
False
Besides the normal questioning and the primary and secondary assessment, the obstetrical patient should be asked
about the presence of vaginal bleeding
a normal fetal heart rate should be between__________and _______beats per minute.
120-160
The best position in which to transport a non-trauma pregnant patient is
left lateral recumbent
generally, during blunt abdominal trauma of the pregnant patient, the fetus is well protected by amniotic fluid. T or F
True
what problem might be suspected in the pregnant patient with blunt abdominal trauma?
abruptio placentae
the pregnant uterus could contain up to _____ml of blood without evidenace of maternal bleeding.
2000
the best position in which to transport the pregnant trauma victim with possible spinal injury is with cervical spine immobilization and a long backboard ______
Tilted to the left.
an elevated blood pressure from normotensive levels to above 140/90 in the pregnant patient is
Preeclampsia
You are responding to a call for a 17 year old pregnant patient, 36 weeks gestation. She complains of a headache and dizziness and states that her doctor is upset with her for gaining too much weight. Her hands are putty and her rings are cutting into her flesh. Her vital signs are BP 174/104, P84, R20 you suspect
preeclapsia
the preeclamptic patient who is near term and in labor should be transported with great speed, red lights, and siren sounding because failure to do so could leave you with a seizing patient in your ambulance. T or F
False
Your 19 year old pregnant patient is having a grand mal seizure during labor. The most important initial airway management for this patient is
Bag valve mask assistance
a drug indicated in the management of preeclampsia and eclampsia is
magnesium sulfate
Vaginal bleeding during pregnancy would lead you to suspect that your patient may have and abruptio placentae, placenta previa, or spontaneous abortion. T or F
True
The loss of a fetus before 12 weeks gestation is known as
Spontaneous abortion
abortion means
loss of a fetus before it is viable, usually prior to 20 weeks gestation.
in caring for the patient who has just experienced a spontaneous abortion, you should
initiate IV fluid therapy
Your 31 year old female patient complains of nausea, dizziness, sharp left lowere quadrant pain, and shoulder pain. you suspect.
Ectopic pregnancy
management of patient with an ectopic pregnancy would be similar to management of a patient exhibiting signs of
Hemorrhagic shock
Abruptio placentae is partial or complete separation of a normally implanted placenta at more than 20 weeks gestation. T or F
True
Abruptio placentae is often associated with
Hypertension, preeclampsia
signs and symptoms of abruptio placentae include no pain, slight vaginal bleeding and a rigid uterus. T or F
False
the condition in which the placenta is implanted low in the uterus is called
placenta previa
Placenta previa patients may present with what kind of bleeding
Bright red bleeding, no pain
you are called to the scene for a 27 year old female who is at approcimately 34 weeks gestation. she is complaining of the onset of vaginal bleeding. but she is not experiencing uterine contractions. you should suspect.
Placenta previa
your patient is a 40 year old female gravida 6, para 5, she is complaining that this labor is unlike her others. she has sharp, constant abdominal pain and vaginal bleeding, and she feels like something it tearing you suspect
Uterine rupture
parturition is the process by which the infant is born Tor F
True
the fetal head bulging at the vaginal opening is known as
Crowning
If your pregnant patient states that she is in labor, you should examine the perineum for a prolapsed cord, abnormal fetal position, and
Crowning.
How are contractions correctly timed
from the beginning of one to the beginning of the next.
The umbilical tape in your obstetrical kit is used for
tying off the cord after delivery
your pregnant patient is crowning her contractions are 1 minute apart, she is a gravida 3 para 2 you should
stay and prepare to assist delivery
a large gush of clear fluid from the vagina of abstetrical patient is and indicator of
progressing labor
if the amniotic sac has not ruptured before the delivery of the infant's head what should you do
puncture the sac and remove it from around the infants head
as you are delivering an infant you note that the cord is wrapped around the infants neck you should
gently remove cord from around the neck
the umbilical cord shoud be clamped how
twice about 6 inches from the infants abdomen and the cut
what is postpartum hemorrhage
blood loss greater than 500 ml after delivery of the infant
what drug would be given to manage postpartum hemorrhage
oxytocin
how much oxytocin might be ordered by the physician for controlling postpartum hemorrhage
ten units of oxytocin in 1000 ml lactated ringers
a breech birth is one in which the
Buttocks or feet are presenting at the vaginal opening
the concern for the infant with a prolapsed cord is that the cord will
be compressed and cut off circulation to the infant.
if your pregnant patient informs you that her membranes ruptured 5 days ago, what neonatal problem should you anticipate
sepsis
shortly after delivery, your patient experiences sudden dyspnea, tachycardia, and hypotension, you should suspect
amniotic embolus