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60 Cards in this Set

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In addition to meeting the metabolic needs of developing fetus. The mother's blood supply increases significantly in order to perfuse her own organs, especially the

Uterus and Kidneys

What are some EKG changes per terms

Ectopic beats


SVT


Left axis deviation


Lead 3 changes

Lying supine can cause

compression of the inferior vena cava

What position is standard in the United States for OB patients.

Lithotomy Position

What does Progesterone do

Decreases threshold to carbon dioxide


Causes bronchi to dilate


Regulates mucus production

At term, displacement of the diaphragm by the uterus causes a

Decrease in expiratory reserve volume.

Primigravida

Woman pregnant for the first time

Multigravida

Woman who has two or more pregnancies

Primipara

Only one delivery

Multipara

two or more deliveries

Grand Multipara

More than 5 deliveries

Nullipara

Never delivered.

Characteristics of a true labor

Contractions are regular


Intervals gradually shorten


Intensity of contractions gets worse


Analgesics do not abolish pain


Dilation of the cervics.

Estimate the gestational age

Fundus is palpable above the symphis pubis: 12 to 16 weeks.


Fundus is palpable at the umbilicus: 22 weeks


Fundus reaches all the way to the xiphoid: the fetus is near term.

When listening to fetal heart sounds, what heart beat or lower suggests fetal distress

120

What can compression of the inferior vena cava cause?

Supine hypotensive syndrome and fetus distress

Preclampsia

High blood pressure during pregnancy with indications of organ failure, usually the kidneys.

What can chronic hypertension during pregnancy cause?

retard growth


Impair liver and renal function


pulmonary edema



What is the most common respiratory disorder during pregnancy?

Shortness of breath

Hyperemesis Gravidarum

Persistent vomiting and nausea during pregnancy.

What can you use to treat nausea and vomiting.

Diphenhydramine

What are some signs and symptoms that indicate a possible seizure for pregnant patients.

Occipital headache


Nausea


Vomiting


Edema to her hands and feet.


High BP


Tachycardia


Tachypnia

Rh factor

When the mother is Rh negative and the father is Rh positive.


Antibodies will attack the fetal RBC's

What are some common infections during pregnancy

UTI


HIV


Cholastasis

Cholestasis

When bile doesn't flow normally and ends up spilling into the bloodstream.

What is the leading cause of life threatening infections in the newborn

Group B streptococcus

TORCH Syndrome

Infections that pass through the placenta and into the fetus.

Rubella

German Measles

Cytomegalovirus (CMV)

Member of the Herpes family

What is the most common sexually transmitted disease that can cause genital warts and some types of cancer.

Human Papilloma Virus (HPV)

Grey Turner

Bruising located around the flanks


Cullen's Sign

Bruising located around the Umbilicus.

What is usually the cause of Grey or Cullen Signs.

Necrotizing Pancreatitis


Abdominal Aortic Aneurysm

What evaluates newborn's vital functions

Apgar Scoring System

What should you do with the placenta once it is delivered.

Place it in a plastic bag.

How long should you wait for the placenta to deliver before transporting

15 min

Lochia

The vaginal discharge of blood and mucus that occurs following delivery of a newborn.


Can last several days.

Magnesium Sulfate

Used for Eclamptic Seizures

Calcium Chloride

Manage hypoglycemia


Counters the effects of Magnesium Sulfate

Terbutaline

Tocolytic and Sympathetic Agonist


Suppress preterm labor.

Oxytocin

Causes the uterus to contract


Induces labor


Controls postpartum hemorrhage.

When should you not deliver in the field

Footling Breech


Transverse Presentation

Shoulder Dystocia

A complication of delivery in which there is difficulty delivering the shoulders of a newborn; the shoulder cannot get past the woman's symphysis pubis.

Nuchal Cord

When the umbilical cord is wrapped around the fetus's neck.

Prolapsed Umbilical Cord

When the umbilical cord comes out before the fetus.

Uterine Inversion

A fatal complication of childbirth in which the placenta fails to detach properly and results in the uterus turning inside out.

The paramedic should take a detailed history of the rape incident to enable the victim to ventilate her feelings.

False

During an ectopic pregnancy, where do 97 percent of eggs implant.

In the fallopian tube.

What is a major symptom associated with Gonorrhea.

Painful urination with a foul yellowish discharge.

Gonorrhea can cause what to happen to the Bartholin glands.

To become cystic and abscessed.

What are some common causes of PID

Smoking


IUD use


Pelvic Surgery


PID

Endometritis is hereditary and runs in families

False

Where should you place the patient's articles.

Paper bag

The females external genitalia are collectively called the

Pudendum

Postmenopausal women are more susceptible to

Atherosclerosis


Osteoporosis


Coronary Artery Disease

What is the most common sexually transmitted disease.

Human papillomavirus

Apgar score is to be taken at what intervals after birth.

1 and 5 minutes

How much blood is considered postpartum hemorrhage.

500mL

What medication can be used to control postpartum hemorrhage in the prehospital setting

Oxytocin

What is the function of the placenta

Transport nutrients


Removal of wastes


Hormone production