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OBS/Neonate/PEDS
Questions and answers to common OBS/ NEONATE AND PED info for Paramedics
| Question | Answer |
|---|---|
| Gravida | # of pregnancies |
| Para | # of pregnancies to full term |
| Primi Gravida | First Pregnancy |
| Primi Para | Given births to first child |
| Multiparous | given birth multiple times |
| Gestation | fetal development time |
| Viability | 20-24 weeks |
| Quickening | first felt fetal movements |
| Premature | labor before 37 weeks but after 20 weeks |
| post term | labor after 42 weeks |
| Blood Volume in pg pt. increases by | 45-48% |
| HR increases approx ____ in third trim | 15bpm |
| BP decreases by _____ in 2nd trimester | 5-15mmhg |
| RR does what | increases |
| maternal oxygen consumption increases by | 20% |
| GI emptying quick or slow? | delayed |
| 1st trimester | last menstrual period to 12 weeks |
| Heart begins beating at_____ | 4th week |
| Every organ formed at ____ weeks | 8 |
| 2nd trimester | 12-24 weeks |
| 3rd trimester | Last three months |
| Fat stores increase at ___ weeks | 36 |
| Umbilical cord | 2 arteries 1 vein, 22 inches long at birth, does not kink and is surrounded by whartons jelly. |
| Amniotic Sac | 500-1000 cc after 20 weeks, provides pressure, protection, temp control, wedge during birth, lubs path for deliv |
| LMP-3months +7days (first day of the menstrual cycle) | |
| Signs of imminent delivery | crowning, rupture of amniotic sac,need to bear down, contraction 1-2 mins apart lasting 45-60seconds,sensation to make a bowel movement |
| Causes of Pre-eclampsia | diabetes, renal disease, increased weight gain, increased amniotic fluid, fluid intake |
| Signs and symptoms of pre eclampsia | >30mmHG BP, edema on face and hands, decreased urine output, headach, N/v, blurred vision, pulmonary edema |
| Pre eclampsia | hypertension affecting 7% of pregnancies |
| Presumptive sign of pg | signs a woman experiences and reports, n/v, missed period, breast changes, (does not confirm) |
| Probable sign of pg | objective signs taht others can see ex. nipples and areola darken, stretch marks, facial chloasma, |
| Positive sign of pg | hearing fetal heart rate, (120-160), fetal movement, ultrasound, blood/urine tests , confimrs pg. |
| Preemie at high risk of cold stress dude to____ | no fat stores, no musclemass for shivering, Large BSA for heat loss, heat sensors located on face, thermogenesis for heat production |
| 20-25% of pregnancies terminate spontaneously | could be due to infection, unfavourable intrauterine environment, cervical incompetence |
| Neonate | 28 days of life or 1 month |
| Umbilical cord vein carries ____% of O2 to fetus | 80% |
| Umbilical arteries (2) carry ___% deoxygenated blood from fetus | 55% |
| Anter partum Risk Factors for neonates | Multiple gestation, inadequate care, mothers age <16->35, hx of morbidity, drugs/meds, hypertension, diabetes |
| Intra Uterine risk factors | Preemie, mec stain, rupture of membranes greater than 24hrs, narcotic use within 4hrs of delivery, prolapse cord, bleeding, prolonged labor |
| Umbilical Vein Connects directly to inf vena cava via the ____ | ductus venousous |
| Blood in right atrium mixes with blood in left atrium through the ____ | foramen ovale |
| Once blood reaches pulmonary artery, oxygenated blood enters ______ which connects pulmonary artery with aorta | ductus arteriosus |
| Neonate RESP RATE | 30-60 |
| Neonate HR | 100-180 |
| Neonate Systolic BP | 60-90mmHg |
| Neonate temp | 36.7-37.8 |
| Evaluate Neonate based on three things | RESPIRATIONS, HR, COLOR, |
| Neonate tidal volume | 7cc/kg |
| Bradycardia in neonate (possible causes) | hypoxia, ICP increase,hypothyroidism, acidosis |
Created by:
Jordo99
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