EMT-B OBGYN Emergencies Chapter 24 Brady 10th Edition
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| cephalic presentation | show 🗑
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| show | buttocks or both feet deliver first
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| second stage of labor | show 🗑
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| third stage of labor | show 🗑
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| show | amniotic fluid is greenish or brownish-yellow, may indicate maternal or fetal distress
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| supine hypotensive syndrome | show 🗑
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| show | supine hypotensive syndrome
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| show | soft spots on baby's skull
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| normal pulse for newborn | show 🗑
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| Apgar scale | show 🗑
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| APGAR | show 🗑
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| show | 0 - blue or pale all over, 1 - extremeties blue, trunk pink, 2 - pink all over
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| show | 0 - no pulse, 1 - pulse between 1 and 100, 2 - pulse greater than 100
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| show | 0 - no reaction, 1 - facial grimace, 2 - sneeze, cough, cry
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| APGAR Activity | show 🗑
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| APGAR Respiratory effort | show 🗑
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| show | 40 to 60 per minute - rapid, small puffs - reassess in 30 seconds
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| What if heart rate is less than 60 minute | show 🗑
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| What if baby exhibits cyanosis of face or torso | show 🗑
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| Clamping and cutting cord | show 🗑
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| show | 500 cc
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| show | sanitary napkin, lower legs and raise feet, massage the uterus to help it contract (circular motion), mother nurse baby which leads to contraction of uterus (not recommended by all docs)
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| show | cord is pinched, most common in breech births, caused by being squeezed between vaginal wall and baby's head
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| show | elevate hips, oxygen, keep mother warm, keep baby's head away from cord, don't push cord back in, wrap cord in moist towel. Transport, continue pressure on baby's head.
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| show | suction the oropharynx before stimulating, suction mouth, then nose. Maintain airway, provide ventilations or compressions if needed, transport
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| show | placenta is formed in an abnormal location like low in uterus and close to or over the cervical opening, not allowing normal delivery, causes excessive prebirth bleeding - cervix dilates, the placenta tears
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| show | placenta separates from the uterine wall, causing prebirth bleeding, occurs in 3rd trimester
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| show | implantation of the fertilized egg is in the ovidcut, cervix, or abdominopelvic cavity
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| What are signs of a ectopic pregnancy? | show 🗑
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| How do you care for a patient with ectopic pregnancy? | show 🗑
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| show | eclampia is complication late in pregnancy that produces seizures and coma.
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| What is preeclampsia? | show 🗑
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| show | elevated BP (increased with risk of abruptio placentae), excessive weight gain, extreme swelling of face, hands, ankles, feet; headache
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| show | airway, high concentration oxygen, transport with patient on left side, gentle, keep her warm, not overheated though; have suction and OB kit ready
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