chapter 33 obstetrics and neonatal care

  1. what is the life line of the fetus
  2. umbilicus vein carries oxygenated/deoxygenated blood from the placenta
  3. umbilicus arteries carries oxygenated/deoxygenated blood from the placenta
  4. amniotic sag contain how many mL of fluid?
  5. why does mom respiratory rate increase?
    as baby grows it pushes against diaphram decreasing tidal volume, to maintain minute volume mom has to breath faster

  6. pregnant patient blood volume increases
  7. pregnant patients HR increases up to ___%
  8. what should you use to treat any heart or lung disease in a pregnant patient
  9. pregnant women can get diabetes
    • true
    • gestational diabetes
    • goes away after birth
  10. what is a pregnancy induced hypertension
  11. preclampsia occurs after what week?
    20th week
  12. hallmark symptoms for preclampsia are what?
    • severe headache
    • high blood pressure
    • swelling of hands and feet
  13. what occurs when patient with preclampsia hypertension
    • eclampsia
    • -seizures
  14. what is Caused by compression of the descending aorta and the inferior vena cava by the pregnant uterus when the patient lies supine
    supine hypotensive syndrome
  15. when the placenta separates prematurely from the wall of the uterus, most commonly caused by hypertension or trauma.
    what is this called?
    • abruptio placenta
    • -severe pain
    • -may not have heavy bleeding
  16. when the placenta develops over and covers the cervix
    what is this called?
    • placenta previa
    • -heavy bleeding
    • -almost painless
  17. removal of a fetus before 20wks old
  18. what is a spontaneous abortion also known as
  19. what is the leading cause of abruptio placneta?
  20. if delivery is iminent where should you deliver the baby?
    deliver at scene
  21. if baby is not iminent what should you do?
  22. to find how far into pregnancy the patient is ask when the last menstrual period was and subtract how many weeks?
  23. consider how often patients contractions are from each other
    • true
    • the closer the contractions are the sooner the baby will come out
  24. what is the most important thing you should tell the hospital?
    • weeks of gestation
    • -how long the patient has been pregnant
  25. what is surfactant?
    fluid that helps keep alveoli open
  26. what is atelectasis
    collapse of the alveoli in the lungs
  27. first stage of labor is what
    dilation of cervix
  28. 2nd stage of labor is what
    delivery of fetus
  29. 3rd stage of labor is what?
    delivery of placenta
  30. primigravida means what?
    first pregnancy
  31. braxton hicks is what?
    false labor
  32. 2nd stage of labor also known as
  33. how long does it take for the placenta separate from the uterine wall
  34. what questions should you ask to determine if the baby is imminent
    • -how long you have been pregnant?
    • -is this your first baby?
  35. when do you cut the placenta
    when the pulse has stopped
  36. percipitous labor means what?
    fast labor
  37. what should you do if the amniotic sac has not ruptured
    rupture it
  38. what is nuchal cord?
    when the umbilicus is around the babies neck
  39. how high should you hold the baby once the baby is out of the vagina
    at the level of the umbilical cord
  40. how to you how the baby  to prevent aspiration?
    hold head slightly downward
  41. once the baby is out of vagina what should you obtain
    • an a 1 min apgar score
    • and 5 min apgar
  42. what do you do to help stop bleeding after delivery
    fundal massage
  43. it is an emergency if the ____ doesnt deliver after 30mins
  44. neonate HR will be how many beats per min
    • 120HR
    • atleast 100
  45. begin CPR on neonate under what HR?
    under 60HR
  46. what happens when you stimulate the baby?(touching feet, rubbing back)
    respirations increase
  47. normal delivery what will come out first?
    the head
  48. in a breech delivery what postion will the baby be in
    legs will come put first
  49. a normal and breech babys can be delivered in the field 
  50. if the baby limb comes out first, you can still deliver the baby
  51. with the prolapse of umbilical cord around the baby head, what should you do?
    separate the umbilical cord from head and neck
  52. para means what?
    • how many times have you been a parent?
    • (2 kids para two times)
    • (pregnant 4 times 2 kids, mom is para 2)
  53. gravida means what?
    • how many times the mom has been pregnant
    • (2 kids pregnant 4 times, gravida 4 times)
  54. how much does a normal baby weigh?
    7 lbs
  55. babies born before 8 months or weighs less than 5lbs is considered what?
  56. after delivery mom is at risk of what?
    pulmonary edema
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chapter 33 obstetrics and neonatal care
chapter 33 obstetrics and neonatal care emergency care and transportation of the sick and injured 11th edition