Questions and Answers
Which of the following is an indication of imminent birth?
Eclampsia is most accurately defined as:
seizures that result from severe hypertension.
A newborn infant will usually begin breathing spontaneously within _____ seconds following birth.
15 to 30
What is the 'bloody show'?
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When treating a pulseless and apneic pregnant woman, what should the EMT do?
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What should you suspect if a 34-year-old female patient in labor feels short of breath?
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In contrast to a full-term infant, a premature infant has an even proportionately larger head.
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When does the third stage of labor begin?
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What occurs during a breech presentation?
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What should you do upon delivery of a baby's head encased in the unruptured amniotic sac?
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If a pregnant patient requires spinal immobilization, what step should follow securing her to the backboard?
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Why are pregnant women advised to take iron supplements?
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An abortion occurs when the fetus and placenta deliver before:
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What is the leading cause of maternal death during the first trimester of pregnancy?
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What should you do if a 26-year-old patient at 37 weeks' gestation is in labor?
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What does the term primigravida refer to?
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What should you do after drying and wrapping the newborn?
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What occurs immediately following ovulation?
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Why is it important to position your partner at the mother's head during delivery?
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What should you check after delivering a full-term infant whose respirations are rapid and irregular?
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How does the developing fetus receive nourishment from the mother?
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What does the bloody show refer to?
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Immediately following ovulation, the __________ begins to thicken in preparation for the potential implantation of a fertilized egg.
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How much fluid does the amniotic sac contain?
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Which of these normal changes during pregnancy protect against excessive bleeding during delivery?
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During pregnancy, a woman's blood volume may increase by as much as _____ percent.
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Study Notes
Indications of Imminent Birth
- Crowning is a notable sign of imminent birth, indicating the baby's head is visible.
Eclampsia
- Defined as seizures resulting from severe hypertension during pregnancy.
Newborn Breathing
- Newborns typically begin spontaneous breathing within 15 to 30 seconds after birth.
Bloody Show
- Refers to the pink-tinged mucus discharged from the vagina after the mucous plug is expelled.
CPR for Pregnant Patients
- In cases of pulseless and apneic pregnant women, manually displacing the uterus to the left is crucial during CPR.
Pulmonary Embolism Symptoms
- Shortness of breath in pregnant women, particularly in those with a difficult pregnancy, may indicate a pulmonary embolism.
Premature Infants
- Premature infants generally have a proportionately larger head compared to full-term infants.
Stages of Labor
- The third stage of labor begins with the expulsion of the baby from the vagina.
Breech Presentation
- Occurs when the buttocks are the presenting part during delivery.
Amniotic Sac Delivery
- If the baby's head delivers encased in the unruptured amniotic sac, it should be punctured, and the mouth and nose should be suctioned.
Spinal Immobilization in Pregnancy
- When immobilizing a pregnant patient, elevate the right side of the backboard with rolled towels or blankets.
Iron Supplements in Pregnancy
- Recommended for pregnant women to counteract anemia due to increased red blood cell volume.
Abortion Definition
- An abortion is defined as the delivery of the fetus and placenta before 20 weeks of gestation.
Maternal Death Causes
- Internal bleeding from a ruptured ectopic pregnancy is the leading cause of maternal death in the first trimester.
Labor Preparation
- For a patient in imminent labor on the stretcher, open the OB kit and prepare for delivery.
Primigravida Definition
- A primigravida is a woman who is pregnant for the first time.
Umbilical Cord Clamping
- After delivery, clamp the umbilical cord using two clamps, positioned about 6 inches from the newborn's abdomen.
Uterine Changes Post-Ovulation
- After ovulation, the inner lining of the uterus thickens to prepare for potential implantation.
Partner Positioning During Delivery
- It is crucial to position a partner at the mother's head to manage potential nausea and vomiting.
Newborn Assessment
- After delivering a full-term infant with strong cries and irregular respiration, immediately check the pulse at the brachial artery.
Fetal Nourishment
- The placenta is responsible for providing nourishment to the developing fetus.
Bloody Show Clarification
- Refers to the discharge of the mucous plug as pink-tinged mucus from the vagina.
Endometrial Changes
- The endometrium thickens immediately following ovulation in preparation for possible fertilization.
Amniotic Fluid Volume
- The amniotic sac typically contains between 500 to 1,000 mL of fluid.
Blood Clotting During Pregnancy
- Normal physiological changes during pregnancy increase blood clotting factors to prevent excessive bleeding during delivery.
Blood Volume Increase in Pregnancy
- A woman's blood volume may increase by up to 50% during pregnancy.
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Description
Test your knowledge on obstetrics and neonatal care from EMS Chapter 33. This quiz features key definitions and concepts, including indications of imminent birth and conditions like eclampsia. Perfect for students preparing for exams in emergency medical services.
