OB/PEDS Paramedic fisdap study guide

Where would you apply pressure to assess the mother for contractions? Ans- The fundus Placenta Previa Ans- Placenta is implanted low in the uterus and covering part of or all of the cervix/ Leads to painless bright re ...

Where would you apply pressure to assess the mother for contractions? Ans- The fundus Placenta Previa Ans- Placenta is implanted low in the uterus and covering part of or all of the cervix/ Leads to painless bright red vaginal bleeding in the 2nd or 3rd trimester. Best indicator to assess circulation in children Ans- Cap refill. A female that is child bearing age who is complaining of abdominal pain with an abnormally low blood pressure, you should suspect? Ans- Ectopic pregnancy A patient with deformity and no pulse to his extremity do to an injury, you should? Ans- Attempt to reduce fracture ONCE to restore pulses. supine hypotensive syndrome Ans- The uterus compresses the inferior vena cava reducing blood return. Occurs when the patient is left in supine position, place patient on left side. Nuchal cord Ans- when the cord is wrapped around the fetal neck The most common reason why newborns lose heat when exposed to cold air or draughts is loss by : AnsConvection, dry them, wrap them in a blanket and put a hat on them if you are able to. Signs and Symptoms of Meningitis in pediatric patients Ans- Infants: Fever, localizing signs as lethargy, poor feeding, bulging fontanel. Children: Nuchal rigidity ( stiff neck) headaches, back pain, fever, ams, vomiting and photosensitivity & Kernig sign ( cannot extend legs at the knee.) Pre-eclampsia Ans- When a pregnant woman develops high blood pressure and protein in the urine after the 20th week (late 2nd or 3rd trimester) of pregnancy. Hypertension 140/90 Eclampsia Ans- most serious form of toxemia during pregnancy, Pre-eclampsia symptoms ( hypertension) along with seizures What should you do if a newborn patient has cyanosis and a heart rate of 60? Ans- Chest compressions and ventilate. What would be helpful if you had a 4 year old patient who drank household cleaning products? AnsPoison control & what substance & time of consumption & how much How would you transport a small pediatric patient with a head injury who is stable Ans- Emergency to level 1 trauma patient, keep patient calm. What should you do if you have a pediatric patient seizing for several minutes. Ans- Administer a benzo, such as versed. primigravida Ans- a woman who is pregnant for the first time gestation Ans- period from fertilization of the ovum to birth Gravida Ans- number of times a woman has been pregnant, regardless of outcome of pregnancy. primipara Ans- first birth/pregnancy epiglotitis Ans- in child, drooling, high fever, stridor, tripod position, inability to swallow, SUDDEN ONSET (put nothing in mouth, transport immediately and quietly, 02 it tolerated, do not intervene if not necessary- crying may cause further obstruction of airway) Bronchitis Ans- inflammation of the bronchi Common cause of RSV Croup Ans- an acute respiratory syndrome in children and infants characterized by obstruction of the larynx, hoarseness, and a barking cough. Accompanied by a low grade fever, symptoms worsen at night. ( Upper airway infection) Discovery of sunken fontanelle is an indication of? Ans- Dehydration How and when do you suction a newborns airway Ans- Mouth first then nose second ( remember M before N ) You should suction if you notice the newborn is lethargic and there is meconium staining present. What should you do with an unresponsive choking child Ans- Start chest compressions/ cpr Where does fertilization occur? Ans- fallopian tubes What is the most likely cause of febrile seizures in children Ans- Fever or infection What is the definition of a seizure that the child is unresponsive for no more than 15 seconds and is looking straight ahead Ans- Absent seizure What is menopause? Ans- the cessation of ovarian activity/ menstruation What is the preferred intubation blade for a small pediatric Ans- Miller blade Whats the difference between a pediatric airway versus an adult airway Ans- Airway is much smaller and more flexible larger tongues Excessive traction on the umbilical cord during placental delivery can cause? Ans- Uterine Inversion How should you manage a small child conscious with a complete airway obstruction Ans- Back blows/thrusts Why do we assess a newborn APGAR score Ans- It helps record the condition of the newborn in the first few minutes of birth When do we assess the APGAR score in newborns Ans- 1 and 5 minutes after birth A pediatric patient with different stages of bruises healing may indicate? Ans- Child abuse gestational diabetes Ans- a form of diabetes mellitus that occurs during some pregnancies/ usually resolves after delivery When do you provide chest compression in a newborn/ at what heart rate Ans- 60 and under A female who is term and complaining of tearing abdominal pain, you should suspect? Ans- Abruption Placenta What should you do once the infants head has been delivered. Ans- Guide the head upward and allow delivery of the shoulders. How do you manage vaginal bleeding in a female who was sexually assaulted Ans- comfort patient, apply trauma pade to the exterior of the vagina ectopic pregnancy Ans- A pregnancy outside of the womb, usually in a fallopian tube Prolapse cord Ans- A situation in which the umbilical cord comes out of the vagina before the infant. How do you manage a prolapse cord Ans- Position the mother supine with her hips elevated, administer 02 via NRB, have mother breathe/pant through contractions to prevent her from bearing down. Insert two fingers with a gloved hand and gently push the presenting part (not the cord) back into the vagina. Maintain pressure on the part, cover the cord with moist warm saline and transport emergent What do you do for a child who has a delay in cap refill Ans- Warm their hands and administer 02 Reasons why you are unable to obtain a blood pressure on a 38 week pregnant female who is lying supine on stretcher Ans- Possible supine hypotensive syndrome, have mother lay on left side An unresponsive pediatric patient who is tearless and has dry mucous membranes is more than likely suffering from? Ans- Dehydration Whats the normal respiratory rate of an infant Ans- 30-60 Whats the normal respiratory rate of a child Ans- 18-30 Braxton Hicks contractions Ans- false labor contractions preparing the body for labor Why is hypertension a pre-delivery emergency (Pre-eclampsia or eclampsia ) Ans- They can lead to seizures for the mother and affect oxygen delivery to the fetus. Also signifies that toxins are building up in the mothers body and baby What indicates fetal distress Ans- A low apgar score & meconium staining Vaginal bleeding within the first 20 weeks of her pregnancy, you would suspect? Ans- Miscarriage or spontaneous abortion Multiple contusion in different stages of healing on a child may indicate? Ans- Abuse What are the signs and symptoms of PID Ans- Abdominal pain, fever, fatigue, chills, NVD, Dysuria Injuries from scalding water may indicate? Ans- Abuse A 40 year old female states her water has broken and is full term, what should you do? Ans- Ask if this is her first pregnancy, obtain history, time her contractions, check for crowning, if so prepare for delivery What is the location to assess a pulse on an infant An