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OB Flashcards

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1
Q

what are the signs and symptoms of pelvic inflammatory disease (PID)

A

low abdominal pain, discharge, irregular menses

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2
Q

what are the signs and symptoms of septic shock

A

severely low blood pressure, lightheadedness or fainting, confusion or disorientation, shortness of breath, cold, clammy, pale or mottled

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3
Q

what happens in an ectopic pregnancy

A

in an ectopic pregnancy, the fertilized egg implants outside the uterus, often in the fallopian tube

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4
Q

what is eclampsia

A

eclampsia is a severe complication of pregnancy characterized by the onset of seizures in a woman with pre-eclampsia

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5
Q

what is pre-eclampsia

A

pre-eclampsia is a pregnancy disorder characterized by high blood pressure and signs of damage to another organ system, often the kidneys

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6
Q

what is the ems treatment for eclampsia

A

seizure management, maintaining airway, oxygen therapy, rapid transport

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7
Q

what is the ems treatment for pre-eclampsia

A

ems treatment for pre-eclampsia involves monitoring blood pressure, administering oxygen, and rapid transport to a medica facility

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8
Q

what is the medical term for miscarriage

A

spontaneous abortion

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9
Q

what are the signs and symptoms of a ruptured ectopic pregnancy

A

severe abdominal or pelvic pain, heavy vaginal bleeding, dizziness or fainting, shoulder pain, shock symptoms (rapid pulse, low blood pressure)

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10
Q

what are the signs and symptoms of a urinary tract infection

A

A strong urge to urinate that doesn’t go away.
A burning feeling when urinating.
Urinating often, and passing small amounts of urine.
Urine that looks cloudy.
Urine that appears red, bright pink or cola-colored — signs of blood in the urine.
Strong-smelling urine.

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11
Q

when does pre-eclampsia become eclampsia

A

pre-eclampsia becomes eclampsia when the patient develops seizures

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12
Q

what is one of your main concerns when treating a sexual assault patient in the prehospital setting

A

preserving their dignity and privacy

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13
Q

what are the signs and symptoms of placenta previa

A

painless, bright red vaginal bleeding during the second or third trimester

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14
Q

what are the signs and symptoms of uterine rupture

A

sudden, sharp pain in the abdomen, rapid heart rate, abdominal tenderness, contractions stopping, fetal distress

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15
Q

what are the signs and symptoms of ovarian cyst

A

pelvic pain, bloating, swelling, painful bowel movements, pain during intercourse, frequent urination

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16
Q

what are the signs and symptoms of abruptio placenta

A

vaginal bleeding, abdominal pain, back pain, uterine tenderness, rapid uterine contractions, fetal distress

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17
Q

what is pre-term labor

A

labor that begins before the 37th week of pregnancy

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18
Q

what is the treatment for minor vaginal bleeding after delivery of a newborn

A

external fundal massage

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19
Q

what are the signs of imminent delivery

A

baby “dropping,” increased back pain, contractions, water breaking, cervical dilation, increased vaginal discharge

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20
Q

what is the treatment for an umbilical wrapped loosely around the baby’s neck

A

gently slip the cord over the head

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21
Q

what are the signs and symptoms of postpartum depression

A

severe mood swings, difficulty bonding with the baby, withdrawal from family and friends, loss of appetite, overwhelming fatigue, intense irritability and anger, feelings of hopelessness, thoughts of harming oneself or the baby

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22
Q

what are the signs and symptoms of mittelschmerz

A

one-sided, lower abdominal pain, pain that occurs mid-cycle, typically lasting from a few minutes to a few hours, but can last as long as two days

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23
Q

what are the signs and symptoms of postpartum eclampsia

A

seizures, headaches, vision changes, upper abdominal pain, nausea, vomiting, decreased alertness, high blood pressrue

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24
Q

what are the signs and symptoms of hyperemesis gravidarum

A

severe nausea and vomiting, weight loss, dehydration, electrolyte imbalance

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25
how should a pregnant patient be transported
on her left side to relieve pressure on the vena cava
26
what medication should you give for a seizure during labor
midazolam
27
what is a breech birth
a birth in which the baby is positioned to deliver buttocks or feet first instead of head first
28
what ob complication is most likely to result from trauma
abruptio placenta
29
what are the signs and symptoms of an ectopic pregancy
sharp of stabbing abdominal or pelvic pain, vaginal bleeding, dizziness or fainting, gastrointestinal symptoms, shoulder pain weakness
30
what are the signs and symptoms of renal calculi
severe pain in the side and back, pain that reradiates to the lower abdomen and groin, painful urination, pink, red, or brown urine, nausea, vomiting, persistent urge to urinate.
31
what are the signs and symptoms of eclampsia
seizures, headaches, blurred vision, upper abdominal pain, nausea, vomiting, decreased alertness, high blood pressure
32
what are the signs and symptoms of a second fetus about to be born
labor contractions resuming, pressure in the pelvis, urge to push, dilation of the cervix
33
what are the signs and symptoms of pre-ecampsia
high blood pressure, protein in urine, swelling in the legs and hands, severe headaches, changes in vision, shortness of breath, upper abdominal pain
34
what are the signs and symptoms of spontaneous abortion
vaginal bleeding, cramping and pain in the lower abdomen, fluid or tissue passing from the vagina, no longer experiencing the signs of pregnancy, such as nausea and breast tenderness
35
what is the treatment for cord presentations
immediate emergency medical attention, keeping the mother in a position that relieves pressure on the cord, possibly a cesarean section at the hospital
36
how can you determine the amount of blood loss due to menstrual bleeding
ask how many pads were saturated
37
what are the signs and symptoms of endometriosis
pelvic pain, menstrual cramps, pain during intercourse, pain with bowel movements or urination, excessive menstrual bleeding, infertility
38
what is the treatment for a newborn who is limp with central cyanosis and thick black secretions in the mouth and nose
suction with an ET tube and direct laryngoscopy
39
what is tetralogy of fallot
a congenital heart defect that includes four abnormalities: a ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta
40
where does fertilization occur
fallopian tube
41
how many days in duration is the normal menstrual cycle
28 days
42
what are the signs and symptoms of a prolapsed uterus
signs and symptoms of a prolapsed uterus include a feeling of heaviness or pulling in the pelvis, tissue protruding from the vagina, urinary problems, and trouble with bowel movements
43
what are the signs and symptoms of ovarian torsion
signs and symptoms of ovarian torsion include sudden, severe pelvic pain, nausea, vomiting and sometimes fever
44
what is bartholin's abscess
bartholin's abcess is the buildup of pus that forms a lump in one of the bartholin's glands located on each side of the vaginal opening
45
what are the signs and symptoms of an intestinal obstruction
signs and symptoms of an intestinal obstruction include abdominal pain, vomiting, inability to have a bowel movement or pass gas, and abdominal swelling
46
what are the signs and symptoms of gonorrhea
painful urination, discharge; suphilis: sores, rash; chlamydia: discharge, pain; herpes: blisters, ulcers
47
what are the signs and symptoms of syphilis
painless, sore, skin rashes, swollen lymph nodes, and fever
48
what are the signs and symptoms of chlamydia
painful urination, lower abdominal pain, vaginal discharge in women, and discharge from the penis in men
49
what are the signs and symptoms of herpes simplex virus
signs and symptoms of herpes include blisters and ulcers on the genital area, itching, pain during urination, and flu-like symptoms
50
what are the signs and symptoms of human papillomavirus infection
may cause warts on various parts of the body, depending on the strain
51
what is shoulder dystocia and how do ems providers treat it?
transport urgently
52
what are the signs and symptoms of imminent delivery
signs and symptoms of imminent delivery include contractions, water breaking, urge to push, and crowning
53
what are the signs and symptoms of post-partum hemmorrhage
heavy bleeding, lowered blood pressure, increased heart rate, and swelling and pain in the vagina and perineal area
54
what are the signs and symptoms of amniotic fluid embolism
sudden shortness of breath, chest pain, and shock leading to a severe drop in blood pressure
55
how do you stimulate a newborn
rub their back and flick the soles of their feet
56
how do you calculate an apgar score
appearance, pulse, grimace, activity, and respiration, from 0-2
57
what are the stages of delivery
first stage (onset of labor until full cervical dilation) second stage ( full dilation to delivery of the baby) third stage (delivery of the baby to delivery of the placenta)
58
once the head is delivered what should you do next
determine the location of the umbilical cord
59
what could cause postpartum vaginal hemorrhage
incomplete delivery of the placenta
60
what does oxytocin do
causes the uterus to contract
61
what do gravida, para and spontaneous abortions mean and how do we report these to other healthcare providers
gravida refers to the number of pregnancies, para to the number of births past 20 weeks, and spontaneous abortions to miscarriages. report as G-P-A
62
what should you expect when delivering twins
lower birth weight
63
what are the signs and symptoms of deep vein thrombosis
pain, swelling, redness, warmth in the affected limb
64
what might gestational diabetes cause during pregnancy
the baby may be too large to deliver
65
what is the treatment for limb presentation
emergency transport to a hospital as delivery may require surgical intervention
66
what is the treatment for a prolapsed umbilical cord in teh prehospital setting
transport while lifting the baby of the cord
67
how do we control bleeding after delivery
fundal massage
68
what can cause persistent pulmonary hypertension
failing to adequately warm a newborn
69
what form of dextrose should we give a hypoglycemic newborn
dextrose 10%
70
what is chorioamnionitis
a bacterial infection of the amniotic fluid and membranes surriounding the fetus, usually during labor
71
what is the treatment for an eclamptic seizure
magnesium sulfate
72
what is the treatment for a breech birht
assess for a prolapsed cord
73
you have just delivered a newborn who is not breathing. what should you do
dry, warm, and stimulate
74
starting at what apgar score should you begin resuscitation efforts?
6
75
what is the typical 1 minute apgar score for a newborn
8-10
76
Calculate the following BSA on a child: chest, abd, anterior surface of both legs
32%
77
how do you treat a partially amputated finger?
apply a dressing over the partially amputated finger
78
you suspect child abuse, you should?
Report detailed findings to the hospital * NOTE: One of the choices is “Contact law enforcement”. That is not the right answer in this case.
79
Pediatric patient with a fever for 2 days, increased irritability with movement and a 30- second seizure prior to EMS arrival? You should suspect:
meningitis
80
Treatment of a newborn with gasping respirations and heart rate of 58?
Assist ventilations with a BVM
81
What is the treatment for a pediatric patient with SOB and barking cough?
nebulized epinphrine
82
What size ET tube is used for a full size newborn?
3.0-3.5
83
The treatment for a presenting limb (leg) is:
Place the mother in a knee-chest position and attempt to facilitate delivery
84
How should you treat a prolapsed cord?
Position the mother in a knee-chest position
85
A pregnant patient with a hip fracture should be transported in what position?
supine
86
An inverted uterus can be caused by:
Over-vigorous massaging of the fundus after delivery
87
What are the signs/symptoms of an ectopic pregnancy and what is your treatment?
Signs/symptoms * Severe abdominal pain * Guarding * Possibility of pregnancy * Oxygen by NRB at 15 LPM and transport
88
A pregnant female c/o dull shoulder ache and vaginal bleeding after being hit with a pool cue. What should you suspect?
uterine rupture
89
You have pt who is 35 weeks pregnant c/o vaginal bleeding and abd pain. Vital signs are BP 90/40, P 116, R 24. What should you do?
transport urgently
90
A mother gave birth a week ago. She now c/o SOB, diaphoresis and is tachycardic and tachypneic. What should you suspect?
pulmonary embosism
91
What is your treatment if you see “two feet” emerging from the vagina?
Apply oxygen and place the patient in Trendelenburg’s position
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