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64 terms

OB/Pediatrics

EMT vocabulary review
STUDY
PLAY
FULL TERM
38 to 40 weeks
UTERUS
Organ expands for baby to grow
PLACENTA
Organ of pregnancy; link between uterus and fetus
AMNIOTIC SAC
500-mL shock absorber
IMBILIBAL CORD
Fetus lifeline
MUCOUS PLUG
Cervix sealed to stop infection
MATERNAL BLOOD VOLUME
Increases by 45%
MATERNAL RESPIRATORY TIDAL VOLUME
Increases by 40%
MATERNAL HEART RATE
Increases by 10-15 bpm
HYPOVOLEMIA
Leading cause of death in pregnant women
SPONTANEOUS ABORTION
Termination under 20 weeks
PLACENTA PREVIA
Placenta implantation over cervix, painless bleeding
ABRUPTIO PLACENTA
Placenta rips from uterus; constant painful bleeding
RUPTURED UTERUS
'Tearing' sensation without fetal movement
ECTOPIC PREGNANCY
Fetus development not in uterus (F. Tubes)
PREECLAMPSIA
Gestational HTN with possibility of seizures
ECLAMPSIA
Gestational HTN and seizure disorder
SUPINE HYPOTENSIVE SYNDROME
Fetus occluding Vena Cava
GRAVIDA
How many pregnancies?
PARA
How many births?
3 STAGES OF LABOR
Dilation, Expulsion, Placenta
BRAXTON-HICKS CONTRACTIONS
False Labor
CONTRACTIONS AT BIRTH
Every 2 to 3 minute, lasting approx. 1 minute long
DELIVERY STEPS FOR BABY
Head, neck, suction, shoulders
STEPS FOR NEONATE
Stimulate/Dry, Clampx2, Cut cord
POST DELIVERY CARE
Loose dressing, Fundal massage, Breast Feed
PROLAPSE CORD
Insert hand to relieve head from compressing cord, wrap in moist dressing
BREECH BIRTH
Insert hand to establish airway for baby
LIMB PRESENTATION
Do not touch! May stimulate baby to breath
MECONIUM
Suction airway
PREMATURE
Under 38 weeks or 5 pounds
POST-TERM
Over 42 weeks
PRECIPITOUS DELIVERY
Fast with tearing
SHOULDER DYSTOCIA
'Turtle Sign'; McRobert's position of supine with knees to chest
PRETERM LABOR
Onset of labor prior to term; treat mom for shock and baby may stay
MULTIPLE BIRTHS
Call for more help. Second may be breech (33%)
PREMATURE RUPTURE OF MEMBRANES
'Water broke'= mucus plug ruptures; not labor
APGAR
Appearance, Pulse, Grimace, Activity, Respirations
INVERTED NEONATAL PYRAMID
Stimulate, O2 blowby, BVM @ HR 100 HR, CPR @ 60 HR; reevaluate every 30 seconds
NEONATE
Newborn to 1 month
INFANT
1 month to 1 year; roll over4/ sit up 6/ crawl9
TODDLERS
1-3 years; walking/ talking
PRESCHOOL
3-6 years; dressing4/ tying shoes6
SCHOOL-AGE
6-12 years
ADOLESCENT
12-18 year; teenagers
PEDIATRIC ASSESSMENT TRIANGLE
Appearance, work of Breathing, Circulation; 1st impression of Sick or Not Sick
TICLS
Tone, Interactiveness, Consolability, Look/gaze, Speech/cry
PEDIATRIC SHOCK
Not hypotensive until 30% volume lost; compensate well then suddenly crash!
NORMAL B/P RULE FOR PEDIATRICS
Age x 2 + 80
FONTANELLE
Assess for hydration status in neonate/infant
RR UNDER 5 Y/O
2-3 x faster than adult
CAUSE OF CARDIAC ARREST
Respiratory compromise
AIRWAY POSITIONING
Modified jaw thrust; no head-tilt - big head! Pad shoulders to maintain neutral alignment
TIDAL VOLUME
6-8 mL/kg
PEDIATRIC FLUID BOLUS
Personally, I would start at 10 mL/kg
CROUP
'Seal-bark' cough; do NOT agitate, humidify O2
EPIGLOTTITIS
Drooling; 50% mortality rate; do NOT agitate, humidify O2
ASTHMA
Bronchoconstriction with + mucous production, wheezing; albuterol
CONGENITAL HEART DISEASE (CHD)
Family states significant history; support ABCs
FEBRILE SEIZURES
Sudden spike in temperature; treat for seizure, passive cooling, BGL
MENINGITIS
Lethargic, hot to touch; painful movement (of head), possible rash; PPE!
SIDS/SUDDEN INFANT DEATH SYNDROME
'Crib Death' to age 1; CPR unless rigor or lividity
DUCTUS ARTERIOSIS
Heart bypass of fetus
DUCTUS VENOSUS
Imbilical bypass of fetus