Labor and Delivery
During contractions, inspect for this visible sign that the baby’s head is at the vaginal opening.
What is crowning?
Most newborns need these three basic interventions immediately after birth.
What are maintenance of temperature, mild stimulation, and airway suction with a bulb syringe?
EMS should not wait for this organ to deliver and should never pull on its cord.
What is the placenta?
For both breech birth and prolapsed cord, the transport priority is summarized by this phrase.
What is load and go?
A seizure occurring before or after birth is identified in the PowerPoint as this obstetric emergency.
What is eclampsia?
If crowning, a bulging perineum, or the urge to push is present, EMS should do this rather than attempt to delay birth.
What is prepare for delivery?
The umbilical cord is clamped this many times before it is cut.
What is two times?
For a torn perineum, apply direct pressure using this item
What is a sanitary pad?
During a breech birth, EMS should never do this to the baby.
What is pull on the baby?
During eclampsia care, place the mother on this side and handle her gently
What is the left side?
If a patient in labor is being transported, the PowerPoint directs that she be transported on this side.
What is the left side?
These three findings are listed as newborn risk/condition checks: gestational age, crying, and this.
What is good muscle tone?
When estimated blood loss is greater than this amount, the PowerPoint directs treatment for significant postpartum bleeding.
What is 500 mL?
With a prolapsed cord, place the mother in this position with her knees to her chest.
What is Trendelenburg with knees to chest?
After IV access, the PowerPoint lists 2 grams of this medication over 10 minutes for eclampsia.
What is magnesium sulfate?
After the head delivers, EMS should check around the newborn’s neck for this complication.
What is a nuchal cord?
Basic newborn care includes warming and drying, clearing the airway, assessing condition, and assessing this.
What are respirations?
This hands-on intervention is performed until the uterus becomes firm.
What is fundal massage?
With a prolapsed cord, insert two fingers between the pubic bone and presenting part to relieve pressure while monitoring these.
What are cord pulsations?
If there is no IV for an eclamptic patient, the PowerPoint lists this medication as an option while obtaining IO access.
What is Versed (midazolam)?
To deliver the shoulders, guide the head in this sequence: first this direction for the upper shoulder, then this direction for the lower shoulder.
What is down, then up?
APGAR scoring is performed at these two times, but it should not interrupt resuscitation.
What are 1 minute and 5 minutes?
For postpartum hemorrhage not responding to fluid treatment, the PowerPoint lists this medication: 1 gram in 100 mL D5W or NS over 10 minutes.
What is TXA (tranexamic acid)?
If a breech baby’s head does not deliver within 30 seconds, use two fingers to create this between the baby’s face and the vaginal wall.
What is an airway?
The medication-safety slide reminds providers to know these five rights shown in the deck.
What are medication, dose, route, patient, and time?