Policy Review
Obstetrical Emergencies
OB Equipment
OB Documentation
OB Pearls
100
An infant of 20 weeks gestation or greater without any signs of life at birth.
What is a stillborn infant?
100
This emergency is characterized by the improper implanted egg outside of the uterus, usually in the fallopian tube.
What is an ectopic pregnancy?
100
This device will assess the heartrate of a fetus greater than 16 weeks gestation.
What is a fetal heart doppler?
100
Documentation for a Live Birth includes these 3 pieces of information.
What are the delivery date/time, birth certificate and death certificate if applicable?
100
This fluid has a pH level of 7.1 - 7.3.
What is amniotic fluid?
200
An lifeless infant of less than 20 weeks gestation is defined as this in policy.
What is a complete or incomplete abortion?
200
OB patients with these conditions will often have severe headache, visual disturbances and epigastric pain. Lab work may reveal proteinuria. If left untreated can progress to seizures and coma.
What are pre-eclampsia and eclampsia?
200
This monitoring device measures the strength of uterine contractions during labor.
What is a tocometer?
200
Appropriate disposition documentation of mother and baby to L&D or the nursery would include this information.
What is Date and time of transfer?
200
This number of patients exist when taking care of 1 obstetrical patient greater than 20 weeks gestation.
What are 2?
300
Per policy, gestation of at least 16 weeks is required to assess for these.
What are fetal heart tones?
300
When the amniotic sac bursts prior to labor, it is known as this OB emergency?
What is premature rupture of membranes?
300
After live birth, an infant may be placed in this for resuscitation if needed.
What is the Panda Infant warmer?
300
At a minimum, fetal heart tones should be assessed at these times.
What is on arrival to ED and prior to disposition?
300
When disposing of the placenta, these 3 steps should be followed.
What are: 1. Wrap placenta in chux, 2. Place in double red plastic bags and 3. Dispose of in biohazard container.
400
Patients of 20 weeks gestation or greater who present to ED with non-pregnancy related complaints should be evaluated in this department.
What is the ED?
400
With this condition, mother is at great risk for hemorrhage and the fetus has a 60% perinatal mortality rate related to tearing away of maternal blood vessels from the placenta.
What is a placental abruption?
400
A clear plastic enclosed crib that maintains a warm environment for a new baby and isolates him or her from germs.
What is an isolette?
400
Documentation of a complete/incomplete abortion will be done in the mother's medical chart and will NOT contain these two certificates.
What are birth and death certificates?
400
If a mother requests to keep her fetus with her when the infant does not survive, this policy should be consulted.
What is the Compassionate Care: Fetal Loss and Live Born Pre-viable Newborn policy?
500
OB patients will not be held in the ED pending the delivery of this biologic product.
What is the placenta?
500
The knee to chest or sleep trendelenburg position to decompress a vital structure is indicated for this OB emergency.
What is a prolapsed cord?
500
This device must be hooked up to both oxygen and air and has an internal Apgar score timer set for these two intervals. (2 answers)
What is the Panda warmer?
What are 1 and 5 minutes?
500
When documenting fetal demise/stillborn infant, you should ensure this certificate is complete.
What is the death certificate?
500
This department will be notified in all births and deaths in the ED.
What is Vital Statistics?