OB Complications
What is the term for a pregnancy complication involving high blood pressure that can lead to seizures?
Preeclampsia
What stage of labor is characterized by full dilation of cervix and descent of baby
Stage 2
A woman in her second trimester complains of blurry vision, sudden weight gain, and swelling. She has high blood pressure. What condition is she likely experiencing?
preeclampsia
This is a condition that can cause a postpartum patient to become severely weak and pale, often due to blood loss or infection.
hypovolemic shock
What vital sign is crucial to monitor in a pregnant woman to assess for signs of preeclampsia?
blood pressure
This condition involves the placenta prematurely detaching from the uterus
Placenta Abruptio
Term for rupture of amniotic sac, referred to as "water breaking"
Membrane Rupture
This condition is characterized by a pregnancy-related loss of blood sugar control, often resulting in the need for insulin management.
gestational diabetes
A postpartum woman develops severe leg pain, redness, and swelling. What is the most likely diagnosis?
deep vein thrombosis (DVT)
This method of transport should be used for pregnant patients in labor or with complications to avoid supine hypotensive syndrome.
What is left lateral recumbent position
Condition where placenta covers the cervix, causing bleeding during pregnancy and potential obstruction during delivery
Placenta Previa
hen the umbilical cord is wrapped around the baby's neck, it’s referred to as a nuchal cord. This can lead to fetal distress, requiring immediate intervention. What would be the first step in management?
Gentle cord traction and repositioning the baby
What is the condition characterized by vomiting and dehydration during pregnancy, especially in the first trimester?
hyperemesis gravidarum
What is the term for infection of the uterus or surrounding tissues following childbirth?
endometritis
If a woman is in labor and has not had any prenatal care, what should the EMT be most concerned about?
Literally everything, but...
potentially undiagnosed complication like placenta previa or eclampsia
Condition where the pregnant pt can start seizing
Eclampsia
This type of delivery involves a surgical incision made in the mother's abdomen and uterus, often performed when vaginal delivery is not possible.
cesarean section
This is a rare but dangerous condition in pregnancy where blood clots form in the lungs, causing severe respiratory distress.
pulmonary embolism
Severe postpartum mood disturbances, including sadness, irritability, and anxiety, can indicate this disorder.
postpartum depression
You are called to a pregnant patient who is approximately 36 weeks along. She is supine, hypotensive, diaphoretic, and complaining of dizziness. Her vitals improve when she is rolled onto her left side. What is this condition called, and why does positioning matter in your treatment?
supine hypotensive syndrome, and positioning the patient in the left lateral recumbent position relieves pressure from the gravid uterus on the inferior vena cava, improving venous return and cardiac output
This rare but potentially catastrophic complication can occur when the amniotic fluid, containing fetal cells, enters the mother's bloodstream, triggering a massive allergic reaction.
amniotic fluid embolism
You arrive to find a woman in active labor. The baby’s head is delivered, but the shoulders are stuck behind the mother’s pubic bone. This is a true obstetric emergency. What is this condition called, and what immediate maneuver should you attempt to relieve it?
shoulder dystocia, and attempt the McRoberts maneuver
You are called for a pregnant patient in her third trimester who presents with painless, bright red vaginal bleeding. She denies contractions or abdominal pain. As an EMT, you should avoid performing a vaginal exam and prepare for immediate transport. What is the most likely diagnosis?
placenta previa
A pregnant patient in her second trimester complains of severe abdominal pain after a minor car accident. She has vaginal bleeding and shows signs of hypovolemic shock. What life-threatening condition should you suspect, and why is rapid transport critical?
abruptio placentae (placental abruption), and rapid transport is critical because of the risk of significant maternal hemorrhage and fetal compromise
In the event of maternal cardiac arrest, what should be prioritized
high-quality chest compressions and early defibrillation, followed by consideration of perimortem cesarean delivery