Baby's Here!
Time intervals for APGAR
1 and 5 Minutes
Most important care for a prolapsed cord
Keep the baby off the cord
First Stage of Labor (Describe)
Thinning and Dilation of the cervix
Seizures due to complications of pregnancy, when do they happen?
Later in Pregnancy (3rd Trimester)
Female is 40 weeks pregnant, second child, Vitals within normal limits, baby is crowning......
What should you do?
Prepare to deliver the baby on-scene
Fingers tear the sac away from baby's face
Infant is breathing on own
Cord is no longer Pulsating
Cord clamped in 2 places
When to cut the Umbilical Cord
Greatest Danger to Woman and fetus when trauma occurs (hint, type of shock)
Hypovolemic Shock
(Tell me how to treat shock)
Normal maternal blood loss during delivery should not exceed (in CC)
500cc
Woman, 8 months pregnant, possible premature labor. No crowning noted, how should you determine whether delivery is imminent?
Time her contractions
3 signs of adequate breathing in the newborn
2. Cyanosis on hands/feet - Not CORE
3. Vigorous Cry
3 Things to check/do when the infants head is delivered
1. Check for umbilical cord (Nuchal Cord)
2. Suction Mouth
3. Suction Nose
How much blood volume can an OB patient lose before showing signs of shock?
35 percent
Highest priority when delivering an infant with Meconium Stained amniotic fluid?
Suction before first breath
Correct way to time the frequency of contractions
From the beginning of one contraction to the beginning of the next
You are assessing newborn 1 minute after delivery:
- Blue Extremities with Pink trunk
- Pulse 120
- Strong Cry
- Moves all extremities
9
When clamping the umbilical cord, the clamp closest to the baby should be approximately____ inches from the infants body?
(and 10 inches)
Called for a woman with SEVERE abdominal Pain, Pulse 122, Resp 22, BP 96/62, Skin Cool and Pale
Ectopic Pregnancy
Young female in labor, lying on the floor in distress, Feels Dizzy and Nauseated. Pulse - 120, Resp - 22, BP 98/62.
Supine Hypotensive Syndrome
Female in active labor, 37 weeks along, first child, contractions are 5 minutes apart. Considered HIGH RISK. First concern should be?
Getting to the hospital
Correct Technique for checking for crowning (4 steps)
1. Cover with sheet
2. Remove underwear
3. wait for contraction
4. visualize vaginal opening
Umbilical Cord is wrapped around neck after head is born, what do we do first
Try to slip the cord over the baby's head
Maintain Scene Safety
Treat Life Threats
Treat Medical and Psychological Needs
Protect Criminal Evidence
Treating Patient with Sexual Assault
1. Risk of respiratory difficulty
2. more susceptible to infection
3. easily develop hypothermia
Premature Infants
Delivery of full-term baby, mouth and nose have been suctioned, baby is not breathing yet. What are the steps? (4 steps in Correct Order)
1. Rub babys back
2. Tap the foot
3. Begin BVM
4. Check Pulse