VEAL CHOP ✔️Ans - V- Variable C- Cord Comphression
E- Early Decels H- Head Compression
A- Accelerations O - OK
L-Late Decels P - Placenta
Variable decelerations ✔️Ans - HR up or down, cord compression =
VERY BAD
Prolapsed cord= push head up, change mom position
Early decelerations ✔️Ans - Head pressed on cervex. This is ok.
Late decelerations ✔️Ans - suteroplacental insufficiency
Stages of delivery ✔️Ans - ■ Cervix Dilation phase
■ Expulsion phase
■ Placental phase
Premature Rupture of Membranes (PROM) ✔️Ans - spontaneous
rupture of the amniotic sac and leakage of amniotic fluid beginning before
the onset of labor at any gestational age
Terbutaline ✔️Ans - sub Q .25 mg q 15 min
Magnesium Sulfate ✔️Ans - Smooth muscle relaxer. Loading dose 2-6
Grams over 30 min.
Infusion 2-4 G hour.
Mag Sulfate OD ✔️Ans - calcium gluconate
Pre-eclampsia ✔️Ans - HTN, proteinuria, edema
no seizures
eclampsia ✔️Ans - pre-eclampsia + seizure
HELLP syndrome ✔️Ans - hemolysis, elevated liver enzymes, low
platelets
, amniotic fluid embolism ✔️Ans - launches DIC in mother; lanugo hair
in the maternal pulmonary arteries.
McRoberts maneuver ✔️Ans - Pull knees to head to open up pelvis.
Gravida/Para ✔️Ans - G - number of pregnancies
P - outcome of pregnancy
post partum hemorrhage ✔️Ans - Bleeding in excess of 500cc after
delivery. FUNDAL MASSAGE and put infant to breast. Place pad over vaginal
opening and treat for shock, elevate hips.
pitocin
methergine
You are transporting a high-risk OB patient by ground ambulance. During
transport, you note that the patient exhibits what appears to be early
decelerations on the tocometer. Which of the causes listed below is the
cause of the patient's early decelerations? ✔️Ans - head compression
on cervex
What are the indications for an immediate C section?
A. Multiple decelerations with poor rate
B. Multiple decelerations with poor variability
C. Sinusoidal waveform
D. HR<120 for 10 minutes
E. All of the above ✔️Ans - all of the above
During transport of a high-risk OB patient, you notice what appears to be
accelerations on the tocometer. Which of the following listed reasons would
be the cause of accelerations? ✔️Ans - normal
During normal fetal development, the mother's plasma increases by
_____________%. ✔️Ans - 40%
You are transporting a patient via FW (fixed wing) for high-risk OB
complications. The patent has a current infusion of Magnesium Sulfate