EMT Chapter 33 Knowledge Objectives verified to pass 2023/2024

EMT Chapter 33 Knowledge ObjectivesIdentify the anatomy and physiology of the female reproductive system. (pp ) - correct answer Female reproductive system includes: Fallopian tubes Uterus Cervix Vagina Ovaries Breasts Explain the normal changes that occur in the body during pregnancy. (pp ) - correct answer 1. Hormone levels increase 2. Uterine growth occurs during second trimester, pushes up on diaphragm and changing respiratory rates/volume. 3. Blood volume and rbc count increases 4. Displacement of stomach upward increase risk of vomiting/aspiration following trauma 5. Weight gain is normal 6. Increased demands from cardiovascular system Recognize complications of pregnancy from abuse - correct answer Pregnant women have an increased chance of being victims of domestic violence/abuse It increases chance of miscarriage, premie baby, and low birth weight Woman is at risk of bleeding, infection and uterine rupture Pregnant women may be too scared to open up about it so talk to them privately Recognize complications of pregnancy from substance abuse - correct answer Effects of addition include prematurity, low birth weight, severe respiratory distress and death Newborn baby *will probably need immediate resuscitation* so be prepared to *assist ventilations* and provide O2 Recognize complications of pregnancy from hypertensive disorders - correct answer *Preeclampsia* is pregnancy-induced hypertension which can develop after *week 20* It can cause seizures, which to treat: Lay pt on her left side, maintain airway, O2, and call for ALS intercept Laying PT on left side prevents *supine hypertensive syndrome* where aorta is compressed Recognize complications of pregnancy from bleeding - correct answer Internal bleeding may be sign of *ectopic pregnancy* Hemmorhage from vagina that occurs before labor may indicate *abruptio placenta*, where placenta separates from wall of uterus (caused by trauma or hypertension) and pt will experience pain without too much bleeding In *placenta previa*, placenta develops over cervix and pt may experience bleeding without pain Recognize complications of pregnancy from spontaneous abortion (miscarriage) - correct answer Passage of fetus before 20 weeks is called abortion