OB/PEDS FISDAP -Paramedic study
guide
spontaneous abortion - ANS Nontherapeutic termination of pregnancy
S: Vaginal bleeding WITH pain
abruptio placentae - ANS premature separation of the normally implanted placenta
S: NO bleeding WITH pain
placenta previa - ANS the abnormal implantation of the placenta in the lower portion of the uterus
S: bleeding after intercourse, bleeding in second trimester WITHOUT pain.
uterine rupture - ANS Rupture of the uterine wall
S: possible bleeding, SEVERE PAIN with N/V
ectopic pregnancy - ANS Common with PID
S: abdominal pain, bleeding, absence of menstruation.
pelvic inflammatory disease (PID) - ANS S: prolonged pain or ache, fever.
first stage of labor - ANS Onset of contractions to complete cervical dilation.
second stage of labor - ANS Full dilation of cervix to delivery of newborn
third stage of labor - ANS After delivery of newborn to expulsion of placenta.
,preeclampsia - ANS S: headache, blurred vision, RUQ pain, proteinuria, hypertension, edema
eclampsia - ANS S: same as preeclampsia with seizures
-gravida - ANS Number of pregnancies to include current
Para - ANS Number of children delivered successfully
croup - ANS S: barking cough with no drooling
Tx: racemic Epi, nebulized O2
Epiglottitis - ANS S: Drooling and fever
Tx: humidified O2, NO VASCULAR ACCESS
Pediatric ET tube size - ANS Uncuffed 3.5 mm
Cord presentation - ANS Tx: relieve pressure off of the cord and rapidly transport patient
Fluid resuscitation - ANS Newborn: 10 mL/kg
Pediatric: 20 mL/kg
umbilical cord - ANS 2 arteries and 1 vein
causes of first trimester bleeding - ANS miscarriage, fetal demise, ectopic pregnancy
identifying and treating a patient with abruptio placentae - ANS occurs normally with hypertension
or trauma, the patient will report severe pain, but vaginal bleeding may not be heavy. signs of shock
may be present: weak, rapid pulse, pale, cool, diaphoretic skin. treatment includes: if signs of shock
are present, turn patient on the left side and provide high-flow oxygen, place a sterile pad over the
vagina, also save any tissue that was passed
, signs and symptoms of uterine rupture - ANS excessive vaginal bleeding, sudden pain between
contractions, contractions that seem slower or less intense, abnormal abdominal pain or soreness,
the recession of baby's head into the birth canal, bulging under the pelvic bone
signs and symptoms of an ectopic pregnancy - ANS pelvic pain, vaginal bleeding, side pain,
abdominal pain, bloating, nausea, vomiting, cramping
signs and symptoms of placenta previa - ANS bright red vaginal bleeding without pain
signs and symptoms of postpartum complications - ANS bleeding exceeding 500 mL, difficulty
breathing, shortness of breath, altered mental status
signs and symptoms of pre-eclampsia - ANS severe hypertension, severe or persistent headache,
visual abnormalities, swelling in the hands or feet, anxiety
pathophysiology of abnormal breath sounds - ANS pediatric airways are smaller than adults, chest
walls are thinner so it is easier to hear breath sounds, detection of poor air movement or complete
absence of breath sounds may be more difficult to hear because less air is exchanged with each
breath
assessing a delivery for life-threatening conditions - ANS maintain an open airway, administer high-
flow oxygen, ensure adequate ventilations, assess circulation, transport considerations, assess for
crowning
resuscitating a bradycardic newborn - ANS 3:1
signs and symptoms of an upper airway infection - ANS agitation, cyanosis, confusion, difficulty
breathing, gasping, panic, high-pitched breathing sounds, wheezing, unconsciousness
special considerations for the peds airway - ANS the peds airway is smaller and therefore things can
get lodged in their esophagus easier
treating a child with a foreign body airway obstruction - ANS preform back blows followed by chest
thrusts, repeat until object is dislodged, if unconcious use jaw-thrust method and do a finger sweep
if you can see the object
guide
spontaneous abortion - ANS Nontherapeutic termination of pregnancy
S: Vaginal bleeding WITH pain
abruptio placentae - ANS premature separation of the normally implanted placenta
S: NO bleeding WITH pain
placenta previa - ANS the abnormal implantation of the placenta in the lower portion of the uterus
S: bleeding after intercourse, bleeding in second trimester WITHOUT pain.
uterine rupture - ANS Rupture of the uterine wall
S: possible bleeding, SEVERE PAIN with N/V
ectopic pregnancy - ANS Common with PID
S: abdominal pain, bleeding, absence of menstruation.
pelvic inflammatory disease (PID) - ANS S: prolonged pain or ache, fever.
first stage of labor - ANS Onset of contractions to complete cervical dilation.
second stage of labor - ANS Full dilation of cervix to delivery of newborn
third stage of labor - ANS After delivery of newborn to expulsion of placenta.
,preeclampsia - ANS S: headache, blurred vision, RUQ pain, proteinuria, hypertension, edema
eclampsia - ANS S: same as preeclampsia with seizures
-gravida - ANS Number of pregnancies to include current
Para - ANS Number of children delivered successfully
croup - ANS S: barking cough with no drooling
Tx: racemic Epi, nebulized O2
Epiglottitis - ANS S: Drooling and fever
Tx: humidified O2, NO VASCULAR ACCESS
Pediatric ET tube size - ANS Uncuffed 3.5 mm
Cord presentation - ANS Tx: relieve pressure off of the cord and rapidly transport patient
Fluid resuscitation - ANS Newborn: 10 mL/kg
Pediatric: 20 mL/kg
umbilical cord - ANS 2 arteries and 1 vein
causes of first trimester bleeding - ANS miscarriage, fetal demise, ectopic pregnancy
identifying and treating a patient with abruptio placentae - ANS occurs normally with hypertension
or trauma, the patient will report severe pain, but vaginal bleeding may not be heavy. signs of shock
may be present: weak, rapid pulse, pale, cool, diaphoretic skin. treatment includes: if signs of shock
are present, turn patient on the left side and provide high-flow oxygen, place a sterile pad over the
vagina, also save any tissue that was passed
, signs and symptoms of uterine rupture - ANS excessive vaginal bleeding, sudden pain between
contractions, contractions that seem slower or less intense, abnormal abdominal pain or soreness,
the recession of baby's head into the birth canal, bulging under the pelvic bone
signs and symptoms of an ectopic pregnancy - ANS pelvic pain, vaginal bleeding, side pain,
abdominal pain, bloating, nausea, vomiting, cramping
signs and symptoms of placenta previa - ANS bright red vaginal bleeding without pain
signs and symptoms of postpartum complications - ANS bleeding exceeding 500 mL, difficulty
breathing, shortness of breath, altered mental status
signs and symptoms of pre-eclampsia - ANS severe hypertension, severe or persistent headache,
visual abnormalities, swelling in the hands or feet, anxiety
pathophysiology of abnormal breath sounds - ANS pediatric airways are smaller than adults, chest
walls are thinner so it is easier to hear breath sounds, detection of poor air movement or complete
absence of breath sounds may be more difficult to hear because less air is exchanged with each
breath
assessing a delivery for life-threatening conditions - ANS maintain an open airway, administer high-
flow oxygen, ensure adequate ventilations, assess circulation, transport considerations, assess for
crowning
resuscitating a bradycardic newborn - ANS 3:1
signs and symptoms of an upper airway infection - ANS agitation, cyanosis, confusion, difficulty
breathing, gasping, panic, high-pitched breathing sounds, wheezing, unconsciousness
special considerations for the peds airway - ANS the peds airway is smaller and therefore things can
get lodged in their esophagus easier
treating a child with a foreign body airway obstruction - ANS preform back blows followed by chest
thrusts, repeat until object is dislodged, if unconcious use jaw-thrust method and do a finger sweep
if you can see the object
